Medicare Advantage in Gilmer County, West Virginia
957 people in Gilmer County, West Virginia were enrolled in Medicare Advantage in October 2026, 65.2% of 1,467 eligible beneficiaries (+1.4 pts since October 2025). Humana Inc. is the largest parent organization with 61% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 4,201 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 113 members here are in plans that terminate or leave the county. MA plans offered go from 31 to 33.
Parent organizations in Gilmer County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 569 | +23 | 61.1% |
| CVS Health Corporation | 148 | +2 | 15.9% |
| UnitedHealth Group, Inc. | 131 | +2 | 14.1% |
| The Health Plan of West Virginia, Inc. | 30 | −5 | 3.2% |
| West Virginia United Health System, Inc. | 29 | new | 3.1% |
| Highmark Health | 13 | −5 | 1.4% |
| UMWA Health and Retirement Funds | 12 | −1 | 1.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 137 beneficiaries in Gilmer County were assigned to 11 Medicare Shared Savings Program ACOs, 30.6% of assignable Original Medicare beneficiaries. Together, roughly 76% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.