Medicare Advantage in Upshur County, West Virginia
3,789 people in Upshur County, West Virginia were enrolled in Medicare Advantage in October 2026, 59.9% of 6,327 eligible beneficiaries (−0.4 pts since October 2025). Humana Inc. is the largest parent organization with 54% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,436 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 546 members here are in plans that terminate or leave the county. MA plans offered go from 28 to 28.
Parent organizations in Upshur County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,035 | +175 | 54.1% |
| UnitedHealth Group, Inc. | 529 | −152 | 14.1% |
| West Virginia United Health System, Inc. | 488 | +259 | 13.0% |
| CVS Health Corporation | 417 | +7 | 11.1% |
| The Health Plan of West Virginia, Inc. | 162 | +60 | 4.3% |
| UMWA Health and Retirement Funds | 65 | −5 | 1.7% |
| SNP Holdings, LLC | 42 | +5 | 1.1% |
| Highmark Health | 25 | −332 | 0.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,511 beneficiaries in Upshur County were assigned to 14 Medicare Shared Savings Program ACOs, 77.4% of assignable Original Medicare beneficiaries. Together, roughly 91% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.