Medicare Advantage in Caroline County, Virginia
3,085 people in Caroline County, Virginia were enrolled in Medicare Advantage in October 2026, 42.4% of 7,273 eligible beneficiaries (−0.1 pts since October 2025). Humana Inc. is the largest parent organization with 52% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,415 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 90 members here are in plans that terminate or leave the county. MA plans offered go from 29 to 29.
Parent organizations in Caroline County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,584 | +399 | 51.8% |
| Elevance Health, Inc. | 582 | −180 | 19.1% |
| UnitedHealth Group, Inc. | 504 | −11 | 16.5% |
| CVS Health Corporation | 287 | −64 | 9.4% |
| Devoted Health, Inc. | 41 | new | 1.3% |
| Sentara Health Care (SHC) | 34 | −78 | 1.1% |
| Curana Health Holdings, LLC | 12 | −1 | 0.4% |
| CareFirst, Inc. | 11 | −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, 1,623 beneficiaries in Caroline County were assigned to 42 Medicare Shared Savings Program ACOs, 57.9% of assignable Original Medicare beneficiaries. Together, roughly 76% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.