Virginia Medicare Advantage market share
In September 2026, 674,361 Virginia Medicare beneficiaries were enrolled in a Medicare Advantage plan across 99 parent carriers and 136 counties, led by Humana Inc. with 34.2% of counted enrollment.
Data month
September 2026
Advantage enrollees
674,361
+2.9% vs September 2025
Parent carriers
99
Advantage penetration
38.1%
CMS Medicare Monthly Enrollment, 2024
Carriers in Virginia
CMS Monthly Enrollment by Contract/Plan/State/County (CPSC) · September 2026
| # | Parent organisation | Enrollees | Share | Counties | vs September 2025 |
|---|---|---|---|---|---|
| 1 | Humana Inc. | 230,608 | 34.2% | 136 | +30.3% |
| 2 | UnitedHealth Group, Inc. | 187,469 | 27.8% | 133 | +4.8% |
| 3 | Elevance Health, Inc. | 135,624 | 20.1% | 135 | -6.2% |
| 4 | CVS Health Corporation | 69,670 | 10.3% | 134 | -12.4% |
| 5 | Kaiser Foundation Health Plan, Inc. | 33,687 | 5.0% | 43 | +5.7% |
| 6 | Sentara Health Care (SHC) | 9,964 | 1.5% | 133 | -73.1% |
| 7 | Highmark Health | 2,417 | 0.4% | 133 | +2.8% |
| 8 | Devoted Health, Inc. | 1,983 | 0.3% | 58 | — |
| 9 | Health Care Service Corporation | 1,524 | 0.2% | 133 | -56.4% |
| 10 | Johns Hopkins Healthcare LLC | 589 | 0.1% | 133 | — |
| 11 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 299 | 0.0% | 133 | -1.0% |
| 12 | CareFirst, Inc. | 285 | 0.0% | 133 | -15.7% |
| 13 | Curana Health Holdings, LLC | 199 | 0.0% | 62 | -16.4% |
| 14 | BlueCross BlueShield of Tennessee | 43 | 0.0% | 133 | -14.0% |
| 15 | Alignment Healthcare USA, LLC | 0 | 0.0% | 133 | — |
| 16 | Allina Health and Aetna Insurance Holding Company | 0 | 0.0% | 133 | — |
| 17 | AlohaCare | 0 | 0.0% | 1 | — |
| 18 | Astiva Health Holdings Incorporated | 0 | 0.0% | 1 | — |
| 19 | Athena Healthcare Holdings, LLC | 0 | 0.0% | 3 | — |
| 20 | Aultman Health Foundation | 0 | 0.0% | 133 | — |
| 21 | Aware Integrated, Inc. | 0 | 0.0% | 133 | — |
| 22 | Baystate Health, Inc. | 0 | 0.0% | 133 | — |
| 23 | Blue Cross & Blue Shield of Rhode Island | 0 | 0.0% | 133 | — |
| 24 | Blue Cross and Blue Shield of Massachusetts, Inc. | 0 | 0.0% | 133 | — |
| 25 | Blue Cross Blue Shield of Arizona | 0 | 0.0% | 2 | — |
| 26 | Blue Cross Blue Shield of Kansas | 0 | 0.0% | 133 | — |
| 27 | Blue Cross Blue Shield of Nebraska | 0 | 0.0% | 133 | — |
| 28 | BlueCross BlueShield of Alabama | 0 | 0.0% | 133 | — |
| 29 | BlueCross BlueShield of South Carolina (BCBSSC) | 0 | 0.0% | 133 | — |
| 30 | BMC Health System, Inc. | 0 | 0.0% | 2 | — |
| 31 | California Physicians' Service | 0 | 0.0% | 133 | — |
| 32 | Cambia Health Solutions, Inc. | 0 | 0.0% | 133 | — |
| 33 | CAPITAL BLUE CROSS | 0 | 0.0% | 133 | — |
| 34 | CareSource | 0 | 0.0% | 11 | — |
| 35 | Centene Corporation | 0 | 0.0% | 31 | — |
| 36 | CHRISTUS Health | 0 | 0.0% | 1 | — |
| 37 | Clover Health Holdings, Inc. | 0 | 0.0% | 6 | — |
| 38 | Community Health Group | 0 | 0.0% | 1 | — |
| 39 | Community Health Plan of Washington | 0 | 0.0% | 1 | — |
| 40 | Corewell Health | 0 | 0.0% | 133 | — |
| 41 | CuraCor Solutions Corp. | 0 | 0.0% | 133 | — |
| 42 | Elderplan, Inc. | 0 | 0.0% | 5 | — |
| 43 | EmblemHealth, Inc. | 0 | 0.0% | 133 | — |
| 44 | Fallon Community Health Plan, Inc. | 0 | 0.0% | 133 | — |
| 45 | Fenyx Health Holdings, Inc. | 0 | 0.0% | 133 | — |
| 46 | General Catalyst Group Management Holdings LP | 0 | 0.0% | 133 | — |
| 47 | Gold Kidney Health Plan | 0 | 0.0% | 1 | — |
| 48 | Guidewell Mutual Holding Corporation | 0 | 0.0% | 133 | — |
| 49 | Hamaspik of Rockland County, Inc. | 0 | 0.0% | 2 | — |
| 50 | Hawaii Medical Service Association | 0 | 0.0% | 133 | — |
| 51 | Health First Shared Services, Inc. | 0 | 0.0% | 3 | — |
| 52 | Healthfirst, Inc. | 0 | 0.0% | 133 | — |
| 53 | HealthPartners, Inc. | 0 | 0.0% | 133 | — |
| 54 | Henry Ford Health System | 0 | 0.0% | 133 | — |
| 55 | Horizon Mutual Holdings, Inc | 0 | 0.0% | 133 | — |
| 56 | Imperial Health Plan of California | 0 | 0.0% | 2 | — |
| 57 | Independence Health Group, Inc. | 0 | 0.0% | 133 | — |
| 58 | Independent Health Association, Inc. | 0 | 0.0% | 133 | — |
| 59 | Intermountain Health Care, Inc. | 0 | 0.0% | 5 | — |
| 60 | Liberty Healthcare Insurance | 0 | 0.0% | 1 | — |
| 61 | LifeBridge Health, Inc. | 0 | 0.0% | 3 | — |
| 62 | Lifetime Healthcare, Inc. | 0 | 0.0% | 133 | — |
| 63 | LMC Family Holdings, LLC | 0 | 0.0% | 1 | — |
| 64 | Local Initiative Health Authority for LA County | 0 | 0.0% | 2 | — |
| 65 | Longevity Health Founders, LLC | 0 | 0.0% | 2 | — |
| 66 | Louisiana Health Service & Indemnity Company | 0 | 0.0% | 133 | — |
| 67 | Lumeris Group Holdings Corporation | 0 | 0.0% | 1 | — |
| 68 | Martin's Point Health Care, Inc. | 0 | 0.0% | 133 | — |
| 69 | Mass General Brigham Incorporated | 0 | 0.0% | 1 | — |
| 70 | Medica Holding Company | 0 | 0.0% | 133 | — |
| 71 | MEDICAL MUTUAL OF OHIO | 0 | 0.0% | 133 | — |
| 72 | MHH Healthcare, L.P. | 0 | 0.0% | 7 | — |
| 73 | Mitchell Family Office | 0 | 0.0% | 1 | — |
| 74 | Molina Healthcare, Inc. | 0 | 0.0% | 8 | — |
| 75 | MVP Health Care, Inc. | 0 | 0.0% | 133 | — |
| 76 | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | 0 | 0.0% | 1 | — |
| 77 | Network Health, Inc. | 0 | 0.0% | 133 | — |
| 78 | New York City Health and Hospitals Corporation | 0 | 0.0% | 1 | — |
| 79 | Perennial Consortium, LLC | 0 | 0.0% | 1 | — |
| 80 | Point32Health, Inc. | 0 | 0.0% | 4 | — |
| 81 | Presbyterian Healthcare Services | 0 | 0.0% | 3 | — |
| 82 | Providence St Joseph Health | 0 | 0.0% | 1 | — |
| 83 | Risant Health, Inc. | 0 | 0.0% | 5 | — |
| 84 | Sanford Health | 0 | 0.0% | 2 | — |
| 85 | SANTA CLARA COUNTY HEALTH AUTHORITY | 0 | 0.0% | 1 | — |
| 86 | SCAN Group | 0 | 0.0% | 12 | — |
| 87 | Sharp Healthcare | 0 | 0.0% | 1 | — |
| 88 | St Francis Health System & St John Health System | 0 | 0.0% | 1 | — |
| 89 | The Health Plan of West Virginia, Inc. | 0 | 0.0% | 133 | — |
| 90 | Thomas Jefferson University | 0 | 0.0% | 7 | — |
| 91 | Trinity Health Corporation | 0 | 0.0% | 4 | — |
| 92 | Triton Health Systems, L.L.C. | 0 | 0.0% | 1 | — |
| 93 | Ultimate Healthcare Holdings, LLC | 0 | 0.0% | 2 | — |
| 94 | Universal Health Services, Inc. | 0 | 0.0% | 3 | — |
| 95 | University of Wisconsin Hospitals and Clincs Autho | 0 | 0.0% | 2 | — |
| 96 | UPMC Health System | 0 | 0.0% | 133 | — |
| 97 | USAble Mutual Insurance Company | 0 | 0.0% | 133 | — |
| 98 | Visiting Nurse Service of New York | 0 | 0.0% | 3 | — |
| 99 | Zing Health Consolidator, Inc | 0 | 0.0% | 2 | — |
County view
Leading carrier and Advantage enrollment in each Virginia county. Penetration is from CMS Medicare Monthly Enrollment, 2024.
| County | Advantage enrollees | Leading carrier | Leader share | Carriers | Penetration |
|---|---|---|---|---|---|
| Fairfax | 59,287 | Kaiser Foundation Health Plan, Inc. | 28.8% | 71 | 30.8% |
| Virginia Beach City | 31,341 | Humana Inc. | 48.8% | 60 | 34.0% |
| Chesterfield | 29,077 | Humana Inc. | 40.7% | 60 | 37.8% |
| Henrico | 27,783 | Humana Inc. | 40.3% | 56 | 40.0% |
| Prince William | 24,397 | Humana Inc. | 27.2% | 60 | 34.8% |
| Chesapeake City | 19,077 | Humana Inc. | 38.7% | 57 | 37.4% |
| Norfolk City | 18,988 | Humana Inc. | 40.6% | 58 | 48.0% |
| Richmond City | 18,911 | Humana Inc. | 35.3% | 54 | 52.7% |
| Loudoun | 17,913 | UnitedHealth Group, Inc. | 35.3% | 56 | 32.9% |
| Newport News City | 16,165 | Humana Inc. | 42.4% | 54 | 47.6% |
| Hampton City | 13,897 | Humana Inc. | 43.0% | 53 | 46.5% |
| Roanoke City | 11,286 | UnitedHealth Group, Inc. | 35.6% | 55 | 50.4% |
| Spotsylvania | 9,985 | Humana Inc. | 48.2% | 54 | 34.3% |
| Portsmouth City | 9,920 | Humana Inc. | 35.1% | 51 | 49.3% |
| Hanover | 9,623 | Humana Inc. | 43.4% | 53 | 35.7% |
| Roanoke | 9,559 | UnitedHealth Group, Inc. | 33.2% | 51 | 36.5% |
| Bedford | 8,697 | UnitedHealth Group, Inc. | 54.7% | 52 | 36.5% |
| Suffolk City | 8,572 | Humana Inc. | 35.8% | 54 | 39.9% |
| Washington | 8,449 | UnitedHealth Group, Inc. | 52.6% | 50 | 52.7% |
| Arlington | 8,302 | UnitedHealth Group, Inc. | 31.9% | 61 | 28.5% |
| Pittsylvania | 8,177 | UnitedHealth Group, Inc. | 35.2% | 51 | 46.8% |
| Lynchburg City | 7,798 | UnitedHealth Group, Inc. | 54.9% | 54 | 44.2% |
| Henry | 7,624 | CVS Health Corporation | 45.3% | 51 | 50.9% |
| James City | 7,306 | Humana Inc. | 37.6% | 55 | 28.0% |
| Stafford | 7,296 | Humana Inc. | 44.1% | 52 | 28.9% |
| Franklin | 7,220 | UnitedHealth Group, Inc. | 34.5% | 51 | 43.6% |
| Frederick | 6,990 | Humana Inc. | 47.5% | 52 | 31.7% |
| Danville City | 6,966 | UnitedHealth Group, Inc. | 26.7% | 51 | 55.7% |
| Wise | 6,787 | UnitedHealth Group, Inc. | 49.4% | 50 | 67.6% |
| Tazewell | 6,397 | Humana Inc. | 43.3% | 50 | 53.8% |
| Augusta | 6,224 | Humana Inc. | 38.2% | 51 | 30.0% |
| Alexandria City | 6,221 | UnitedHealth Group, Inc. | 31.0% | 55 | 29.0% |
| Rockingham | 6,105 | Humana Inc. | 49.0% | 52 | 29.8% |
| Campbell | 5,778 | UnitedHealth Group, Inc. | 65.9% | 51 | 41.9% |
| Albemarle | 5,657 | Humana Inc. | 44.2% | 55 | 22.5% |
| Montgomery | 5,325 | UnitedHealth Group, Inc. | 35.3% | 52 | 34.3% |
| Petersburg City | 5,325 | Humana Inc. | 40.3% | 52 | 58.0% |
| Russell | 4,951 | Humana Inc. | 42.2% | 50 | 62.3% |
| Scott | 4,553 | Humana Inc. | 52.7% | 50 | 69.4% |
| Mecklenburg | 4,466 | Humana Inc. | 38.4% | 50 | 42.7% |
| Smyth | 4,394 | UnitedHealth Group, Inc. | 60.3% | 50 | 50.0% |
| Wythe | 4,308 | UnitedHealth Group, Inc. | 50.9% | 51 | 49.8% |
| Halifax | 4,295 | Humana Inc. | 43.3% | 50 | 40.6% |
| Shenandoah | 4,191 | Humana Inc. | 43.9% | 51 | 34.5% |
| Pulaski | 4,159 | Elevance Health, Inc. | 32.1% | 54 | 43.8% |
| Lee | 4,146 | UnitedHealth Group, Inc. | 65.5% | 51 | 68.6% |
| Fauquier | 4,049 | Humana Inc. | 43.3% | 51 | 27.2% |
| Buchanan | 3,963 | Humana Inc. | 44.1% | 50 | 63.2% |
| Accomack | 3,953 | Humana Inc. | 44.6% | 50 | 37.6% |
| York | 3,870 | Humana Inc. | 42.4% | 50 | 26.1% |
| Isle of Wight | 3,866 | Humana Inc. | 43.0% | 51 | 36.8% |
| Louisa | 3,858 | Humana Inc. | 50.6% | 51 | 37.3% |
| Culpeper | 3,774 | Humana Inc. | 54.3% | 52 | 32.1% |
| Orange | 3,662 | Humana Inc. | 36.0% | 52 | 34.5% |
| Amherst | 3,609 | UnitedHealth Group, Inc. | 62.9% | 49 | 41.7% |
| Gloucester | 3,522 | Humana Inc. | 40.5% | 52 | 33.4% |
| Botetourt | 3,519 | UnitedHealth Group, Inc. | 39.5% | 50 | 37.7% |
| Warren | 3,495 | Humana Inc. | 53.3% | 50 | 35.2% |
| Carroll | 3,373 | Humana Inc. | 35.8% | 49 | 37.2% |
| Dickenson | 3,145 | UnitedHealth Group, Inc. | 60.2% | 50 | 70.3% |
| Caroline | 2,922 | Humana Inc. | 53.0% | 53 | 40.8% |
| Martinsville City | 2,826 | CVS Health Corporation | 37.1% | 49 | 58.2% |
| Bristol City | 2,690 | UnitedHealth Group, Inc. | 49.4% | 51 | 61.7% |
| Dinwiddie | 2,580 | Humana Inc. | 54.1% | 51 | 41.4% |
| Salem City | 2,561 | UnitedHealth Group, Inc. | 33.5% | 50 | 37.9% |
| Patrick | 2,519 | CVS Health Corporation | 47.1% | 52 | 45.3% |
| Staunton City | 2,506 | UnitedHealth Group, Inc. | 34.6% | 51 | 34.7% |
| Goochland | 2,467 | UnitedHealth Group, Inc. | 35.3% | 52 | 30.2% |
| Hopewell City | 2,459 | Humana Inc. | 42.8% | 51 | 47.9% |
| Page | 2,402 | Humana Inc. | 44.3% | 49 | 34.7% |
| Prince Edward | 2,325 | UnitedHealth Group, Inc. | 47.9% | 50 | 42.7% |
| Harrisonburg City | 2,319 | Elevance Health, Inc. | 45.7% | 50 | 32.9% |
| Powhatan | 2,262 | Humana Inc. | 33.4% | 50 | 32.1% |
| Waynesboro City | 2,218 | Humana Inc. | 32.1% | 49 | 35.8% |
| New Kent | 2,171 | Humana Inc. | 35.2% | 50 | 33.7% |
| Fluvanna | 2,146 | Humana Inc. | 46.0% | 49 | 29.8% |
| Prince George | 2,098 | Humana Inc. | 51.0% | 51 | 29.9% |
| Brunswick | 2,071 | Humana Inc. | 36.9% | 49 | 47.3% |
| Manassas City | 2,046 | Humana Inc. | 30.1% | 52 | 37.9% |
| Rockbridge | 2,024 | UnitedHealth Group, Inc. | 38.1% | 51 | 32.3% |
| Westmoreland | 2,000 | Humana Inc. | 48.9% | 49 | 33.6% |
| Charlottesville City | 1,970 | Humana Inc. | 34.8% | 50 | 29.8% |
| Grayson | 1,898 | UnitedHealth Group, Inc. | 54.8% | 50 | 38.9% |
| Winchester City | 1,873 | Humana Inc. | 43.5% | 52 | 32.7% |
| Giles | 1,851 | UnitedHealth Group, Inc. | 29.6% | 50 | 41.6% |
| Fairfax City | 1,843 | Kaiser Foundation Health Plan, Inc. | 25.3% | 52 | 33.2% |
| Northampton | 1,770 | Humana Inc. | 37.5% | 51 | 42.5% |
| Appomattox | 1,729 | UnitedHealth Group, Inc. | 59.9% | 51 | 39.2% |
| Buckingham | 1,682 | Humana Inc. | 35.6% | 49 | 43.5% |
| Floyd | 1,676 | UnitedHealth Group, Inc. | 40.0% | 51 | 38.1% |
| Nelson | 1,676 | Humana Inc. | 39.7% | 49 | 32.8% |
| Fredericksburg City | 1,622 | Humana Inc. | 45.6% | 51 | 36.2% |
| Colonial Heights City | 1,573 | Humana Inc. | 43.5% | 52 | 37.2% |
| Nottoway | 1,540 | Elevance Health, Inc. | 42.9% | 52 | 42.4% |
| Southampton | 1,530 | Humana Inc. | 46.7% | 50 | 37.5% |
| King William | 1,512 | Humana Inc. | 40.9% | 53 | 37.3% |
| Northumberland | 1,504 | Humana Inc. | 35.2% | 50 | 32.0% |
| Amelia | 1,485 | UnitedHealth Group, Inc. | 33.3% | 51 | 42.3% |
| Greene | 1,456 | Humana Inc. | 43.0% | 49 | 30.1% |
| Lancaster | 1,430 | Humana Inc. | 28.3% | 51 | 31.7% |
| Charlotte | 1,389 | UnitedHealth Group, Inc. | 38.6% | 49 | 40.5% |
| King George | 1,377 | Humana Inc. | 47.9% | 52 | 27.3% |
| Alleghany | 1,372 | UnitedHealth Group, Inc. | 44.2% | 50 | 35.2% |
| Middlesex | 1,368 | Humana Inc. | 36.0% | 50 | 34.1% |
| Greensville | 1,323 | Humana Inc. | 38.9% | 50 | 53.0% |
| Lunenburg | 1,292 | CVS Health Corporation | 27.5% | 49 | 43.3% |
| Essex | 1,249 | Humana Inc. | 38.9% | 51 | 40.0% |
| Sussex | 1,212 | Humana Inc. | 47.0% | 50 | 47.7% |
| Franklin City | 1,134 | Elevance Health, Inc. | 38.4% | 51 | 45.6% |
| Madison | 1,110 | Humana Inc. | 53.0% | 49 | 30.9% |
| Clarke | 1,049 | Humana Inc. | 45.3% | 50 | 29.0% |
| Radford City | 924 | UnitedHealth Group, Inc. | 35.8% | 50 | 40.7% |
| Cumberland | 903 | Humana Inc. | 30.6% | 49 | 43.1% |
| Mathews | 787 | Humana Inc. | 42.6% | 50 | 30.4% |
| Charles City | 782 | Humana Inc. | 50.5% | 50 | 43.9% |
| Galax City | 773 | UnitedHealth Group, Inc. | 30.9% | 50 | 41.3% |
| Covington City | 770 | UnitedHealth Group, Inc. | 39.6% | 49 | 43.2% |
| Surry | 738 | Humana Inc. | 49.5% | 50 | 42.7% |
| Richmond | 735 | Humana Inc. | 46.5% | 50 | 37.2% |
| Bland | 653 | UnitedHealth Group, Inc. | 62.2% | 50 | 42.1% |
| Falls Church City | 647 | Kaiser Foundation Health Plan, Inc. | 44.4% | 51 | 27.6% |
| Norton City | 626 | UnitedHealth Group, Inc. | 59.1% | 50 | 63.9% |
| King and Queen | 615 | Humana Inc. | 45.4% | 50 | 39.4% |
| Emporia City | 606 | Elevance Health, Inc. | 36.3% | 51 | 54.1% |
| Poquoson City | 590 | Humana Inc. | 44.4% | 50 | 23.9% |
| Manassas Park City | 588 | Humana Inc. | 39.3% | 51 | 45.5% |
| Williamsburg City | 580 | Humana Inc. | 41.7% | 49 | 29.9% |
| Buena Vista City | 564 | UnitedHealth Group, Inc. | 54.8% | 50 | 41.9% |
| Lexington City | 544 | UnitedHealth Group, Inc. | 43.9% | 50 | 32.3% |
| Rappahannock | 446 | Humana Inc. | 54.3% | 50 | 26.1% |
| Craig | 434 | UnitedHealth Group, Inc. | 43.3% | 51 | 41.4% |
| Bath | 252 | Humana Inc. | 35.7% | 49 | 26.0% |
| Highland | 151 | Humana Inc. | 44.4% | 49 | 27.4% |
| Bedford City | 0 | Elevance Health, Inc. | — | 2 | — |
| Clifton Forge City | 0 | CVS Health Corporation | — | 3 | — |
| South Boston City | 0 | Humana Inc. | — | 1 | — |
What is missing
CMS suppresses any plan-county cell with fewer than 11 enrollees. Those enrollees are missing from these counts, so every figure is a floor, not an exact total.
What is counted
Counts cover Medicare Advantage contracts only (Local CCP, Regional CCP, PFFS and MSA). Standalone Part D drug plans, cost plans, HCPP and PACE contracts are excluded.
Source: CMS Monthly Enrollment by Contract/Plan/State/County (CPSC).
