Medicare Advantage in Essex County, Vermont
554 people in Essex County, Vermont were enrolled in Medicare Advantage in October 2026, 26.2% of 2,118 eligible beneficiaries (−5.0 pts since October 2025). Humana Inc. is the largest parent organization with 80% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 6,576 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 20 members here are in plans that terminate or leave the county. MA plans offered go from 3 to 2.
Parent organizations in Essex County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 442 | +287 | 80.4% |
| Health Care Service Corporation | 48 | +37 | 8.7% |
| Elevance Health, Inc. | 24 | +1 | 4.4% |
| UnitedHealth Group, Inc. | 21 | −92 | 3.8% |
| CVS Health Corporation | 15 | +1 | 2.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 429 beneficiaries in Essex County were assigned to 19 Medicare Shared Savings Program ACOs, 41.5% of assignable Original Medicare beneficiaries. Together, roughly 57% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.