Medicare Advantage in Roanoke County, Virginia
9,745 people in Roanoke County, Virginia were enrolled in Medicare Advantage in October 2026, 37.4% of 26,088 eligible beneficiaries (+0.3 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 33% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 2,528 (highly concentrated). For 2027, 118 members here are in plans that terminate or leave the county. MA plans offered go from 37 to 39.
Parent organizations in Roanoke County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 3,218 | +180 | 33.2% |
| Humana Inc. | 2,628 | +523 | 27.1% |
| Elevance Health, Inc. | 2,156 | −255 | 22.2% |
| CVS Health Corporation | 1,338 | −176 | 13.8% |
| Highmark Health | 169 | −5 | 1.7% |
| Sentara Health Care (SHC) | 108 | −70 | 1.1% |
| Total Community Options, Inc. | 74 | +17 | 0.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 7,408 beneficiaries in Roanoke County were assigned to 72 Medicare Shared Savings Program ACOs, 57.0% of assignable Original Medicare beneficiaries. Together, roughly 73% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.