Medicare Advantage in Monroe County, West Virginia
1,906 people in Monroe County, West Virginia were enrolled in Medicare Advantage in October 2026, 48.3% of 3,944 eligible beneficiaries (+0.3 pts since October 2025). Humana Inc. is the largest parent organization with 55% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,613 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 297 members here are in plans that terminate or leave the county. MA plans offered go from 31 to 29.
Parent organizations in Monroe County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,022 | +93 | 54.8% |
| UnitedHealth Group, Inc. | 321 | +6 | 17.2% |
| Highmark Health | 315 | −70 | 16.9% |
| CVS Health Corporation | 79 | −13 | 4.2% |
| UMWA Health and Retirement Funds | 51 | −5 | 2.7% |
| The Health Plan of West Virginia, Inc. | 39 | +21 | 2.1% |
| SNP Holdings, LLC | 24 | +1 | 1.3% |
| Elevance Health, Inc. | 15 | +1 | 0.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 504 beneficiaries in Monroe County were assigned to 20 Medicare Shared Savings Program ACOs, 29.4% of assignable Original Medicare beneficiaries. Together, roughly 64% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.