The Health Plan of West Virginia, Inc. in West Virginia: 7,272 Medicare Advantage members, 4.2% share, 6th of 8.
The Health Plan of West Virginia, Inc. added 1,588 members (+27.9%) from Nov 2025 to Oct 2026 and stepped +21.4% at the 2026 election period against the market's +1.7%. It sells in 51 of West Virginia’s 55 counties with visible members and leads 0; West Virginia United Health System, Inc. sits just ahead at 7.0%, SNP Holdings, LLC just behind at 0.9%.
The Health Plan of West Virginia, Inc.'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 The Health Plan of West Virginia, Inc.'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 51 counties and leads 0 of them.
| County | The Health Plan of West Virginia, Inc. members | Share of county | County visible members | County leader |
|---|---|---|---|---|
| Ohio | 910 | 20.3% | 4,475 | Humana |
| Marshall | 597 | 20.3% | 2,935 | Humana |
| Logan | 469 | 13.3% | 3,521 | Humana |
| Kanawha | 441 | 2.3% | 19,195 | Humana |
| Wood | 325 | 3.7% | 8,699 | Humana |
The Health Plan of West Virginia, Inc. 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, −0.66, 6th of 6 rated
market 72%, −36 points
market $8,100, −$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 The Health Plan of West Virginia, Inc.'s plans in West Virginia
The fate assigned to each of the carrier’s plans for 2027, joined to the members in it today.
3,637 members move with 5 plans consolidated into another of the carrier’s plans. 2,530 members are in 1 plan that drop at least one county; which counties is not stated. In all, 85% of The Health Plan of West Virginia, Inc.’s West Virginia members are in a plan whose service area or status changes.
The read on The Health Plan of West Virginia, Inc. 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.
The Health Plan of West Virginia, Inc. elsewhere, and the rest of West Virginia
- Humana40.5%
- Aetna (CVS)21.5%
- UnitedHealth17.2%
- Highmark Health8.5%
- West Virginia United Health System, Inc.7.0%
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.
- The Health Plan of West Virginia, Inc. is the parent organization The Health Plan of West Virginia, Inc.; its 7 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.