Medicare Advantage in West Virginia: 174,307 members, 8 carriers, Humana in front.
Humana holds 40.5% of West Virginia’s visible Medicare Advantage members, ahead of Aetna (CVS) at 21.5% and UnitedHealth at 17.2%. The market grew +4.3% (+7,233 members) from Nov 2025 to Oct 2026 and stepped +1.7% at the 2026 election period. 56.6% of the state's Medicare beneficiaries are in a Medicare Advantage plan.
Every carrier with members in West 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 53 of the 55 counties with a lead. At the election period West Virginia United Health System, Inc. stepped up most (+211.8%) and Highmark Health stepped down most (−37.1%).
| # | Carrier | Members | Share | Twelve months | Election step | Counties led | Rating | $0 premium | Plans |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Humana | 70,519 | 40.5% | +10.6% | +7.6% | 53 of 55 | 4.09 | 83% | 21 |
| 2 | Aetna (CVS) | 37,411 | 21.5% | +1.9% | +0.2% | 2 of 55 | 3.71 | 74% | 9 |
| 3 | UnitedHealth | 30,002 | 17.2% | −9.9% | −7.2% | 0 of 55 | 3.84 | 62% | 7 |
| 4 | Highmark Health | 14,766 | 8.5% | −34.7% | −37.1% | 0 of 46 | 3.50 | 34% | 8 |
| 5 | West Virginia United Health System, Inc. | 12,296 | 7.0% | +257.6% | +211.8% | 0 of 47 | 5.00 | 100% | 2 |
| 6 | The Health Plan of West Virginia, Inc. | 7,272 | 4.2% | +27.9% | +21.4% | 0 of 51 | 3.28 | 36% | 7 |
| 7 | SNP Holdings, LLC | 1,601 | 0.9% | +1.1% | −1.4% | 0 of 33 | 3.50 | 100% | 1 |
| 8 | Elevance | 440 | 0.3% | – | – | 0 of 17 | – | 100% | 1 |
West Virginia county by county
55 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 |
|---|---|---|---|---|---|---|
| Kanawha | 19,195 | 8 | Humana | 40.1% | 61.7% | 8,320 |
| Berkeley | 9,546 | 7 | Humana | 46.1% | 44.1% | 3,402 |
| Wood | 8,699 | 8 | Humana | 39.6% | 51.5% | 4,512 |
| Cabell | 8,356 | 8 | Humana | 35.6% | 56.6% | 4,050 |
| Mercer | 6,807 | 6 | Humana | 38.9% | 59.6% | 3,469 |
| Harrison | 6,784 | 7 | Humana | 39.6% | 57.5% | 2,875 |
| Raleigh | 6,332 | 6 | Aetna (CVS) | 45.4% | 52.6% | 3,552 |
| Putnam | 5,123 | 7 | Humana | 37.8% | 58.5% | 1,668 |
| Monongalia | 5,027 | 7 | Humana | 34.6% | 57.0% | 1,900 |
| Marion | 4,882 | 6 | Humana | 41.1% | 58.9% | 2,421 |
| Fayette | 4,533 | 8 | Humana | 37.3% | 61.2% | 2,490 |
| Wayne | 4,498 | 8 | Humana | 40.4% | 62.6% | 2,313 |
| Ohio | 4,475 | 7 | Humana | 21.8% | 55.3% | 1,660 |
| Jefferson | 4,136 | 7 | Humana | 47.5% | 41.1% | 1,406 |
| Greenbrier | 3,758 | 8 | Humana | 28.7% | 52.8% | 1,639 |
| Logan | 3,521 | 6 | Humana | 56.9% | 65.0% | 1,900 |
| Preston | 3,324 | 7 | Humana | 38.9% | 56.0% | 1,416 |
| Nicholas | 3,297 | 7 | Humana | 42.0% | 64.3% | 1,527 |
| Mingo | 3,117 | 6 | Humana | 56.2% | 69.3% | 1,727 |
| Marshall | 2,935 | 7 | Humana | 26.3% | 66.4% | 1,166 |
| Upshur | 2,860 | 7 | Humana | 45.9% | 59.9% | 1,272 |
| Jackson | 2,835 | 6 | Humana | 34.1% | 61.8% | 1,394 |
| Randolph | 2,811 | 6 | Humana | 45.9% | 54.4% | 1,485 |
| Lincoln | 2,650 | 8 | Humana | 41.2% | 71.9% | 1,340 |
| Mason | 2,641 | 7 | Humana | 39.0% | 61.8% | 1,303 |
| Hancock | 2,497 | 6 | Humana | 34.6% | 48.2% | 1,184 |
| Hampshire | 2,413 | 7 | Humana | 38.5% | 46.8% | 1,045 |
| McDowell | 2,229 | 7 | Humana | 45.9% | 67.4% | 1,706 |
| Boone | 2,105 | 7 | Humana | 58.6% | 71.2% | 1,188 |
| Mineral | 2,080 | 6 | Humana | 42.2% | 41.0% | 1,142 |
| Brooke | 1,953 | 7 | Humana | 32.0% | 54.6% | 807 |
| Wyoming | 1,927 | 8 | Aetna (CVS) | 41.9% | 68.5% | 1,213 |
| Lewis | 1,906 | 7 | Humana | 49.8% | 60.5% | 932 |
| Roane | 1,825 | 6 | Humana | 51.4% | 58.0% | 949 |
| Braxton | 1,808 | 7 | Humana | 48.1% | 64.9% | 810 |
| Morgan | 1,806 | 7 | Humana | 38.9% | 44.6% | 622 |
| Barbour | 1,755 | 6 | Humana | 43.7% | 57.7% | 1,001 |
| Taylor | 1,510 | 7 | Humana | 44.7% | 54.4% | 766 |
| Wetzel | 1,474 | 5 | Humana | 45.2% | 63.3% | 720 |
| Monroe | 1,327 | 6 | Humana | 50.8% | 48.3% | 557 |
| Hardy | 1,317 | 7 | Humana | 48.0% | 44.5% | 645 |
| Webster | 1,309 | 6 | Humana | 44.2% | 70.5% | 748 |
| Clay | 1,294 | 7 | Humana | 35.7% | 71.5% | 729 |
| Summers | 1,293 | 7 | Humana | 40.8% | 55.9% | 799 |
| Ritchie | 1,043 | 6 | Humana | 56.4% | 53.6% | 581 |
| Grant | 965 | 5 | Humana | 44.8% | 44.4% | 641 |
| Calhoun | 915 | 5 | Humana | 44.9% | 57.7% | 563 |
| Tyler | 795 | 6 | Humana | 43.9% | 53.2% | 360 |
| Pocahontas | 788 | 4 | Humana | 41.2% | 51.8% | 415 |
| Pendleton | 734 | 5 | Humana | 49.5% | 50.2% | 350 |
| Wirt | 730 | 6 | Humana | 46.6% | 60.1% | 415 |
| Pleasants | 621 | 6 | Humana | 43.6% | 56.1% | 350 |
| Tucker | 608 | 5 | Humana | 43.6% | 56.2% | 329 |
| Doddridge | 576 | 5 | Humana | 46.7% | 52.3% | 305 |
| Gilmer | 562 | 5 | Humana | 50.7% | 65.2% | 378 |
West Virginia's twelve months
Visible Medicare Advantage members in West 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 West 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 West Virginia are in plans that end for 2027.
- Highmark Health527
members are in plans that keep selling in West Virginia but drop at least one county for 2027.
- Aetna (CVS) · 8 plans26,329
- The Health Plan of West Virginia, Inc. · 1 plans2,530
- Humana · 2 plans1,745
The plans on sale in West 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
- Humana4.09 stars · 83% at $0 · $9,850 max
- Aetna (CVS)3.71 stars · 74% at $0 · $9,250 max
- UnitedHealth3.84 stars · 62% at $0 · $9,850 max
- Highmark Health3.50 stars · 34% at $0 · $6,500 max
- West Virginia United Health System, Inc.5.00 stars · 100% at $0 · $6,750 max
- The Health Plan of West Virginia, Inc.3.28 stars · 36% at $0 · $7,500 max
The read on every carrier in West Virginia is in Carrier Command.
A monthly position page for each of the 8 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
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- District of Columbia
- Florida
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- Hawaii
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- Illinois
- Indiana
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- Puerto Rico
- Rhode Island
- South Carolina
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- Tennessee
- Texas
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- Virginia
- Washington
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- Wyoming
Humana in every state · Aetna (CVS) in every state · UnitedHealth 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 West Virginia.
- A carrier is a parent organization; its brands in West Virginia may carry other names. The rank 1st to 8th 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.