Medicare Advantage in Fayette County, West Virginia
6,709 people in Fayette County, West Virginia were enrolled in Medicare Advantage in October 2026, 61.2% of 10,959 eligible beneficiaries (+0.7 pts since October 2025). Humana Inc. is the largest parent organization with 44% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 2,809 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 18 members here are in plans that terminate or leave the county. MA plans offered go from 37 to 37.
Parent organizations in Fayette County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,923 | +150 | 43.9% |
| CVS Health Corporation | 1,620 | +59 | 24.3% |
| UnitedHealth Group, Inc. | 872 | −128 | 13.1% |
| UMWA Health and Retirement Funds | 608 | −29 | 9.1% |
| Highmark Health | 363 | −22 | 5.4% |
| The Health Plan of West Virginia, Inc. | 181 | +16 | 2.7% |
| West Virginia United Health System, Inc. | 37 | new | 0.6% |
| SNP Holdings, LLC | 26 | +2 | 0.4% |
| Elevance Health, Inc. | 18 | new | 0.3% |
| C & O Employees' Hospital Association | 13 | new | 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, 1,828 beneficiaries in Fayette County were assigned to 29 Medicare Shared Savings Program ACOs, 48.4% of assignable Original Medicare beneficiaries. Together, roughly 80% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.