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.

Cheapest Bronze, age 40
$682/mo
lowest county, full price
Silver benchmark, age 40
$1,094/mo
typical county
Insurers
2
on HealthCare.gov
Plans
37
distinct plans statewide
Counties
55
in this state

Monthly premiums by tier and age

TierAge 21Age 30Age 40Age 50Age 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)

$0$500$1,000$1,500$2,000Bronzetypical county range$790–$867Silvertypical county range$1,056–$1,165Goldtypical county range$980–$1,110Platinumtypical county range$1,849–$1,853Private40-year-old man$120–$458

What a tax credit does (in Kanawha County, the state's most populous county)

Household% of poverty levelEstimated tax creditCheapest Bronze, full → after credit
A single 40-year-old earning $40,000255%$807/mo$790 → $0
A family of four (parents 40 and 38, two kids) earning $85,000264%$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

AgeMan, monthly rangeWoman, 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

CountyPlansInsurersCheapest Bronze, 40Silver benchmark, 40
Kanawha County372$790$1,094
Berkeley County372$682$944
Monongalia County372$769$1,065
Cabell County372$848$1,175
Wood County372$835$1,157
Raleigh County372$790$1,094
Harrison County372$769$1,065
Jefferson County372$682$944
Mercer County372$790$1,094
Putnam County372$848$1,175
Marion County372$769$1,065
Ohio County372$748$1,036
Fayette County372$790$1,094
Wayne County372$848$1,175
Preston County372$769$1,065
Greenbrier County372$790$1,094
Logan County372$790$1,094
Marshall County372$748$1,036
Hancock County372$748$1,036
Jackson County372$835$1,157
Randolph County372$769$1,065
Mineral County372$682$944
Mason County372$848$1,175
Nicholas County372$790$1,094
Hampshire County372$682$944
Upshur County372$769$1,065
Mingo County372$790$1,094
Brooke County372$748$1,036
Boone County372$790$1,094
Wyoming County372$790$1,094
Lincoln County372$790$1,094
Morgan County372$682$944
McDowell County372$790$1,094
Lewis County372$769$1,065
Taylor County372$769$1,065
Barbour County372$769$1,065
Hardy County372$682$944
Wetzel County372$769$1,065
Roane County372$790$1,094
Monroe County372$790$1,094
Braxton County372$790$1,094
Summers County372$790$1,094
Grant County372$682$944
Ritchie County372$835$1,157
Webster County372$769$1,065
Tyler County372$835$1,157
Clay County372$790$1,094
Pocahontas County372$769$1,065
Doddridge County372$769$1,065
Pleasants County372$835$1,157
Gilmer County372$769$1,065
Tucker County372$769$1,065
Pendleton County372$682$944
Calhoun County372$790$1,094
Wirt County372$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.