Medicare Advantage in Virginia: 598,369 members, 10 carriers, Humana in front.
Humana holds 37.4% of Virginia’s visible Medicare Advantage members, ahead of UnitedHealth at 27.0% and Elevance at 21.5%. The market grew +3.4% (+19,489 members) from Nov 2025 to Oct 2026 and stepped −1.4% at the 2026 election period. 39.6% of the state's Medicare beneficiaries are in a Medicare Advantage plan.
Every carrier with members in Virginia
Ranked by visible members in Oct 2026. The twelve-month change runs Nov 2025 to Oct 2026; the election step is the carrier’s own December-to-January change. Counties led counts counties where the carrier has the most visible members and at least one other carrier is visible. Humana leads 82 of the 133 counties with a lead. At the election period Humana stepped up most (+21.7%) and Sentara Health Care (SHC) stepped down most (−74.9%).
| # | Carrier | Members | Share | Twelve months | Election step | Counties led | Rating | $0 premium | Plans |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Humana | 223,550 | 37.4% | +30.8% | +21.7% | 82 of 133 | 4.15 | 88% | 45 |
| 2 | UnitedHealth | 161,637 | 27.0% | +5.7% | +2.2% | 40 of 132 | 3.94 | 96% | 37 |
| 3 | Elevance | 128,860 | 21.5% | −7.3% | −10.0% | 6 of 132 | 3.15 | 95% | 17 |
| 4 | Aetna (CVS) | 44,960 | 7.5% | −16.6% | −16.5% | 3 of 131 | 3.49 | 86% | 14 |
| 5 | Kaiser | 24,918 | 4.2% | +7.0% | −0.5% | 2 of 12 | 4.50 | 45% | 7 |
| 6 | Sentara Health Care (SHC) | 10,085 | 1.7% | −72.8% | −74.9% | 0 of 120 | 3.00 | 100% | 2 |
| 7 | Devoted | 2,075 | 0.4% | – | – | 0 of 28 | – | 100% | 9 |
| 8 | Health Care Service Corporation | 1,499 | 0.3% | −1.5% | −6.6% | 0 of 11 | 3.00 | 93% | 2 |
| 9 | Johns Hopkins Healthcare LLC | 586 | 0.1% | – | – | 0 of 5 | – | 100% | 1 |
| 10 | Curana Health Holdings, LLC | 199 | 0.0% | −7.4% | −4.5% | 0 of 11 | – | 100% | 2 |
Virginia county by county
133 counties with visible members, largest first. A county’s leader is the carrier with the most visible members there; a county with one visible carrier shows no leader, because the others are suppressed, not absent. Penetration is Medicare Advantage members as a share of the county’s Medicare beneficiaries.
| County | Visible members | Carriers | Leader | Leader share | MA penetration | Dual eligibles |
|---|---|---|---|---|---|---|
| Fairfax | 45,544 | 7 | Kaiser | 27.7% | 31.7% | 15,180 |
| Virginia Beach City | 28,877 | 5 | Humana | 52.2% | 35.7% | 7,237 |
| Chesterfield | 25,107 | 7 | Humana | 45.7% | 38.5% | 6,069 |
| Henrico | 24,531 | 7 | Humana | 43.2% | 41.6% | 6,642 |
| Prince William | 20,019 | 7 | Humana | 32.7% | 37.1% | 6,249 |
| Norfolk City | 18,376 | 5 | Humana | 41.6% | 50.1% | 7,976 |
| Richmond City | 17,863 | 7 | Humana | 36.2% | 53.1% | 8,101 |
| Chesapeake City | 16,834 | 5 | Humana | 42.9% | 39.8% | 4,437 |
| Newport News City | 15,148 | 6 | Humana | 42.1% | 50.0% | 5,220 |
| Loudoun | 13,244 | 7 | UnitedHealth | 29.3% | 32.7% | 3,993 |
| Hampton City | 12,830 | 5 | Humana | 44.4% | 49.1% | 4,006 |
| Roanoke City | 10,707 | 6 | UnitedHealth | 35.7% | 52.9% | 4,383 |
| Portsmouth City | 9,550 | 5 | Humana | 35.8% | 52.1% | 3,733 |
| Roanoke | 8,438 | 5 | UnitedHealth | 33.8% | 37.4% | 1,945 |
| Spotsylvania | 8,092 | 6 | Humana | 58.4% | 35.6% | 2,382 |
| Washington | 7,950 | 6 | UnitedHealth | 54.5% | 54.0% | 2,003 |
| Suffolk City | 7,926 | 5 | Elevance | 36.4% | 41.9% | 2,744 |
| Hanover | 7,876 | 7 | Humana | 47.0% | 36.3% | 1,542 |
| Bedford | 7,838 | 5 | UnitedHealth | 55.8% | 37.3% | 1,873 |
| Lynchburg City | 7,499 | 5 | UnitedHealth | 55.3% | 49.9% | 3,108 |
| Henry | 7,397 | 6 | Aetna (CVS) | 45.6% | 50.7% | 2,338 |
| Pittsylvania | 7,032 | 5 | UnitedHealth | 38.4% | 47.4% | 2,497 |
| Franklin | 6,572 | 6 | UnitedHealth | 35.5% | 45.2% | 1,828 |
| Wise | 6,504 | 6 | UnitedHealth | 49.5% | 70.3% | 2,115 |
| Arlington | 6,455 | 7 | UnitedHealth | 27.4% | 29.7% | 3,138 |
| Stafford | 6,171 | 6 | Humana | 51.4% | 31.2% | 1,722 |
| Danville City | 6,134 | 7 | UnitedHealth | 28.9% | 63.0% | 3,260 |
| Augusta | 5,871 | 5 | Humana | 39.6% | 30.3% | 1,511 |
| Frederick | 5,835 | 5 | Humana | 55.2% | 31.9% | 1,392 |
| James City | 5,744 | 5 | Humana | 44.3% | 30.3% | 1,061 |
| Rockingham | 5,718 | 4 | Humana | 51.4% | 30.1% | 1,555 |
| Tazewell | 5,628 | 5 | Humana | 47.2% | 57.0% | 1,875 |
| Campbell | 5,492 | 5 | UnitedHealth | 66.3% | 42.3% | 1,757 |
| Petersburg City | 5,259 | 7 | Humana | 40.9% | 72.8% | 2,439 |
| Alexandria City | 4,965 | 7 | UnitedHealth | 28.7% | 29.8% | 2,063 |
| Montgomery | 4,752 | 5 | UnitedHealth | 36.5% | 35.4% | 1,741 |
| Albemarle | 4,616 | 6 | Humana | 51.1% | 22.4% | 1,474 |
| Scott | 4,475 | 5 | Humana | 53.7% | 73.0% | 1,307 |
| Smyth | 4,323 | 6 | UnitedHealth | 61.5% | 52.8% | 1,832 |
| Russell | 4,264 | 5 | Humana | 49.1% | 66.3% | 1,378 |
| Mecklenburg | 4,145 | 5 | Humana | 38.6% | 45.9% | 1,602 |
| Halifax | 4,124 | 6 | Humana | 44.1% | 43.5% | 1,710 |
| Lee | 4,053 | 6 | UnitedHealth | 65.5% | 69.7% | 1,622 |
| Wythe | 3,882 | 6 | UnitedHealth | 55.3% | 53.8% | 1,484 |
| Shenandoah | 3,824 | 5 | Humana | 46.8% | 36.0% | 1,194 |
| Accomack | 3,617 | 5 | Humana | 48.2% | 39.4% | 1,493 |
| Isle of Wight | 3,548 | 5 | Humana | 43.3% | 37.8% | 992 |
| Amherst | 3,510 | 5 | UnitedHealth | 62.9% | 43.5% | 1,178 |
| Louisa | 3,462 | 5 | Humana | 55.0% | 37.7% | 1,073 |
| Buchanan | 3,452 | 5 | Humana | 50.3% | 65.3% | 1,346 |
| York | 3,366 | 5 | Humana | 43.1% | 26.1% | 701 |
| Pulaski | 3,333 | 6 | Humana | 36.1% | 45.5% | 1,346 |
| Fauquier | 3,272 | 5 | Humana | 53.4% | 27.4% | 954 |
| Orange | 3,217 | 5 | Humana | 40.1% | 36.8% | 982 |
| Culpeper | 3,203 | 6 | Humana | 64.1% | 32.8% | 1,160 |
| Gloucester | 3,152 | 5 | Humana | 41.9% | 34.4% | 982 |
| Botetourt | 3,129 | 5 | UnitedHealth | 40.5% | 38.2% | 628 |
| Warren | 3,118 | 5 | Humana | 59.9% | 40.4% | 948 |
| Carroll | 3,003 | 5 | Humana | 36.2% | 39.8% | 1,190 |
| Dickenson | 2,811 | 5 | UnitedHealth | 66.0% | 72.7% | 883 |
| Martinsville City | 2,764 | 5 | Aetna (CVS) | 37.5% | 74.6% | 1,518 |
| Caroline | 2,651 | 7 | Humana | 57.4% | 42.4% | 818 |
| Bristol City | 2,633 | 6 | UnitedHealth | 50.2% | 62.5% | 921 |
| Dinwiddie | 2,474 | 7 | Humana | 56.4% | 40.3% | 660 |
| Staunton City | 2,451 | 5 | UnitedHealth | 34.3% | 38.4% | 1,134 |
| Hopewell City | 2,442 | 6 | Humana | 43.2% | 54.8% | 1,158 |
| Patrick | 2,441 | 5 | Aetna (CVS) | 47.2% | 49.8% | 867 |
| Salem City | 2,387 | 6 | UnitedHealth | 34.0% | 42.2% | 766 |
| Page | 2,324 | 5 | Humana | 46.1% | 37.3% | 1,013 |
| Prince Edward | 2,287 | 5 | UnitedHealth | 48.4% | 47.9% | 1,003 |
| Harrisonburg City | 2,268 | 5 | Elevance | 47.9% | 40.6% | 1,136 |
| Waynesboro City | 2,165 | 5 | Humana | 32.3% | 43.8% | 816 |
| Goochland | 2,103 | 6 | Humana | 35.8% | 27.0% | 426 |
| Brunswick | 2,025 | 5 | Humana | 36.7% | 49.9% | 948 |
| Prince George | 1,981 | 5 | Humana | 54.0% | 30.7% | 599 |
| Powhatan | 1,973 | 7 | Humana | 36.8% | 31.4% | 366 |
| Rockbridge | 1,893 | 5 | UnitedHealth | 38.5% | 32.0% | 651 |
| Fluvanna | 1,855 | 5 | Humana | 51.8% | 31.5% | 529 |
| New Kent | 1,849 | 5 | Humana | 38.7% | 33.8% | 351 |
| Westmoreland | 1,845 | 5 | Humana | 52.0% | 35.3% | 673 |
| Charlottesville City | 1,813 | 5 | Humana | 37.5% | 32.5% | 1,095 |
| Grayson | 1,785 | 5 | UnitedHealth | 57.1% | 40.4% | 794 |
| Manassas City | 1,749 | 6 | Humana | 36.3% | 39.7% | 619 |
| Giles | 1,716 | 5 | UnitedHealth | 30.5% | 42.7% | 660 |
| Winchester City | 1,691 | 5 | Humana | 47.5% | 35.5% | 954 |
| Northampton | 1,673 | 5 | Humana | 39.8% | 44.0% | 839 |
| Appomattox | 1,672 | 5 | UnitedHealth | 60.3% | 42.2% | 622 |
| Buckingham | 1,657 | 5 | Humana | 35.8% | 44.8% | 702 |
| Nelson | 1,560 | 5 | Humana | 41.3% | 34.3% | 543 |
| Nottoway | 1,551 | 7 | Elevance | 43.3% | 45.3% | 714 |
| Floyd | 1,535 | 6 | UnitedHealth | 42.9% | 38.6% | 482 |
| Colonial Heights City | 1,523 | 7 | Humana | 45.2% | 41.8% | 609 |
| Southampton | 1,495 | 6 | Humana | 48.4% | 36.2% | 557 |
| Fredericksburg City | 1,461 | 6 | Humana | 50.5% | 36.5% | 777 |
| Fairfax City | 1,447 | 6 | Humana | 28.0% | 40.2% | 592 |
| Amelia | 1,440 | 7 | UnitedHealth | 33.5% | 44.3% | 446 |
| Charlotte | 1,380 | 5 | UnitedHealth | 39.6% | 44.1% | 692 |
| King William | 1,374 | 6 | Humana | 43.7% | 37.9% | 390 |
| Alleghany | 1,344 | 5 | UnitedHealth | 44.4% | 34.2% | 608 |
| Greene | 1,334 | 5 | Humana | 46.9% | 32.1% | 459 |
| Northumberland | 1,274 | 4 | Humana | 40.0% | 32.8% | 396 |
| Greensville | 1,272 | 6 | Humana | 39.5% | 53.2% | 498 |
| Lunenburg | 1,256 | 5 | Elevance | 28.0% | 44.7% | 560 |
| King George | 1,254 | 5 | Humana | 52.5% | 30.0% | 456 |
| Middlesex | 1,247 | 5 | Humana | 38.0% | 37.0% | 398 |
| Lancaster | 1,241 | 5 | Humana | 32.3% | 32.3% | 481 |
| Essex | 1,180 | 6 | Humana | 41.5% | 42.4% | 468 |
| Sussex | 1,173 | 5 | Humana | 46.4% | 50.6% | 488 |
| Franklin City | 1,144 | 6 | Elevance | 37.4% | 59.0% | 603 |
| Madison | 1,037 | 5 | Humana | 57.2% | 35.7% | 346 |
| Cumberland | 876 | 5 | Humana | 31.5% | 42.1% | 356 |
| Radford City | 874 | 5 | UnitedHealth | 37.1% | 47.8% | 394 |
| Clarke | 833 | 4 | Humana | 55.5% | 29.9% | 315 |
| Covington City | 781 | 5 | UnitedHealth | 41.7% | 57.6% | 433 |
| Charles City | 749 | 6 | Humana | 53.1% | 45.5% | 220 |
| Galax City | 721 | 5 | UnitedHealth | 31.9% | 52.0% | 691 |
| Surry | 709 | 5 | Humana | 52.0% | 45.3% | 211 |
| Richmond | 704 | 4 | Humana | 50.1% | 37.6% | 334 |
| Mathews | 688 | 5 | Humana | 45.9% | 30.9% | 281 |
| Emporia City | 623 | 5 | Elevance | 35.8% | 61.0% | 419 |
| Norton City | 614 | 4 | UnitedHealth | 58.1% | 64.1% | 349 |
| King and Queen | 600 | 4 | Humana | 46.0% | 41.4% | 266 |
| Buena Vista City | 576 | 5 | UnitedHealth | 54.2% | 48.8% | 338 |
| Bland | 564 | 3 | UnitedHealth | 72.7% | 46.2% | 195 |
| Lexington City | 552 | 5 | UnitedHealth | 44.2% | 41.8% | 298 |
| Manassas Park City | 526 | 5 | Humana | 43.9% | 40.3% | 133 |
| Williamsburg City | 502 | 5 | Humana | 45.4% | 24.6% | 146 |
| Poquoson City | 484 | 4 | Humana | 45.3% | 25.4% | 122 |
| Falls Church City | 444 | 5 | Kaiser | 41.2% | 31.9% | 129 |
| Craig | 409 | 5 | UnitedHealth | 46.7% | 41.7% | 165 |
| Rappahannock | 383 | 3 | Humana | 63.2% | 25.4% | 131 |
| Bath | 241 | 4 | Humana | 37.8% | 27.9% | 156 |
| Highland | 150 | 4 | Humana | 44.7% | 28.8% | 66 |
Virginia's twelve months
Visible Medicare Advantage members in Virginia each month, Nov 2025 to Oct 2026. The December-to-January step is the election period; the rest of the year moves on new eligibles, special enrollment and deaths.
What 2027 does to Virginia
The fate assigned to every plan for 2027, joined to the members in it today. A plan that ends sends its members to choose again; a plan dropping counties keeps the plan but not every county, and which counties is not stated.
members in Virginia are in plans that end for 2027.
- UnitedHealth5,220
- Aetna (CVS)1,561
members are in plans that keep selling in Virginia but drop at least one county for 2027.
- Humana · 15 plans162,138
- Aetna (CVS) · 10 plans30,413
- UnitedHealth · 1 plans1,828
The plans on sale in Virginia for 2027
Benefit design weighted by each plan’s members today, so a figure is what the market’s members are offered, not a count of plans. The rating is the 2027 overall Star Rating, weighted the same way.
of members are in a plan with no monthly premium
median out-of-pocket maximum, member weighted
2027 overall, member weighted
- Humana4.15 stars · 88% at $0 · $9,850 max
- UnitedHealth3.94 stars · 96% at $0 · $7,500 max
- Elevance3.15 stars · 95% at $0 · $6,825 max
- Aetna (CVS)3.49 stars · 86% at $0 · $7,150 max
- Kaiser4.50 stars · 45% at $0 · $7,150 max
The read on every carrier in Virginia is in Carrier Command.
A monthly position page for each of the 10 carriers here: risk and rebate against the market, Stars levers, the election-period forecast, county standing and the written read. Launching for Medicare Advantage plans.
Other states
Every state has its own page; the largest carriers have one nationally.
- Alabama
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Puerto Rico
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Washington
- West Virginia
- Wisconsin
- Wyoming
Humana in every state · UnitedHealth in every state · Elevance in every state · All states and carriers
How these numbers are made
- Members are visible members: CMS suppresses any plan-county cell of ten or fewer, so small counties undercount. Market share excludes employer group plans.
- Enrollment is Oct 2026; the twelve months run Nov 2025 to Oct 2026; the election step compares December 2025 with January 2026.
- Plan fates are the ones assigned for contract year 2027; benefit design is the 2027 filing; the rating is the 2027 overall Star Rating of each carrier's contracts, weighted by members in Virginia.
- A carrier is a parent organization; its brands in Virginia may carry other names. The rank 1st to 10th counts every parent with visible members in 2026.
- Every figure comes from public CMS data as Livmor reads it, and the page is rebuilt when a new month posts. Livmor Carrier Command, public CMS data.