Medicare Advantage in Spotsylvania County, Virginia
10,152 people in Spotsylvania County, Virginia were enrolled in Medicare Advantage in October 2026, 35.6% of 28,542 eligible beneficiaries (+0.1 pts since October 2025). Humana Inc. is the largest parent organization with 48% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,060 (highly concentrated). For 2027, 104 members here are in plans that terminate or leave the county. MA plans offered go from 32 to 33.
Parent organizations in Spotsylvania County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 4,812 | +965 | 47.7% |
| Elevance Health, Inc. | 2,015 | +144 | 20.0% |
| UnitedHealth Group, Inc. | 1,709 | −71 | 16.9% |
| CVS Health Corporation | 817 | −729 | 8.1% |
| Kaiser Foundation Health Plan, Inc. | 604 | +92 | 6.0% |
| Sentara Health Care (SHC) | 107 | +11 | 1.1% |
| CareFirst, Inc. | 15 | new | 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 15 | −1 | 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 6,604 beneficiaries in Spotsylvania County were assigned to 103 Medicare Shared Savings Program ACOs, 53.5% of assignable Original Medicare beneficiaries. Together, roughly 70% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
