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MA Enrollment Explorer / States / Virginia

Medicare Advantage in Virginia: enrollment, penetration and market share

700,335 people in Virginia were enrolled in Medicare Advantage in October 2026. 39.6% of the state's 1,769,503 eligible Medicare beneficiaries are in Medicare Advantage, +0.1 pts since October 2025. Humana Inc. is the largest parent organization with 34% of reported enrollment; 22 parent organizations have 11 or more members, and the market's HHI is 2,455 (highly concentrated). Through the 2026 Annual Election Period (December to February), reported MA enrollment in Virginia changed by +5,663 (+0.8%).

39.6%MA penetration, October 2026
700KMA enrollees
22parent organizations (11+ members)
2,455HHI, highly concentrated
Open Virginia on the market mapMSSP ACOs in Virginia

Parent organizations in Virginia

Parent organizationMembersChangeShareShare change
Humana Inc.236,347+55,03934.1%+7.2 pts
UnitedHealth Group, Inc.192,606+8,60027.8%+0.5 pts
Elevance Health, Inc.137,220−9,10319.8%−1.9 pts
CVS Health Corporation71,903−10,23010.4%−1.8 pts
Kaiser Foundation Health Plan, Inc.33,882+1,8464.9%+0.1 pts
Sentara Health Care (SHC)10,285−27,8931.5%−4.2 pts
Devoted Health, Inc.2,525new0.4%+0.4 pts
Highmark Health2,448+570.4%−0.00 pts
Health Care Service Corporation1,560−2,1340.2%−0.3 pts
UMWA Health and Retirement Funds1,486−740.2%−0.02 pts
Total Community Options, Inc.1,137+660.2%+0.01 pts
Johns Hopkins Healthcare LLC586newunder 0.1%+0.1 pts
CareFirst, Inc.398+8under 0.1%−0.00 pts
Centra Health, Inc.368+20under 0.1%+0.00 pts
Blue Cross Blue Shield of Michigan Mutual Ins. Co.341−12under 0.1%−0.00 pts
Curana Health Holdings, LLC201−38under 0.1%−0.01 pts
Appalachian Agency for Senior Citizens, Inc.177+32under 0.1%+0.00 pts
C & O Employees' Hospital Association160−7under 0.1%−0.00 pts
Mountain Empire Older Citizens, Inc100+11under 0.1%+0.00 pts
Blue Ridge Hospice, Inc.94+58under 0.1%+0.01 pts

Change and share change are since October 2025. Shares are of reported enrollment in the CMS State/County/Contract file.

Counties

CountyMA enrolleesPenetrationLeading parent
Fairfax County59,78731.7%Kaiser Foundation Health Plan, Inc. 29%
Virginia Beach City31,67635.7%Humana Inc. 48%
Chesterfield County29,55938.5%Humana Inc. 40%
Henrico County28,07241.6%Humana Inc. 40%
Prince William County24,60637.1%Humana Inc. 27%
Chesapeake City19,30539.8%Humana Inc. 38%
Norfolk City19,29450.1%Humana Inc. 40%
Richmond City19,21653.1%Humana Inc. 35%
Loudoun County18,20232.7%UnitedHealth Group, Inc. 35%
Newport News City16,55450.0%Humana Inc. 42%
Hampton City14,13849.1%Humana Inc. 43%
Roanoke City11,51552.9%UnitedHealth Group, Inc. 35%
Spotsylvania County10,15235.6%Humana Inc. 48%
Portsmouth City10,08252.1%Humana Inc. 35%
Hanover County9,82336.3%Humana Inc. 43%
Roanoke County9,74537.4%UnitedHealth Group, Inc. 33%
Bedford County8,93937.3%UnitedHealth Group, Inc. 54%
Suffolk City8,83841.9%Humana Inc. 36%
Washington County8,69854.0%UnitedHealth Group, Inc. 52%
Arlington County8,55029.7%UnitedHealth Group, Inc. 32%
Pittsylvania County8,34147.4%UnitedHealth Group, Inc. 35%
Lynchburg City8,04449.9%UnitedHealth Group, Inc. 55%
Henry County7,77550.7%CVS Health Corporation 45%
James City7,53430.3%Humana Inc. 38%
Stafford County7,46531.2%Humana Inc. 44%
Franklin County7,40845.2%UnitedHealth Group, Inc. 35%
Wise County7,36170.3%UnitedHealth Group, Inc. 46%
Frederick County7,19131.9%Humana Inc. 47%
Danville City7,13663.0%UnitedHealth Group, Inc. 27%
Tazewell County6,84057.0%Humana Inc. 41%
Alexandria City6,40329.8%UnitedHealth Group, Inc. 31%
Augusta County6,35030.2%Humana Inc. 38%
Rockingham County6,23030.1%Humana Inc. 49%
Campbell County5,96642.3%UnitedHealth Group, Inc. 65%
Albemarle County5,91522.4%Humana Inc. 43%
Montgomery County5,52235.4%UnitedHealth Group, Inc. 35%
Petersburg City5,49572.8%Humana Inc. 40%
Russell County5,20066.3%Humana Inc. 41%
Scott County4,80173.0%Humana Inc. 51%
Mecklenburg County4,61945.9%Humana Inc. 39%
Smyth County4,56252.8%UnitedHealth Group, Inc. 60%
Lee County4,46669.7%UnitedHealth Group, Inc. 62%
Wythe County4,45153.8%UnitedHealth Group, Inc. 50%
Halifax County4,43843.5%Humana Inc. 43%
Shenandoah County4,33936.0%Humana Inc. 44%
Pulaski County4,28645.5%Elevance Health, Inc. 31%
Fauquier County4,26527.4%Humana Inc. 43%
Buchanan County4,19565.3%Humana Inc. 42%
York County4,12026.1%Humana Inc. 42%
Accomack County4,09239.4%Humana Inc. 44%
Louisa County4,07037.7%Humana Inc. 49%
Isle of Wight County4,05637.8%Humana Inc. 43%
Culpeper County3,91332.8%Humana Inc. 54%
Orange County3,84436.8%Humana Inc. 36%
Amherst County3,79443.5%UnitedHealth Group, Inc. 61%
Gloucester County3,73434.4%Humana Inc. 41%
Botetourt County3,72438.2%UnitedHealth Group, Inc. 38%
Warren County3,62940.4%Humana Inc. 53%
Carroll County3,51039.8%Humana Inc. 36%
Dickenson County3,35172.7%UnitedHealth Group, Inc. 58%
Caroline County3,08542.4%Humana Inc. 52%
Martinsville City2,96174.6%CVS Health Corporation 36%
Bristol City2,80162.5%UnitedHealth Group, Inc. 49%
Salem City2,78242.2%UnitedHealth Group, Inc. 33%
Dinwiddie County2,73540.3%Humana Inc. 54%
Staunton City2,72138.4%UnitedHealth Group, Inc. 35%
Patrick County2,71649.8%CVS Health Corporation 46%
Goochland County2,65327.0%UnitedHealth Group, Inc. 36%
Hopewell City2,64954.8%Humana Inc. 43%
Prince Edward County2,53447.8%UnitedHealth Group, Inc. 47%
Page County2,52337.3%Humana Inc. 44%
Powhatan County2,45031.4%Humana Inc. 34%
Harrisonburg City2,44040.6%Elevance Health, Inc. 45%
New Kent County2,37833.8%Humana Inc. 36%
Waynesboro City2,36843.8%UnitedHealth Group, Inc. 32%
Fluvanna County2,34331.5%Humana Inc. 44%
Manassas City2,27439.7%Humana Inc. 31%
Prince George County2,25830.7%Humana Inc. 51%
Brunswick County2,19549.9%Humana Inc. 36%
Rockbridge County2,18432.0%UnitedHealth Group, Inc. 37%
Charlottesville City2,18132.5%Humana Inc. 34%
Westmoreland County2,12235.3%Humana Inc. 48%
Winchester City2,05335.5%Humana Inc. 43%
Grayson County2,00740.4%UnitedHealth Group, Inc. 54%
Giles County2,00142.7%UnitedHealth Group, Inc. 29%
Fairfax City1,99240.2%Kaiser Foundation Health Plan, Inc. 24%
Northampton County1,96144.0%Humana Inc. 39%
Appomattox County1,88142.2%UnitedHealth Group, Inc. 58%
Nelson County1,83634.3%Humana Inc. 39%
Floyd County1,81438.6%UnitedHealth Group, Inc. 39%
Buckingham County1,80744.8%Humana Inc. 36%
Fredericksburg City1,78636.5%Humana Inc. 45%
Colonial Heights City1,77041.8%Humana Inc. 44%
Nottoway County1,74245.3%Elevance Health, Inc. 40%
Southampton County1,72136.2%Humana Inc. 47%
Northumberland County1,69832.8%Humana Inc. 36%
King William County1,66737.9%Humana Inc. 42%
Amelia County1,64944.3%Humana Inc. 33%
Greene County1,63932.1%Humana Inc. 42%
Alleghany County1,58834.2%UnitedHealth Group, Inc. 41%
Lancaster County1,58732.3%Humana Inc. 30%
King George County1,56230.0%Humana Inc. 47%
Charlotte County1,56144.1%UnitedHealth Group, Inc. 38%
Middlesex County1,53437.0%Humana Inc. 38%
Essex County1,44442.4%Humana Inc. 40%
Lunenburg County1,44144.7%Humana Inc. 28%
Greensville County1,42353.2%Humana Inc. 40%
Sussex County1,34350.6%Humana Inc. 47%
Franklin City1,29959.0%Elevance Health, Inc. 36%
Madison County1,29835.7%Humana Inc. 52%
Clarke County1,25329.9%Humana Inc. 45%
Radford City1,09547.8%UnitedHealth Group, Inc. 35%
Cumberland County1,07642.1%Humana Inc. 32%
Charles City1,00145.5%Humana Inc. 49%
Mathews County98330.9%Humana Inc. 42%
Galax City96152.0%Humana Inc. 32%
Covington City94857.6%UnitedHealth Group, Inc. 38%
Surry County91045.3%Humana Inc. 51%
Richmond County87337.6%Humana Inc. 46%
Bland County85446.2%UnitedHealth Group, Inc. 57%
Falls Church City83731.9%Kaiser Foundation Health Plan, Inc. 38%
King and Queen County82641.4%Humana Inc. 43%
Emporia City78061.0%Humana Inc. 33%
Norton City77264.1%UnitedHealth Group, Inc. 53%
Poquoson City76125.4%Humana Inc. 43%
Williamsburg City75724.6%Humana Inc. 41%
Manassas Park City71540.3%Humana Inc. 40%
Lexington City70741.8%UnitedHealth Group, Inc. 41%
Buena Vista City70148.8%UnitedHealth Group, Inc. 51%
Rappahannock County61825.4%Humana Inc. 52%
Craig County59841.7%UnitedHealth Group, Inc. 43%
Bath County39227.9%Humana Inc. 38%
Highland County27428.8%Humana Inc. 51%
Bedford City0n/a
Clifton Forge City0n/a
South Boston City0n/a