Medicare Advantage in Fluvanna County, Virginia
2,343 people in Fluvanna County, Virginia were enrolled in Medicare Advantage in October 2026, 31.5% of 7,428 eligible beneficiaries (+0.4 pts since October 2025). Humana Inc. is the largest parent organization with 44% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 2,939 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 519 members here are in plans that terminate or leave the county. MA plans offered go from 26 to 22.
Parent organizations in Fluvanna County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,019 | +236 | 44.2% |
| Elevance Health, Inc. | 544 | +53 | 23.6% |
| UnitedHealth Group, Inc. | 373 | −13 | 16.2% |
| CVS Health Corporation | 294 | −21 | 12.7% |
| Total Community Options, Inc. | 44 | 0 | 1.9% |
| Sentara Health Care (SHC) | 32 | −168 | 1.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,065 beneficiaries in Fluvanna County were assigned to 34 Medicare Shared Savings Program ACOs, 52.7% of assignable Original Medicare beneficiaries. Together, roughly 68% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.