Medicare Advantage in Boone County, West Virginia
4,067 people in Boone County, West Virginia were enrolled in Medicare Advantage in October 2026, 71.2% of 5,715 eligible beneficiaries (+0.4 pts since October 2025). Humana Inc. is the largest parent organization with 43% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 3,070 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 31 to 30.
Parent organizations in Boone County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,730 | +187 | 42.8% |
| UMWA Health and Retirement Funds | 1,278 | −44 | 31.6% |
| UnitedHealth Group, Inc. | 587 | −17 | 14.5% |
| CVS Health Corporation | 158 | −81 | 3.9% |
| The Health Plan of West Virginia, Inc. | 111 | +21 | 2.7% |
| West Virginia United Health System, Inc. | 96 | new | 2.4% |
| SNP Holdings, LLC | 40 | −3 | 1.0% |
| Elevance Health, Inc. | 27 | new | 0.7% |
| C & O Employees' Hospital Association | 17 | +1 | 0.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 934 beneficiaries in Boone County were assigned to 20 Medicare Shared Savings Program ACOs, 38.2% of assignable Original Medicare beneficiaries. Together, roughly 82% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
