Medicare Advantage in Roanoke City, Virginia
11,515 people in Roanoke City, Virginia were enrolled in Medicare Advantage in October 2026, 52.9% of 21,766 eligible beneficiaries (−0.3 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 35% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,578 (highly concentrated). For 2027, 221 members here are in plans that terminate or leave the county. MA plans offered go from 36 to 38.
Parent organizations in Roanoke City
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 4,050 | +320 | 35.3% |
| Humana Inc. | 2,833 | +433 | 24.7% |
| Elevance Health, Inc. | 2,731 | −340 | 23.8% |
| CVS Health Corporation | 1,380 | −275 | 12.0% |
| Sentara Health Care (SHC) | 245 | −74 | 2.1% |
| Total Community Options, Inc. | 123 | −3 | 1.1% |
| Highmark Health | 82 | +6 | 0.7% |
| Curana Health Holdings, LLC | 19 | −4 | 0.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 4,326 beneficiaries in Roanoke City were assigned to 55 Medicare Shared Savings Program ACOs, 57.9% of assignable Original Medicare beneficiaries. Together, roughly 80% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.