Medicare Advantage in Ohio County, West Virginia
6,469 people in Ohio County, West Virginia were enrolled in Medicare Advantage in October 2026, 55.3% of 11,692 eligible beneficiaries (+0.6 pts since October 2025). Humana Inc. is the largest parent organization with 31% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 1,873 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 273 members here are in plans that terminate or leave the county. MA plans offered go from 36 to 33.
Parent organizations in Ohio County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,015 | +100 | 31.4% |
| Highmark Health | 1,077 | −160 | 16.8% |
| The Health Plan of West Virginia, Inc. | 935 | +33 | 14.6% |
| CVS Health Corporation | 890 | +12 | 13.9% |
| UnitedHealth Group, Inc. | 737 | −122 | 11.5% |
| West Virginia United Health System, Inc. | 504 | +266 | 7.8% |
| UMWA Health and Retirement Funds | 208 | −5 | 3.2% |
| Elevance Health, Inc. | 59 | +32 | 0.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,434 beneficiaries in Ohio County were assigned to 29 Medicare Shared Savings Program ACOs, 65.0% of assignable Original Medicare beneficiaries. Together, roughly 84% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.