2023 Medicare Advantage in West Virginia

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West Virginia state

Information about Medicare Advantage Plans in West Virginia

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There are 1,286 different West Virginia Medicare Advantage plans in 2023.1 Not every plan is available in each county, so it's important to find out which ones are offered where you live.

A licensed insurance agent can help you compare Medicare Advantage plan availability, benefits and costs in your area of West Virginia. Read below to learn more about Medicare in your state.

Average costs of Medicare Advantage in WV

West Virginia Medicare Advantage beneficiaries with prescription drug coverage paid an average of $19.40 per month for their plans in 2023 and you may be able to find a $0 premium plan where you live.1 Medical deductibles for West Virginia plans average just $11.92 per year in 2023.1

Plan costs can vary from one location to the next.

Some average Medicare Advantage cost and enrollment information is listed below in this guide for every county in West Virginia in 2023.

A licensed insurance agent can help you compare Medicare Advantage plan costs in your area.

Compare West Virginia Medicare Advantage plan costs

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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Medicare Eligibility & Enrollment

Enrolling in a Medicare Advantage plan in the state of West Virginia requires first belonging to Original Medicare (Part A and Part B).

In order to sign up for Original Medicare at age 65, you must meet the following requirements:

  • You must be a U.S. citizen or permanent legal resident who has lived in the U.S. for five continuous years.

  • You or your spouse must have worked long enough to be eligible for Social Security or Railroad Retirement benefits.

  • You or your spouse must be government employees or retirees who have not paid into Social Security but have paid Medicare payroll taxes.

If you meet the following requirements, you may be eligible for Medicare before age 65:

  • You have been receiving Social Security disability benefits or certain Railroad Retirement Board disability benefits for at least 24 months.

  • You have ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).

  • You have End-Stage Renal Disease (ESRD), and you or your spouse have paid Social Security taxes for a certain length of time.

If you have ESRD, you may be able to enroll in a West Virginia Medicare Special Needs Plan (SNP) that is specifically designed to help meet your health care needs. Beneficiaries with ESRD are typically not eligible for most other types of Medicare Advantage plans.

How to sign up for a Medicare Advantage Plan in West Virginia

You can typically enroll in a West Virginia Medicare Part C plan during your Medicare Initial Enrollment Period (IEP).

Medicare Initial Enrollment Period graphic

Your Medicare IEP starts three months before your 65th birthday, continues during the month of your 65th birthday and then continues for another three months after your birthday.

Additional times at which you may sign up for a Medicare Advantage plan include:

Medicare Advantage Open Enrollment Period: January 1 – March 31

You may switch Medicare Advantage plans or drop your Medicare Advantage plan and return to Original Medicare during this period.

If you return to Original Medicare during the Medicare Advantage Open Enrollment Period, you'll be able to join a Medicare standalone prescription drug plan (Medicare Part D).

Fall Medicare Open Enrollment Period (AEP): October 15 – December 7

From October 15 to December 7 every year, you may enroll in a Medicare Advantage plan, disenroll from Medicare Advantage to switch back to Original Medicare or switch from one Medicare Advantage plan to another.

During the fall Medicare open enrollment period, known as the Annual Enrollment Period or AEP, you may also join, switch or drop a Medicare Part D plan.

Medicare Special Enrollment Periods (SEP)

You may potentially be granted a Medicare Special Enrollment Period (SEP) at any time throughout the year, but only if you are in a specific circumstance.

A licensed insurance agent can help you find out if you qualify for a Medicare Special Enrollment Period.

Find a West Virginia Medicare Advantage plan

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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Top-rated Medicare Advantage Plans in West Virginia 2023

Each year, the Centers for Medicare & Medicaid Services (CMS) issues Star Ratings for all Medicare Advantage plans using a system of one to five stars.2

Plans are rated in the following five categories:

  • Preventive care and health maintenance (screenings, tests, vaccines, etc.)
  • Management of chronic conditions
  • Member experiences and ratings of the plan
  • Member complaints, problems receiving services and member retention
  • Customer service

If a plan has four or more stars out of five stars, it may be considered a top-rated Medicare Advantage plan.

74.2% of 2023 Medicare Advantage plans with prescription drug benefits in West Virginia are rated four stars or higher.2

Medicare Star Ratings
Star Ratings

★★★★★

Excellent

★★★★

Above Average

★★★

Average

★★

Below Average

★

Poor

The information for the star ratings is gathered from information that is submitted to Medicare, Medicare’s regular monitoring activities and member surveys.

List of Medicare Advantage Plans Available in West Virginia in 2023

To view a list of plans offered in your area within West Virginia, use our plan comparison tool.

Find a West Virginia Medicare Advantage plan

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Private insurance companies offer Medicare Advantage plans in West Virginia

A number of different insurance carriers may offer Medicare Advantage plans in West Virginia, though plan selection can vary from one location to another.

Private insurance companies offer Medicare Advantage plans that may be unique to the plan area they serve.

Call to speak with a licensed insurance agent who can help you compare Medicare Advantage plans that are sold by insurance companies in your area.

You can also use these sources of information as you shop for plans:

  • The Medicare Star Ratings can give you an idea of a plan’s overall quality.

  • Agencies like A.M. Best, Moody’s and Standard & Poor’s can provide information about an insurance company’s credit rating and financial standing.

  • Websites such as the Better Business Bureau and Consumer Reports can teach you about a company’s reputation among its customers.

  • You can read through Medicare Advantage plan reviews and testimonials from customers.

West Virginia Medicare Advantage plans by county

Learn more about 2023 West Virginia Medicare Advantage plans by county.

WV Medicare Advantage plans by plan type

The major types of Medicare Advantage plans include:

Not all of these types of plans may be available in your area. A licensed insurance agent can help you compare the types of 2023 West Virginia Medicare Advantage plans that are available where you live.

Local health insurance resources in West Virginia

  • West Virginia’s State Health Insurance Assistance Program is part of a nationwide network offering free help for the state’s beneficiaries of Medicare and other related programs.

    The objective and confidential counseling is provided by trained volunteers, with the goal of helping West Virginia’s seniors make the best use of their insurance.

    The program may be reached at 877-987-4463 or 304-558-3317.

  • You can also explore more information about the insurance industry in California by visiting the state’s Offices of the Insurance Commissioner website.

  • West Virginia Prescription Drug Assistance Programs
    The state of West Virginia has a number of programs designed to help with the cost of prescription drugs. There are programs for both Medicare beneficiaries and non-Medicare beneficiaries alike that can cover the cost of premiums and cost-sharing or even lower the cost of the drugs themselves.

 

1 MedicareAdvantage.com's The Best States for Medicare report.

2 Medicare evaluates plans based on a 5-star rating system.