2027 Medicare Special Needs Plans in West Virginia by County
This 2027 Medicare Special Needs Plan research resource provides statewide plan statistics and comparisons for West Virginia. Review plan counts, average premiums, out-of-pocket limits, CMS ratings, and enrollment-ranked plans organized by SNP type. For geographically specific coverage and eligibility information, select your County using the directory below.
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West Virginia Medicare Special Needs Plan Research and Facts
How do Medicare Special Needs Plans compare across West Virginia in 2027? CMS data identifies 19 distinct SNPs statewide, including 13 with no monthly plan premium. The average premium across these plans is $4.04, and the statewide average maximum out-of-pocket (MOOP) limit is $9,288.95. Plans with published CMS star ratings average 4.03 out of 5. Below, we examine D-SNP, C-SNP, and I-SNP plans separately, highlighting those with the highest reported statewide beneficiary enrollment.
Enrollment figures reflect reported beneficiary participation and should not be interpreted as a measure of plan quality or suitability. Enrollment is influenced by factors such as local plan availability, market competition, and historical participation. Higher enrollment does not necessarily indicate a better plan.
Most-Enrolled D-SNP Plans in West Virginia
For 2027, West Virginia has 15 Dual Eligible Special Needs Plans (D-SNPs) for individuals who qualify for both Medicare and Medicaid. Of these, 11 have a $0 monthly plan premium. The average monthly plan premium is $3.41, and the average maximum out-of-pocket (MOOP) limit is $9,319.33. Among rated D-SNPs, the average CMS star rating is 4.04 out of 5. The following table identifies up to 10 D-SNP plans with the highest reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| Aetna Medicare | H1692-005-0 | Aetna Medicare Full Dual | $0.00 | $9,850 | 3.5 / 5 | 11,046 |
| UnitedHealthcare | H2001-082-0 | UHC Dual Complete WV-S2 | $0.00 | $9,850 | 4.5 / 5 | 8,699 |
| UnitedHealthcare | H2001-030-0 | UHC Dual Complete WV-Q1 | $0.00 | $9,850 | 4.5 / 5 | 6,879 |
| Humana | H5216-220-0 | HumanaChoice SNP-DE H5216-220 | $0.00 | $9,850 | 4.0 / 5 | 4,503 |
| Humana | H5619-179-0 | Humana Gold Plus SNP-DE H5619-179 | $0.00 | $9,850 | 4.0 / 5 | 2,914 |
| The Health Plan | H3672-019-0 | The Health Plan SecureCare SNP | $12.80 | $9,250 | 3.5 / 5 | 2,532 |
| Humana | H5619-126-0 | Humana Dual Select H5619-126 | $0.00 | $9,850 | 4.0 / 5 | 2,109 |
| Humana | H5619-162-0 | Humana Gold Plus SNP-DE H5619-162 | $0.00 | $9,850 | 4.0 / 5 | 1,258 |
| UnitedHealthcare | H2001-061-0 | UHC Dual Advantage WV-V1 | $12.80 | $5,900 | 4.5 / 5 | 1,052 |
| Wellpoint | H1212-001-0 | Wellpoint Full Dual Advantage | $0.00 | $9,850 | Not Rated | 424 |
Most-Enrolled C-SNP Plans in West Virginia
Chronic Condition Special Needs Plans (C-SNPs) serve individuals with qualifying chronic or disabling conditions. In 2027, West Virginia has 1 C-SNP plans, including 1 with a $0 monthly plan premium. The average monthly plan premium is $0.00, and the average maximum out-of-pocket (MOOP) limit is $7,150.00. Among rated C-SNPs, the average CMS star rating is 4 out of 5. Below are the 10 most-enrolled C-SNP plans, or all available plans if fewer than 10 qualify.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H4604-037-0 | UHC Complete Care WV-7 | $0.00 | $7,150 | 4.0 / 5 | 0 |
Most-Enrolled I-SNP Plans in West Virginia
Institutional Special Needs Plans (I-SNPs) serve eligible individuals who live in qualifying institutions or meet applicable institutional-level care requirements. For 2027, West Virginia has 3 I-SNP plans, including 1 with a $0 monthly plan premium. The average monthly plan premium is $8.53, and the average maximum out-of-pocket (MOOP) limit is $9,850.00. Among rated I-SNPs, the average CMS star rating is 4 out of 5. The following table ranks up to 10 I-SNP plans by reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| West Virginia Senior Advantage | H9153-001-0 | WV Senior Advantage | $12.80 | $9,850 | 3.5 / 5 | 1,596 |
| Communicare Advantage | H3727-007-0 | CommuniCare Advantage ISNP | $12.80 | $9,850 | Not Rated | 0 |
| Humana | H7617-139-0 | Humana Together in Health | $0.00 | $9,850 | 4.5 / 5 | 0 |
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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Data sources and methodology documentation.
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Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.
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