Medicare Advantage in Nelson County, Virginia
1,836 people in Nelson County, Virginia were enrolled in Medicare Advantage in October 2026, 34.3% of 5,354 eligible beneficiaries (+0.1 pts since October 2025). Humana Inc. is the largest parent organization with 39% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 2,805 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 46 members here are in plans that terminate or leave the county. MA plans offered go from 24 to 24.
Parent organizations in Nelson County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 697 | +61 | 39.1% |
| Elevance Health, Inc. | 496 | +109 | 27.8% |
| UnitedHealth Group, Inc. | 348 | +4 | 19.5% |
| CVS Health Corporation | 191 | −33 | 10.7% |
| Sentara Health Care (SHC) | 32 | −112 | 1.8% |
| Total Community Options, Inc. | 18 | −2 | 1.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,189 beneficiaries in Nelson County were assigned to 36 Medicare Shared Savings Program ACOs, 42.4% of assignable Original Medicare beneficiaries. Together, roughly 62% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.