Medicare Advantage in Monongalia County, West Virginia
9,377 people in Monongalia County, West Virginia were enrolled in Medicare Advantage in October 2026, 57.0% of 16,464 eligible beneficiaries (+0.3 pts since October 2025). Humana Inc. is the largest parent organization with 50% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,949 (highly concentrated). For 2027, 723 members here are in plans that terminate or leave the county. MA plans offered go from 31 to 30.
Parent organizations in Monongalia County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 4,667 | +329 | 49.9% |
| UMWA Health and Retirement Funds | 1,014 | −31 | 10.9% |
| UnitedHealth Group, Inc. | 984 | −163 | 10.5% |
| CVS Health Corporation | 945 | +30 | 10.1% |
| West Virginia United Health System, Inc. | 825 | +370 | 8.8% |
| Highmark Health | 564 | −359 | 6.0% |
| The Health Plan of West Virginia, Inc. | 266 | +86 | 2.8% |
| SNP Holdings, LLC | 56 | +1 | 0.6% |
| Elevance Health, Inc. | 23 | +2 | 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, 3,866 beneficiaries in Monongalia County were assigned to 43 Medicare Shared Savings Program ACOs, 77.3% of assignable Original Medicare beneficiaries. Together, roughly 90% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.