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HomeMedicare 2026West VirginiaMedicare in West Virginia for 2027: 11 Advantage Plans Leaving, 12 New

Medicare 2026

Medicare in West Virginia for 2027: 11 Advantage Plans Leaving, 12 New

CHARLESTON — West Virginians on Medicare will see a slightly larger menu of Medicare Advantage plans in 2027, but the lineup is shifting underneath. According to the CMS Landscape Source File for the coming plan year, 70 Medicare Advantage plans will be offered across the state's 55 counties in 2027, up from 69 in 2026. Eleven plans are leaving the state entirely, 12 are new, and 22 are changing something a member would notice on paper — a different premium, drug deductible, plan type or plan name. One carrier, Communicare Advantage, is new to the state's Medicare Advantage market for 2027.

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Key takeaways

  • West Virginia will have 70 Medicare Advantage plans in 2027, with 11 leaving the state, 12 new and 22 changing in some noticeable way.
  • If your current Medicare Advantage or Part D plan is not returning in 2027, you qualify for a Special Enrollment Period that runs through the end of February 2027.
  • The Part D out-of-pocket cap rises to $2,400 in 2027 (from $2,100 in 2026), and no Part D plan may charge a deductible higher than $700.
  • The deadline to pick coverage that starts January 1, 2027 is December 7, 2026; free help is available at Medicare.gov and 1-800-MEDICARE.
Happy senior couple at home — illustrating this Medicare guideMedicare 2026West Virginia
Photo: T Leish Photo by T Leish on Pexels
Key facts: Medicare in West Virginia
FactFigureSource
Part B standard monthly premium (2026)$202.90Medicare.gov
Part D out-of-pocket cap (2026)$2,100CMS
Part D out-of-pocket cap (2027)$2,400CMS
Annual Enrollment Period (for 2027 coverage)October 15 – December 7, 2026Medicare.gov
Medicare Advantage Open Enrollment PeriodJanuary 1 – March 31Medicare.gov

Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.

The stand-alone Part D drug plan market, by contrast, is getting smaller: 8 plans in 2027, down from 12 in 2026, offered by 4 insurers. On the Medigap side, 26 Medicare Supplement insurers are listed on Medicare.gov for a sample ZIP code in the state.

The window to review and change coverage — Annual Enrollment 2027 — runs October 15 through December 7, 2026, and any choice made during that window takes effect January 1, 2027.

What is changing in West Virginia's Medicare Advantage lineup for 2027?

West Virginia will have 70 Medicare Advantage plans available across its 55 counties in 2027, compared with 69 in 2026. Within that count, 11 plans are not returning anywhere in the state, 12 are brand new, and 22 are changing their premium, drug deductible, plan type or plan name. Communicare Advantage is new to the state's Medicare Advantage market for 2027.

Because Medicare Advantage plans are sold county by county, the statewide totals are a backdrop, not a menu for any one address. The plans actually available in Wheeling, Beckley or Martinsburg depend on the ZIP code.

Every current member should get two pieces of mail in the fall of 2026. The first is the Annual Notice of Change (ANOC), which spells out what the plan will look like in 2027. The second only arrives if a plan is leaving: a non-renewal letter. People whose plan is not returning get a Special Enrollment Period that stretches past the regular December 7 deadline through the end of February 2027, giving them extra time to pick a new Medicare Advantage plan or return to Original Medicare and add a stand-alone Part D plan.

Which West Virginia counties are seeing the most Medicare Advantage change for 2027?

Five counties stand out in the 2027 Landscape file for the sheer number of plans leaving or changing. In Webster County, 15 plans are leaving and 13 are changing. In Nicholas County, 12 are leaving and 15 are changing. In Tyler County, 16 are leaving and 11 are changing. In Wirt County, 12 are leaving and 15 are changing. And in Wood County, 13 are leaving and 14 are changing.

If you live in one of those counties, there's a higher chance your current plan is one of the ones affected. That doesn't necessarily mean you have to switch — but it does mean the ANOC is worth reading closely this fall, and if a non-renewal letter arrives, acting during Annual Enrollment 2027 (or the Special Enrollment Period through February 2027) will keep coverage uninterrupted.

How many stand-alone Part D drug plans will West Virginia have in 2027?

West Virginia will have 8 stand-alone Medicare Part D prescription drug plans in 2027, down from 12 in 2026, offered by 4 insurers. These are the drug-only plans that people on Original Medicare — or Original Medicare plus a Medigap policy — use to cover prescriptions.

With fewer stand-alone options statewide, it's worth confirming that the plan you have in 2026 is still being offered in 2027, and that your medications are still on its formulary. Those details live on the Medicare Plan Finder at Medicare.gov or by calling 1-800-MEDICARE.

How many Medigap insurers are available in West Virginia for 2027?

Medicare.gov lists 26 Medicare Supplement (Medigap) insurers for a sample ZIP code in West Virginia. Medigap policies work alongside Original Medicare and are standardized by letter (Plan G, Plan N and so on), so the same lettered plan covers the same things from any insurer — the difference is price and customer service.

West Virginia follows federal Medigap rules on when you can buy a policy without medical underwriting, including the one-time six-month open enrollment that starts when you're 65 and enrolled in Part B. Beyond that window, acceptance and pricing depend on health questions in most cases. Medicare.gov has the official rules.

What are the national 2027 Medicare numbers that affect West Virginians?

Two Part D figures are set nationally for 2027. The out-of-pocket cap on covered prescriptions moves to $2,400, up from $2,100 in 2026. The most any Part D plan may charge as a deductible is $700. The Part D base beneficiary premium — a national figure used to calculate the late-enrollment penalty — is $41.33 for 2027; actual plan premiums are set plan by plan.

On the Social Security side, the Social Security Administration announced on October 14, 2026 a 3.6 percent cost-of-living adjustment (COLA) for benefits payable beginning January 2027.

The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets that add surcharges for higher incomes, have not been announced yet. CMS typically publishes those figures in the fall, usually November. Watch Medicare.gov for the official numbers.

What should West Virginia Medicare enrollees check before December 7, 2026?

A short checklist for Annual Enrollment 2027:

Where can West Virginians get free Medicare help for 2027?

Two official, no-cost resources handle Medicare questions for every West Virginia county. Medicare.gov hosts the Plan Finder, enrollment tools, and the official rules for Medicare Advantage, Part D and Medigap. 1-800-MEDICARE (TTY 1-877-486-2048) is staffed around the clock to answer questions and help with enrollment.

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment Period (Open Enrollment)Anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

Prescription coverage

How Medicare Part D works in 2026

The old coverage gap (“donut hole”) is eliminated as of 2025 (three phases now). There’s now a hard yearly cap of $2,100 on what you pay out of pocket for covered drugs, and you can spread those costs across the year with the Medicare Prescription Payment Plan.

Phase 1
Deductible
You pay full price for covered drugs until you meet your plan's deductible (no more than $615 in 2026).
Phase 2
Initial coverage
You and your plan share costs through copays or coinsurance.
Phase 3
Catastrophic coverage
Once your out-of-pocket drug spending hits $2,100, you pay nothing more for covered drugs for the rest of the year.

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Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

What happens if my Medicare Advantage plan in West Virginia is not returning in 2027?
You should receive a non-renewal letter in the fall of 2026 explaining that your plan is ending. You qualify for a Special Enrollment Period that runs through the end of February 2027, during which you can pick a different Medicare Advantage plan or go back to Original Medicare and add a stand-alone Part D plan. If you do nothing, you may be left without drug coverage and without an Advantage plan, so it's worth acting during Annual Enrollment 2027 or that extended window.
When is Medicare Open Enrollment for 2027?
Annual Enrollment runs October 15 through December 7, 2026. Any plan choice you make during that window takes effect January 1, 2027.
How much is the Part B premium in West Virginia for 2027?
The 2027 Part B standard premium and deductible have not been announced yet. CMS typically releases those figures in the fall, usually November. The official numbers will be posted on Medicare.gov when available.
Where can I compare 2027 Medicare plans for my West Virginia ZIP code?
The Medicare Plan Finder at Medicare.gov shows every Medicare Advantage and Part D plan available at your address for 2027, along with the official plan documents. You can also call 1-800-MEDICARE (TTY 1-877-486-2048) any time, day or night, for free help comparing or enrolling.
Sources & further reading
  • CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
  • CMS — Medicare Part D program rules (medicare.gov)
  • CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov)
  • CMS — Medicare enrollment periods (medicare.gov)

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Sources and methodology

Figures cited in this article

  • CMS Medicare Advantage Landscape Source File (2026 and 2027): statewide plan counts, plans leaving, new plans, changing plans, counties with the most change, and the new carrier for 2027.
  • CMS Part D Landscape Source File (2026 and 2027): stand-alone Part D plan and insurer counts for West Virginia.
  • Medicare.gov: Medigap insurer count for a West Virginia ZIP code; Annual Enrollment dates; Special Enrollment Period for non-renewed plans; Plan Finder.
  • CMS Part D program rules (Medicare.gov): the 2027 out-of-pocket cap, maximum deductible and base beneficiary premium.
  • Social Security Administration: the October 14, 2026 announcement of a 3.6 percent COLA for January 2027.

How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.

By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

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This page was last updated: October 2026.

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