Managed Care · WV
West Virginia
Saturated · score 49
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
55.7%
National rank #12 · National avg 47.8%
+7.9 pp vs national
253,458
MA beneficiaries (rolled up)
455,005
Medicare eligibles
55
Counties indexed
123
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +85.5%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 71.1%Lincoln3,713 of 5,220 eligibles
- 70.8%Boone4,070 of 5,752 eligibles
- 70.3%Clay1,769 of 2,516 eligibles
- 68.5%Webster1,723 of 2,516 eligibles
- 67.8%Mingo4,434 of 6,540 eligibles
- 67.3%Wyoming3,695 of 5,489 eligibles
- 66.8%Marshall4,954 of 7,412 eligibles
- 66.1%McDowell3,468 of 5,245 eligibles
- 63.7%Gilmer918 of 1,441 eligibles
- 63.5%Braxton2,398 of 3,775 eligibles
Highest opportunity counties
- 40.4%Mineral7,205 eligibles · 2,911 enrolled
- 40.9%Jefferson12,773 eligibles · 5,227 enrolled
- 41.1%Grant3,394 eligibles · 1,396 enrolled
- 42.4%Hardy3,861 eligibles · 1,635 enrolled
- 43.1%Berkeley26,172 eligibles · 11,293 enrolled
- 43.7%Morgan5,199 eligibles · 2,273 enrolled
- 44.8%Hampshire6,595 eligibles · 2,951 enrolled
- 46.9%Hancock8,146 eligibles · 3,817 enrolled
- 48.0%Monroe3,885 eligibles · 1,865 enrolled
- 48.4%Pendleton2,301 eligibles · 1,113 enrolled
Top MA payers in West Virginia
258,125 total MA enrolled- 1HUMANA INSURANCE COMPANY88,79034.4%
- 2SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.23,4989.1%
- 3COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.21,7238.4%
- 4COVENTRY HEALTH AND LIFE INSURANCE COMPANY15,7166.1%
- 5HIGHMARK SENIOR SOLUTIONS COMPANY15,3736.0%
- 6UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT13,9845.4%
- 7ARCADIAN HEALTH PLAN, INC.13,3305.2%
- 8CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.13,2245.1%
- 9EMPHESYS INSURANCE COMPANY13,0775.1%
- 10PEAK HEALTH INSURANCE CORPORATION11,9334.6%
- 11AETNA LIFE INSURANCE COMPANY8,9603.5%
- 12HUMANA BENEFIT PLAN OF ILLINOIS, INC.4,5151.8%
- 13THE HEALTH PLAN OF WEST VIRGINIA, INC.4,3351.7%
- 14THP INSURANCE COMPANY3,2721.3%
- 15HIGHMARK SENIOR HEALTH COMPANY2,4721.0%
Top-rated SNFs in West Virginia
123 total- WEIRTON GERIATRIC CENTERWEIRTON, WV · Hancock County · 137 beds5★
- ST. JOSEPH'S HOSPITALBUCKHANNON, WV · Upshur County · 16 beds5★
- WEIRTON MEDICAL CENTERWEIRTON, WV · Hancock County · 33 beds5★
- TAYLOR HEALTHCARE CENTERGRAFTON, WV · Taylor County · 60 beds5★
- ELKINS REHABILITATION & CARE CENTERELKINS, WV · Randolph County · 111 beds5★
- PLEASANT VALLEY HEALTHCARE CENTERPOINT PLEASANT, WV · Mason County · 100 beds5★
- United Transitional Care CenterBRIDGEPORT, WV · Harrison County · 32 beds5★
- ROANE GENERAL HOSPITALSPENCER, WV · Roane County · 35 beds5★
- CONTINUOUS CARE CENTER WHEELING HOSPITALWHEELING, WV · Ohio County · 144 beds5★
- MADISON PARK HEALTHCAREHUNTINGTON, WV · Cabell County · 41 beds5★
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.