How much does health insurance cost in West Virginia in 2026?
Real prices from the official 2026 HealthCare.gov plan file for all 55 counties in West Virginia, plus tax-credit examples and private plan ranges.
Monthly premiums by tier and age
| Tier | Age 21 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|---|---|---|---|---|
| Bronze | $618–$678 | $701–$770 | $790–$867 | $1,104–$1,211 | $1,677–$1,841 |
| Silver | $826–$911 | $938–$1,034 | $1,056–$1,165 | $1,475–$1,628 | $2,242–$2,473 |
| Gold | $767–$868 | $870–$986 | $980–$1,110 | $1,369–$1,551 | $2,080–$2,357 |
| Platinum | $1,447–$1,450 | $1,642–$1,646 | $1,849–$1,853 | $2,584–$2,589 | $3,926–$3,935 |
Typical county range (median of county lows to median of county highs), full price, from the CMS 2026 plan file. The cheapest county goes as low as $682 for a 40-year-old on Bronze; the most expensive county reaches $1,989 on Platinum.
Ranges at a glance (age 40)
What a tax credit does (in Kanawha County, the state's most populous county)
| Household | % of poverty level | Estimated tax credit | Cheapest Bronze, full → after credit |
|---|---|---|---|
| A single 40-year-old earning $40,000 | 255% | $807/mo | $790 → $0 |
| A family of four (parents 40 and 38, two kids) earning $85,000 | 264% | $2,841/mo | $2,505 → $0 |
2025 federal poverty guidelines apply to 2026 coverage; the enhanced credits of 2021–2025 expired, so the 400% cutoff is back (for one person that is $62,600 a year, for four $128,600). The Marketplace sets the final credit.
See your own numbers for West Virginia
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Private plans in West Virginia
| Age | Man, monthly range | Woman, monthly range |
|---|---|---|
| 30 | $53–$329 | $128–$428 |
| 40 | $120–$458 | $153–$506 |
| 50 | $243–$530 | $227–$519 |
| 60 | $396–$725 | $331–$657 |
A family of four (parents 40 and 38 with two children) is typically quoted $481 to $958 a month in West Virginia. Private plans are not ACA plans: no tax credit, health questions on the application, and pre-existing conditions can raise the price or be excluded. Deductibles are usually lower than the cheapest Marketplace tiers and you can enroll any month of the year.
West Virginia counties
| County | Plans | Insurers | Cheapest Bronze, 40 | Silver benchmark, 40 |
|---|---|---|---|---|
| Kanawha County | 37 | 2 | $790 | $1,094 |
| Berkeley County | 37 | 2 | $682 | $944 |
| Monongalia County | 37 | 2 | $769 | $1,065 |
| Cabell County | 37 | 2 | $848 | $1,175 |
| Wood County | 37 | 2 | $835 | $1,157 |
| Raleigh County | 37 | 2 | $790 | $1,094 |
| Harrison County | 37 | 2 | $769 | $1,065 |
| Jefferson County | 37 | 2 | $682 | $944 |
| Mercer County | 37 | 2 | $790 | $1,094 |
| Putnam County | 37 | 2 | $848 | $1,175 |
| Marion County | 37 | 2 | $769 | $1,065 |
| Ohio County | 37 | 2 | $748 | $1,036 |
| Fayette County | 37 | 2 | $790 | $1,094 |
| Wayne County | 37 | 2 | $848 | $1,175 |
| Preston County | 37 | 2 | $769 | $1,065 |
| Greenbrier County | 37 | 2 | $790 | $1,094 |
| Logan County | 37 | 2 | $790 | $1,094 |
| Marshall County | 37 | 2 | $748 | $1,036 |
| Hancock County | 37 | 2 | $748 | $1,036 |
| Jackson County | 37 | 2 | $835 | $1,157 |
| Randolph County | 37 | 2 | $769 | $1,065 |
| Mineral County | 37 | 2 | $682 | $944 |
| Mason County | 37 | 2 | $848 | $1,175 |
| Nicholas County | 37 | 2 | $790 | $1,094 |
| Hampshire County | 37 | 2 | $682 | $944 |
| Upshur County | 37 | 2 | $769 | $1,065 |
| Mingo County | 37 | 2 | $790 | $1,094 |
| Brooke County | 37 | 2 | $748 | $1,036 |
| Boone County | 37 | 2 | $790 | $1,094 |
| Wyoming County | 37 | 2 | $790 | $1,094 |
| Lincoln County | 37 | 2 | $790 | $1,094 |
| Morgan County | 37 | 2 | $682 | $944 |
| McDowell County | 37 | 2 | $790 | $1,094 |
| Lewis County | 37 | 2 | $769 | $1,065 |
| Taylor County | 37 | 2 | $769 | $1,065 |
| Barbour County | 37 | 2 | $769 | $1,065 |
| Hardy County | 37 | 2 | $682 | $944 |
| Wetzel County | 37 | 2 | $769 | $1,065 |
| Roane County | 37 | 2 | $790 | $1,094 |
| Monroe County | 37 | 2 | $790 | $1,094 |
| Braxton County | 37 | 2 | $790 | $1,094 |
| Summers County | 37 | 2 | $790 | $1,094 |
| Grant County | 37 | 2 | $682 | $944 |
| Ritchie County | 37 | 2 | $835 | $1,157 |
| Webster County | 37 | 2 | $769 | $1,065 |
| Tyler County | 37 | 2 | $835 | $1,157 |
| Clay County | 37 | 2 | $790 | $1,094 |
| Pocahontas County | 37 | 2 | $769 | $1,065 |
| Doddridge County | 37 | 2 | $769 | $1,065 |
| Pleasants County | 37 | 2 | $835 | $1,157 |
| Gilmer County | 37 | 2 | $769 | $1,065 |
| Tucker County | 37 | 2 | $769 | $1,065 |
| Pendleton County | 37 | 2 | $682 | $944 |
| Calhoun County | 37 | 2 | $790 | $1,094 |
| Wirt County | 37 | 2 | $835 | $1,157 |
Questions people ask
How much is health insurance in West Virginia per month?
For a 40-year-old paying full price in 2026, Marketplace Bronze plans typically run $790 to $867 a month across West Virginia counties, Silver $1,056 to $1,165, and the silver benchmark that tax credits are based on is about $1,094. Most people who qualify for a credit pay far less; see the examples above.
Does West Virginia have Medicaid expansion?
Yes. Households under 138% of the federal poverty level are generally covered by Medicaid rather than a Marketplace credit.
Where do West Virginia residents enroll in a Marketplace plan?
West Virginia uses HealthCare.gov. Open Enrollment for 2027 runs November 1 to mid-January; outside that window you need a qualifying life event.
Are private health plans cheaper than the Marketplace in West Virginia?
Often, for healthy households that do not qualify for a tax credit. A healthy 40-year-old man is typically quoted $120 to $458 a month on private plans in West Virginia, versus $790 to $867 for Marketplace Bronze at full price. Private plans are medically underwritten and are not ACA plans, so anyone with a tax credit or ongoing conditions usually does better on the Marketplace.
Sources: CMS QHP Landscape PY2026 Individual Medical (data.healthcare.gov, snapshot August 4, 2026); HHS 2025 poverty guidelines; IRS Rev. Proc. 2025-25; private ranges from the carrier rate tables our advisors quote from. Page generated 2026-09-29.