Medicare Advantage in Pendleton County, West Virginia
1,177 people in Pendleton County, West Virginia were enrolled in Medicare Advantage in October 2026, 50.2% of 2,344 eligible beneficiaries (+1.9 pts since October 2025). Humana Inc. is the largest parent organization with 62% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 4,355 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 232 members here are in plans that terminate or leave the county. MA plans offered go from 34 to 34.
Parent organizations in Pendleton County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 706 | +69 | 62.3% |
| UnitedHealth Group, Inc. | 181 | −9 | 16.0% |
| CVS Health Corporation | 152 | +29 | 13.4% |
| Highmark Health | 72 | −42 | 6.3% |
| West Virginia United Health System, Inc. | 23 | new | 2.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 136 beneficiaries in Pendleton County were assigned to 20 Medicare Shared Savings Program ACOs, 13.9% of assignable Original Medicare beneficiaries. Together, roughly 57% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
