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Medicare Advantage Enrollment Tracker · Virginia

Medicare Advantage Enrollment in Virginia

Virginia had 698,019 Medicare Advantage members in September 2026, by the CMS county file, which includes employer group plans. That is up 2.8% from Sep 2025, faster than the national 2.0%. Virginia ranks 19th by members and holds 1.9% of the national total.

Humana leads with 34.4% of members who have a carrier label (contract file, September 2026). UnitedHealthcare led a year earlier. Among individual plans, which leave out employer group coverage, enrollment is up 3.7% in the 12 months to September 2026.

By Senior Deal Club Standards Desk · Data as of September 2026 · Editorial policy

Data as ofCMS public files, monthly snapshot

  • These totals include employer and union group plans.
    Why this matters

    The CMS contract and county files count group plans that retirees get through a former employer. They are not plans you can pick on your own. Counts here are larger than the individual-plan counts on county pages.

  • Some months are missing from the source.
    Why this matters

    CMS did not publish every month. Lines break at a missing month instead of guessing a value. A dotted line, where shown, only joins the two sides.

Virginia at a glance

Medicare Advantage members

698,019

Virginia members by month: from 558K in Jan 2023 to 698K in Sep 2026

County file · Sep 2026. Includes employer group plans. Rank: 19.

County file · Sep 2026
CMS state, county and plan-type file (SCP). The same plans split by state and county, with employer and union group plans included. CMS hides counts of 10 or fewer.

12-month change

+2.8%

up 2.8 percent vs Sep 2025

County file · Sep 2026. National: +2.0%.

Share of national total

1.9%

County file · Sep 2026. Of jurisdictions that report every month.

Individual plan members

599,442

Individual MA · Sep 2026. Employer group plans left out.

Individual MA · Sep 2026
Individual Medicare Advantage plans (IND), from county data. Employer and union group plans are left out, so counts are smaller than in the other two files.

Largest carrier

Humana

34.4% of members with a carrier label. Contract file · Sep 2026.

Virginia members by month

Medicare Advantage members in Virginia

Members, by month.

County file · Sep 2026
CMS state, county and plan-type file (SCP). The same plans split by state and county, with employer and union group plans included. CMS hides counts of 10 or fewer.
Medicare Advantage members in VirginiaLine chart, January 2023 to September 2026. Virginia: 698K in September 2026. Shaded bands mark months with no data.550K600K650K700K2023202420252026Virginia698K
Medicare Advantage members in VirginiaLine chart, January 2023 to September 2026. Virginia: 698K in September 2026. Shaded bands mark months with no data.550K600K650K700K20232025Virginia698K
  • Virginia
  • Shaded: no data that month
View the data table
Medicare Advantage members in Virginia: values by month
MonthVirginia
Sep 2026698K
Aug 2026698K
Jul 2026696K
Jun 2026695K
May 2026693K
Apr 2026692K
Mar 2026690K
Feb 2026687K
Jan 2026672K
Dec 2025681K
Nov 2025681K
Oct 2025680K
Sep 2025679K
Aug 2025677K
Jul 2025675K
Jun 2025674K
May 2025671K
Apr 2025671K
Mar 2025669K
Feb 2025666K
Jan 2025656K
Dec 2024651K
Nov 2024652K
Oct 2024650K
Sep 2024649K
Aug 2024646K
Jul 2024643K
Jun 2024643K
May 2024640K
Apr 2024638K
Mar 2024635K
Feb 2024633K
Jan 2024630K
Dec 2023–
Nov 2023604K
Oct 2023601K
Sep 2023598K
Aug 2023596K
Jul 2023–
Jun 2023591K
May 2023589K
Apr 2023586K
Mar 2023583K
Feb 2023572K
Jan 2023558K

County file · Sep 2026. Employer group plans included.

Virginia and the nation, Jan 2023 = 100

Each line is members divided by members in the start month, times 100.

County file · Sep 2026
CMS state, county and plan-type file (SCP). The same plans split by state and county, with employer and union group plans included. CMS hides counts of 10 or fewer.
Virginia and the nation, Jan 2023 = 100Line chart, January 2023 to September 2026. Virginia: 125.1 in September 2026. National (same jurisdictions each month): 117.8 in September 2026. Shaded bands mark months with no data.1001101201302023202420252026Virginia125.1National117.8
Virginia and the nation, Jan 2023 = 100Line chart, January 2023 to September 2026. Virginia: 125.1 in September 2026. National (same jurisdictions each month): 117.8 in September 2026. Shaded bands mark months with no data.10011012013020232025Virginia125.1National117.8
  • Virginia
  • National (same jurisdictions each month)
  • Shaded: no data that month
View the data table
Virginia and the nation, Jan 2023 = 100: values by month
MonthVirginiaNational (same jurisdictions each month)
Sep 2026125.1117.8
Aug 2026125117.8
Jul 2026124.8117.5
Jun 2026124.6117.4
May 2026124.3117.2
Apr 2026124116.9
Mar 2026123.7116.7
Feb 2026123.1116.3
Jan 2026120.4114.7
Dec 2025122115.9
Nov 2025122115.9
Oct 2025121.9115.7
Sep 2025121.7115.5
Aug 2025121.4115.3
Jul 2025121115
Jun 2025120.9114.8
May 2025120.3114.4
Apr 2025120.3114.2
Mar 2025119.9113.8
Feb 2025119.3113.4
Jan 2025117.5111.9
Dec 2024116.6112
Nov 2024116.8112
Oct 2024116.6111.7
Sep 2024116.3111.5
Aug 2024115.7111.2
Jul 2024115.3110.9
Jun 2024115.2110.7
May 2024114.7110.5
Apr 2024114.4110
Mar 2024113.8109.7
Feb 2024113.5109.3
Jan 2024112.9108.7
Dec 2023––
Nov 2023108.2105.9
Oct 2023107.8105.6
Sep 2023107.2105.2
Aug 2023106.8104.9
Jul 2023––
Jun 2023105.9104.1
May 2023105.5103.8
Apr 2023104.9103.4
Mar 2023104.5103
Feb 2023102.6102.2
Jan 2023100100

County file · Sep 2026. National line sums the jurisdictions that report in every month.

Individual plans

Individual plans leave out employer and union group coverage, so counts are smaller than in the county file.

Carrier share in Virginia

Share of members whose contract has a carrier label, September 2026 against September 2025.

Contract file · Sep 2026
CMS contract file (SCC). All Medicare Advantage contracts, with employer and union group plans included. It still lists Connecticut and Alaska.

Humana leads with 34.4% of members who have a carrier label (contract file, September 2026). UnitedHealthcare led a year earlier.

Humana gained 7.3 points in 12 months; most of that change came in January 2026.

Sentara Health Care (SHC) lost 4.2 points in 12 months; most of that change came in January 2026.

UnitedHealthcare and Humana together hold 62.1%, up 7.7 points from Sep 2025.

The market is more concentrated than a year earlier (direction only; the level depends on how carriers are grouped).

Carrier share, Sep 2025 to Sep 2026

Percent of members with a carrier label. Largest carriers.

Carrier share, Sep 2025 to Sep 2026Slope chart comparing Sep 2025 with Sep 2026. Humana: 27.1% to 34.4%; UnitedHealthcare: 27.2% to 27.7%; Elevance/Anthem: 21.9% to 20.0%; Aetna/CVS: 12.3% to 10.5%; Kaiser: 4.8% to 4.9%; Sentara Health Care (SHC): 5.7% to 1.4%.Sep 2025Sep 2026Humana 27.1%34.4% HumanaUnitedHealthcare 27.2%27.7% UnitedHealthcareElevance/Anthem 21.9%20.0% Elevance/AnthemAetna/CVS 12.3%10.5% Aetna/CVSKaiser 4.8%4.9% KaiserSentara 5.7%1.4% Sentara
Carrier share, Sep 2025 to Sep 2026Slope chart comparing Sep 2025 with Sep 2026. Humana: 27.1% to 34.4%; UnitedHealthcare: 27.2% to 27.7%; Elevance/Anthem: 21.9% to 20.0%; Aetna/CVS: 12.3% to 10.5%; Kaiser: 4.8% to 4.9%; Sentara Health Care (SHC): 5.7% to 1.4%.Sep 2025Sep 2026Humana 27.1%34.4%UHC 27.2%27.7%Elevance 21.9%20.0%Aetna 12.3%10.5%Kaiser 4.8%4.9%Sentara 5.7%1.4%
View the data table
Carrier share, Sep 2025 to Sep 2026: Sep 2025 and Sep 2026
NameSep 2025Sep 2026Change
Humana27.1%34.4%+7.3 pts
UnitedHealthcare27.2%27.7%+0.4 pts
Elevance/Anthem21.9%20.0%−1.9 pts
Aetna/CVS12.3%10.5%−1.8 pts
Kaiser4.8%4.9%+0.1 pts
Sentara Health Care (SHC)5.7%1.4%−4.2 pts

Contract file · Sep 2026. Employer group plans included.

Carrier share of Medicare Advantage members with a carrier label, Virginia, September 2026
CarrierShare, Sep 2026Share, Sep 2025ChangeMembers
Humana34.4%27.1%+7.3 pts236,240
UnitedHealthcare27.7%27.2%+0.4 pts190,229
Elevance/Anthem20.0%21.9%−1.9 pts137,164
Aetna/CVS10.5%12.3%−1.8 pts71,921
Kaiser4.9%4.8%+0.1 pts33,797
Sentara Health Care (SHC)1.4%5.7%−4.2 pts9,964
Highmark/BCBS0.4%0.4%0.0 pts2,449
Devoted Health0.4%––2,422
HCSC/BCBS0.2%0.5%−0.3 pts1,547
Johns Hopkins Healthcare0.1%––589
CareFirst/BCBS0.1%0.1%0.0 pts382
BCBS Michigan0.0%0.1%0.0 pts341
All other carriers0.0%––247

Insurer not assigned in CMS data: 0.8% of all members in Sep 2026, 1.0% in Sep 2025. Shares leave these members out. Contract IDs are renumbered each January, so this page follows carriers, not contracts. A contract that serves several states carries one carrier label, so a carrier can appear in a state where it is not a local plan. See the carrier view for the whole nation.

Biggest counties in Virginia

Individual plan members and the 12-month change for each county, from county data.

Individual MA · Sep 2026
Individual Medicare Advantage plans (IND), from county data. Employer and union group plans are left out, so counts are smaller than in the other two files.
Biggest counties in Virginia by individual Medicare Advantage members, September 2026
CountyMembers12-month changeLeading carrierLeader's share
Fairfax45,489+3.8%Kaiser27.7%
Virginia Beach City28,895+3.6%Humana52.2%
Chesterfield25,089+3.6%Humana45.6%
Henrico24,617+4.0%Humana43.0%
Prince William20,006+7.4%Humana32.6%
Norfolk City18,385+3.9%Humana41.6%
Richmond City17,953+1.1%Humana36.1%
Chesapeake City16,867+4.1%Humana42.8%
Newport News City15,246+3.4%Humana41.8%
Loudoun13,209+3.4%UnitedHealthcare29.4%

Browse all counties.

Common questions

How many people have Medicare Advantage in Virginia?

Virginia had 698,019 members in September 2026, by the CMS county file (employer group plans included). Individual plans, which leave out employer group coverage, had 599,442 members in September 2026.

Is Medicare Advantage growing in Virginia?

Enrollment is up 2.8% from Sep 2025 to Sep 2026, faster than the national 2.0%. Among individual plans, which leave out employer group coverage, enrollment is up 3.7% in the 12 months to September 2026.

Which carrier has the most Medicare Advantage members in Virginia?

Humana leads with 34.4% of members who have a carrier label (contract file, September 2026). UnitedHealthcare led a year earlier. UnitedHealthcare and Humana together hold 62.1%, up 7.7 points from Sep 2025. Shares leave out members whose contract has no carrier label: 0.8% of members.

Cite and download

Cite this page

Senior Deal Club Standards Desk. Medicare Advantage Enrollment in Virginia, data as of September 2026. Source: CMS public enrollment files. https://www.seniordealclub.com/medicare-advantage/enrollment/states/virginia

Download Virginia CSV

Data: CMS public enrollment files, in a monthly snapshot processed by TapQuality. Senior Deal Club is not affiliated with Medicare or any government agency.

These pages are educational. They are not plan advice. How the numbers are built · Editorial policy