Medicare Advantage in McDowell County, West Virginia
3,497 people in McDowell County, West Virginia were enrolled in Medicare Advantage in October 2026, 67.4% of 5,189 eligible beneficiaries (+1.0 pts since October 2025). Humana Inc. is the largest parent organization with 42% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,716 (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 36 to 36.
Parent organizations in McDowell County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,468 | +57 | 42.3% |
| CVS Health Corporation | 818 | −8 | 23.6% |
| UnitedHealth Group, Inc. | 519 | −22 | 15.0% |
| UMWA Health and Retirement Funds | 387 | −18 | 11.2% |
| Highmark Health | 145 | −13 | 4.2% |
| The Health Plan of West Virginia, Inc. | 59 | +17 | 1.7% |
| SNP Holdings, LLC | 41 | −10 | 1.2% |
| Elevance Health, Inc. | 33 | new | 1.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 459 beneficiaries in McDowell County were assigned to 24 Medicare Shared Savings Program ACOs, 26.3% 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.