Medicare Advantage in Smyth County, Virginia
4,562 people in Smyth County, Virginia were enrolled in Medicare Advantage in October 2026, 52.8% of 8,645 eligible beneficiaries (+1.4 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 60% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 4,395 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 71 members here are in plans that terminate or leave the county. MA plans offered go from 22 to 24.
Parent organizations in Smyth County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 2,690 | +5 | 59.5% |
| Humana Inc. | 1,280 | +150 | 28.3% |
| Elevance Health, Inc. | 251 | −20 | 5.6% |
| CVS Health Corporation | 167 | −29 | 3.7% |
| Sentara Health Care (SHC) | 58 | −17 | 1.3% |
| Appalachian Agency for Senior Citizens, Inc. | 34 | +3 | 0.8% |
| Devoted Health, Inc. | 27 | new | 0.6% |
| UMWA Health and Retirement Funds | 11 | −1 | 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, 2,269 beneficiaries in Smyth County were assigned to 33 Medicare Shared Savings Program ACOs, 65.5% of assignable Original Medicare beneficiaries. Together, roughly 84% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.