Medicare Advantage in Botetourt County, Virginia
3,724 people in Botetourt County, Virginia were enrolled in Medicare Advantage in October 2026, 38.2% of 9,759 eligible beneficiaries (−0.7 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 38% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,704 (highly concentrated). For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 36 to 41.
Parent organizations in Botetourt County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,423 | +39 | 38.5% |
| Humana Inc. | 902 | +118 | 24.4% |
| Elevance Health, Inc. | 809 | −75 | 21.9% |
| CVS Health Corporation | 440 | −56 | 11.9% |
| Highmark Health | 59 | −2 | 1.6% |
| Sentara Health Care (SHC) | 24 | −26 | 0.6% |
| Total Community Options, Inc. | 22 | +7 | 0.6% |
| C & O Employees' Hospital Association | 16 | +1 | 0.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,926 beneficiaries in Botetourt County were assigned to 35 Medicare Shared Savings Program ACOs, 63.1% of assignable Original Medicare beneficiaries. Together, roughly 77% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.