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Medicare plans in Raleigh County, WV — 2027
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2027, Raleigh County, West Virginia has 55 Medicare plans (26 Medicare Advantage with drug coverage, 8 without, 8 standalone Part D, 13 Special Needs) from 9 carriers. 28 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $4,750.
What changed vs 2026
- Carriers entered: Communicare Advantage
- Carriers exited: Highmark Blue Shield
- $0-premium plans up 4
- Average star rating up 0.3
Market snapshot
- Residents 65 and older
- 16,208
- Residents 60–64, aging in over the next five years
- 4,335
- Medicare eligibles
- 19,786
- Medicare Advantage penetration
- 52.6%
- Plans per 1,000 residents 65+
- 3.4
Carriers by number of plans
- Humana — 16 plans
- Aetna Medicare — 12 plans
- UnitedHealthcare — 12 plans
- Highmark Blue Cross Blue Shield — 5 plans
- The Health Plan — 5 plans
- Wellcare — 2 plans
- Communicare Advantage — 1 plan
- HealthSpring — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| Humana Essentials Plus Giveback (PPO) (H7617-065-0) | Humana | MA-PD | PPO | $0 | $700 | $9,850 | 4.5 |
| Humana Together in Health (PPO I-SNP) (H7617-139-0) | Humana | SNP | PPO I-SNP | $0 | $50 | $9,850 | 4.5 |
| UHC Dual Complete WV-Q1 (PPO D-SNP) (H2001-030-0) | UnitedHealthcare | SNP | PPO D-SNP | $0 | $700 | $9,850 | 4.5 |
| UHC Dual Complete WV-S2 (PPO D-SNP) (H2001-082-0) | UnitedHealthcare | SNP | PPO D-SNP | $0 | $465 | $9,850 | 4.5 |
| UHC Dual Advantage WV-V1 (PPO D-SNP) (H2001-061-0) | UnitedHealthcare | SNP | PPO D-SNP | $12.80 | $700 | $5,900 | 4.5 |
| Humana Basic Rx Plan (PDP) (S5884-104-0) | Humana | PDP | PDP | $16.30 | $700 | 4.5 | |
| Humana Value Rx Plan (PDP) (S5884-185-0) | Humana | PDP | PDP | $31.70 | $687 | 4.5 | |
| Humana Premier Rx Plan (PDP) (S5884-152-0) | Humana | PDP | PDP | $142.80 | $350 | 4.5 | |
| AARP Medicare Advantage from UHC WV-5 (HMO-POS) (H4604-033-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $685 | $7,150 | 4.0 |
| AARP Medicare Advantage Patriot No Rx WV-MA2 (HMO-POS) (H4604-036-0) | UnitedHealthcare | MA | HMO-POS | $0 | $9,300 | 4.0 |
Showing 10 of 55 plans.
Nearby counties
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.