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By David Bynon [3] · Last updated January 15, 2025

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Medicare Advantage
 » 
West Virginia

2025 Guide to Medicare Advantage Plans in West Virginia

by David Bynon, last updated January 15, 2025

We partner with HealthCompare for some plans. Compensation does not influence our content. Learn more.

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Finding the Top Medicare Advantage Plan in West Virginia Starts Here

If you live in West Virginia and you're thinking about enrolling in a Medicare Advantage plan, you're not alone. This year nearly half of all people with Medicare will join a Medicare Advantage plan because they want lower costs, more benefits, and access to more doctors and other healthcare providers.

This page aims to assist you in uncovering the highest-rated Medicare Advantage (MA) plans in West Virginia, identifying the insurance providers that offer these plans, and providing guidance on locating suitable plans within your specific region. This information is vital since plan availability varies across different areas.

Table of Contents

Who Has The Best Plans in West Virginia? Complete List of Providers Best Plans By CMS Rating Best Plans By County How To Find The Best Plan Next Steps
If you qualify for Medicare Advantage but don't know where to begin, we have licensed agents[1] who can answer your questions and help you get enrolled.

Call 1-855-728-0510 (TTY 711) for assistance. There's no obligation.

Comparing the Leading Medicare Advantage Plans in West Virginia

Every year, the Centers for Medicare & Medicaid Services (CMS) reviews and rates all Medicare Advantage plans in West Virginia based on a 5-star scale. Input for the ratings comes from information that each plan self-reports, as well as individual member complaints. (Read more about Medicare star ratings.)

There are no 5-star plans in West Virginia in 2025. However, there are 4.5-star plans. This year, the highest rated Medicare plans available in West Virginia come from:

    We recommend evaluating the health plans from these West Virginia health insurance companies ahead of all others. Here's why. Simply put, more stars generally mean members will get better results. Members might get better service, phone support, and care from a 5-star than they would from a four-star plan.

    CRUCIAL: Benefits are not the same throughout West Virginia. That's why it is essential that you fully understand the advantages and disadvantages of Medicare Advantage plans.

    Complete List of West Virginia's MA Plan Companies

    West Virginia's Medicare Advantage plans are offered by 6 plan providers, including:

    • Aetna Medicare
    • Highmark Blue Cross Blue Shield
    • Humana
    • Peak Health
    • The Health Plan
    • UnitedHealthcare®

    Top Ranked Plans in West Virginia

    According to the Centers for Medicare & Medicaid Services, here are the top-ranked Medicare Advantage Plans available in West Virginia:

    Top Medicare Advantage Plans in West Virginia

    Best Medicare Advantage Plans in West Virginia for 2025
    Provider Plan ID Plan Name Premium Limit Stars

    The top providers listed above do not tell the full story. That's because your West Virginia County may or may not have one of the top-rated plans. Unlike Original Medicare, Medicare Advantage plans are regional. Read How Does Medicare Advantage Work to learn more.

    Top-Rated Medicare Advantage Plans in West Virginia by County

    Choose your West Virginia County below to see the best (and the worst) plans.

    Barbour County, WV Medicare Advantage Plans
    Berkeley County, WV Medicare Advantage Plans
    Boone County, WV Medicare Advantage Plans
    Braxton County, WV Medicare Advantage Plans
    Brooke County, WV Medicare Advantage Plans
    Cabell County, WV Medicare Advantage Plans
    Calhoun County, WV Medicare Advantage Plans
    Clay County, WV Medicare Advantage Plans
    Doddridge County, WV Medicare Advantage Plans
    Fayette County, WV Medicare Advantage Plans
    Gilmer County, WV Medicare Advantage Plans
    Grant County, WV Medicare Advantage Plans
    Greenbrier County, WV Medicare Advantage Plans
    Hampshire County, WV Medicare Advantage Plans
    Hancock County, WV Medicare Advantage Plans
    Hardy County, WV Medicare Advantage Plans
    Harrison County, WV Medicare Advantage Plans
    Jackson County, WV Medicare Advantage Plans
    Jefferson County, WV Medicare Advantage Plans
    Kanawha County, WV Medicare Advantage Plans
    Lewis County, WV Medicare Advantage Plans
    Lincoln County, WV Medicare Advantage Plans
    Logan County, WV Medicare Advantage Plans
    Marion County, WV Medicare Advantage Plans
    Marshall County, WV Medicare Advantage Plans
    Mason County, WV Medicare Advantage Plans
    McDowell County, WV Medicare Advantage Plans
    Mercer County, WV Medicare Advantage Plans
    Mineral County, WV Medicare Advantage Plans
    Mingo County, WV Medicare Advantage Plans
    Monongalia County, WV Medicare Advantage Plans
    Monroe County, WV Medicare Advantage Plans
    Morgan County, WV Medicare Advantage Plans
    Nicholas County, WV Medicare Advantage Plans
    Ohio County, WV Medicare Advantage Plans
    Pendleton County, WV Medicare Advantage Plans
    Pleasants County, WV Medicare Advantage Plans
    Pocahontas County, WV Medicare Advantage Plans
    Preston County, WV Medicare Advantage Plans
    Putnam County, WV Medicare Advantage Plans
    Raleigh County, WV Medicare Advantage Plans
    Randolph County, WV Medicare Advantage Plans
    Ritchie County, WV Medicare Advantage Plans
    Roane County, WV Medicare Advantage Plans
    Summers County, WV Medicare Advantage Plans
    Taylor County, WV Medicare Advantage Plans
    Tucker County, WV Medicare Advantage Plans
    Tyler County, WV Medicare Advantage Plans
    Upshur County, WV Medicare Advantage Plans
    Wayne County, WV Medicare Advantage Plans
    Webster County, WV Medicare Advantage Plans
    Wetzel County, WV Medicare Advantage Plans
    Wirt County, WV Medicare Advantage Plans
    Wood County, WV Medicare Advantage Plans
    Wyoming County, WV Medicare Advantage Plans
    Need assistance finding the best Medicare Advantage for you? Let the professionals at HealthCompare [1] answer your questions and show you your best plan options.

    For fast, friendly assistance call 1-855-728-0510 (TTY 711) .

    Find Your Perfect Fit: How to Pick the Best Medicare Advantage Plan in West Virginia

    You may be looking at plans for several different reasons, including turning 65 or the Annual Enrollment Period. Or, perhaps you are navigating a special enrollment event, such as moving to a new area. In all of these cases, there are a few important details you need to consider.

    1. Evaluate How You Plan to Use Your Benefits

    Do you think you’ll take maximum advantage of your benefits (doctors, hospital inpatient care, tests, etc.)? If so, prioritize plans with lower out-of-pocket maximums and lower copayments, even if they have higher monthly premiums. Otherwise, look for plans with low monthly premiums. Just be aware that plans with low or no monthly premiums tend to have higher out-of-pocket maximums and/or higher deductibles.

    2. Examine Your Prescription Medication Expenses

    Prescription drugs are often the main reason that seniors pay more for healthcare. Because most West Virginia Medicare Advantage plans include Part D coverage for prescriptions, it is important to ensure you get the right plan that covers your drugs at a cost you can afford.

    3. Consider Your Needs for Additional Coverage

    Original Medicare doesn't cover all costs related to health care. It covers major medical expenses and preventative care services, however, it doesn't cover prescriptions, vision, hearing, or dental. Many of the essential services your Part A or Part B benefits don't cover are covered by Medicare Advantage plans.

    4. Think About Your Preferred Healthcare Providers

    Medicare Advantage plans have healthcare provider networks. Unfortunately, not all specialists and primary care doctors accept all plans. Many people on Medicare in West Virginia tell us it's difficult to find a plan their doctors take. We can help!

    Find Plans in your area with your ZIP Code

    Next Steps

    If you qualify for Medicare Advantage but don't know where to begin, we have licensed agents[1] who can answer your questions and help you get enrolled.

    Call 1-855-728-0510 (TTY 711) for assistance. There's no obligation.

    Frequently Asked Questions

    Still have questions? These common questions and answers might help.

    What are the disadvantages of a Medicare Advantage plan?

    Medicare Advantage plans may have several disadvantages. Most plans require that their members use their network providers. It is also difficult to budget for healthcare costs as costs are largely determined by your use of healthcare services. Many plans require that members obtain referrals to a specialist before they are authorized to receive a service. Discover more disadvantages of Medicare Advantage plans.

    How much do Medicare Advantage plans cost in West Virginia?

    A Medicare Advantage plan in West Virginia costs an average of $nan. This is just the monthly premium. You should also consider the out-of-pocket expenses of a plan if you have any chronic conditions, which include a plan's copays and deductibles. Prescription drug benefits are also included in most Medicare Advantage plans, but they have their own out-of-pocket costs.

    What are Medicare Advantage plans required to cover?

    At a minimum, every Medicare Advantage plan sold in West Virginia must cover all of the benefits offered in Original Medicare. However, plans are not required to cover healthcare services in the same way. Medicare Part A covers 80% of hospital stays, skilled nursing, home health care, and hospice care. Part B covers 80% of doctor visits, lab tests, and other outpatient services. But, Medicare Advantage plans can set their own copays, and often charge more than 20%. On the positive side, plans must set an annual out-of-pocket limit.

    Citations & References

    • CMS.gov, 2023 Medicare Part C Landscape Source Files, Last Accessed January 13, 2023
    • Medicare.gov, "5-star special enrollment period", Last Accessed October 20, 2022
    • Medicare.gov, "Medicare Advantage Plans", Last Accessed October 1, 2022
    • KFF.org, "Medicare Advantage in 2023: Enrollment Update and Key Trends", Last Accessed September 5, 2023
    • Medicare.gov, "Things to know about Medicare Advantage Plans", Last Accessed October 12, 2022
    • CMS.gov, Part C and D Performance Data, Last Accessed October 13, 2024
    • CMS.gov, Monthly MA Enrollment by State/County/Contract, Last Accessed October 10, 2024

    For details on how we research, analyze, and construct plan information for West Virginia using CMS data, see our Medicare Plan Research Methodology.

    Plans Offered

    Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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    [3]About the Author

    David Bynon is a Medicare analyst, published author, and U.S. Navy veteran with over 40 years of experience in cryptology, cybersecurity, and healthcare systems. Since founding MedicareWire in 2012, he has provided unbiased, data-driven Medicare plan research to assist seniors in making informed decisions.

    Previously, David served as Vice President of Global Systems at Sony Pictures Entertainment and Director of Systems and Networks at HealthNet, focusing on secure HMO and Medicare infrastructures. His military career includes serving as Command Chief at TACRON-11, earning multiple Navy Commendation Medals and other commendations.

    Connect with David on LinkedIn or view his Amazon Author Profile. His latest book, Why Medicare Advantage Plans Are Bad, is available on Amazon.

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