Highmark Health in West Virginia: 14,766 Medicare Advantage members, 8.5% share, 4th of 8.
Highmark Health lost 7,856 members (−34.7%) from Nov 2025 to Oct 2026 and stepped −37.1% at the 2026 election period against the market's +1.7%. It sells in 46 of West Virginia’s 55 counties with visible members and leads 0; UnitedHealth sits just ahead at 17.2%, West Virginia United Health System, Inc. just behind at 7.0%.
Highmark Health's twelve months in West Virginia
Visible members each month, Nov 2025 to Oct 2026. The December-to-January step is the election period. The market line for the state is on the West Virginia page.
Where Highmark Health's West Virginia members are
The carrier’s five largest counties by visible members, with its share of each county’s visible Medicare Advantage members. It sells in 46 counties and leads 0 of them.
| County | Highmark Health members | Share of county | County visible members | County leader |
|---|---|---|---|---|
| Kanawha | 1,912 | 10.0% | 19,195 | Humana |
| Berkeley | 1,270 | 13.3% | 9,546 | Humana |
| Harrison | 927 | 13.7% | 6,784 | Humana |
| Greenbrier | 840 | 22.4% | 3,758 | Humana |
| Wood | 828 | 9.5% | 8,699 | Humana |
Highmark Health against the West Virginia market
The carrier’s figures beside the state’s, each weighted by members. A difference is a difference, not a grade: a higher maximum or a lower rating is a design and a result, read in context.
top three hold 79.1%
market 3.94, −0.44, 5th of 6 rated
market 72%, −38 points
market $8,100, −$1,600
| # | Carrier | Members | Share | Twelve months | Election step | Counties led | Rating | $0 premium |
|---|---|---|---|---|---|---|---|---|
| 1 | Humana | 70,519 | 40.5% | +10.6% | +7.6% | 53 of 55 | 4.09 | 83% |
| 2 | Aetna (CVS) | 37,411 | 21.5% | +1.9% | +0.2% | 2 of 55 | 3.71 | 74% |
| 3 | UnitedHealth | 30,002 | 17.2% | −9.9% | −7.2% | 0 of 55 | 3.84 | 62% |
| 4 | Highmark Health | 14,766 | 8.5% | −34.7% | −37.1% | 0 of 46 | 3.50 | 34% |
| 5 | West Virginia United Health System, Inc. | 12,296 | 7.0% | +257.6% | +211.8% | 0 of 47 | 5.00 | 100% |
| 6 | The Health Plan of West Virginia, Inc. | 7,272 | 4.2% | +27.9% | +21.4% | 0 of 51 | 3.28 | 36% |
What 2027 does to Highmark Health's plans in West Virginia
The fate assigned to each of the carrier’s plans for 2027, joined to the members in it today.
527 members are in 1 plan that end and must choose again. 12,350 members move with 4 plans consolidated into another of the carrier’s plans. In all, 87% of Highmark Health’s West Virginia members are in a plan whose service area or status changes.
The read on Highmark Health in West Virginia is in Carrier Command.
Risk and rebate against the market, the five-test read on coding versus selection, Stars levers and next year's cut points, the election-period forecast and the county-by-county standing, written as a monthly page.
Highmark Health elsewhere, and the rest of West Virginia
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.
- Highmark Health is the parent organization Highmark Health; its 8 plans in West Virginia may sell under other brand names. The rating is the 2027 overall Star Rating of its contracts weighted by members in West Virginia; $0 premium and the in-network maximum are the 2027 filings weighted by members today.
- Plan fates are the ones assigned for contract year 2027.
- 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.