Medicare Advantage in Berkeley County, West Virginia
11,972 people in Berkeley County, West Virginia were enrolled in Medicare Advantage in October 2026, 44.1% of 27,141 eligible beneficiaries (+1.0 pts since October 2025). Humana Inc. is the largest parent organization with 47% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,936 (highly concentrated). For 2027, 35 members here are in plans that terminate or leave the county. MA plans offered go from 36 to 35.
Parent organizations in Berkeley County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 5,569 | +349 | 46.8% |
| UnitedHealth Group, Inc. | 2,421 | −343 | 20.3% |
| CVS Health Corporation | 1,414 | −28 | 11.9% |
| Highmark Health | 1,291 | −321 | 10.8% |
| West Virginia United Health System, Inc. | 1,027 | new | 8.6% |
| The Health Plan of West Virginia, Inc. | 81 | −2 | 0.7% |
| SNP Holdings, LLC | 64 | +6 | 0.5% |
| CareFirst, Inc. | 37 | +7 | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 5,854 beneficiaries in Berkeley County were assigned to 78 Medicare Shared Savings Program ACOs, 58.6% of assignable Original Medicare beneficiaries. Together, roughly 77% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.