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West Virginia Marketplace intelligence

ACA Marketplace in Raleigh County, West Virginia: 2026 plan data

Quick answer · plan year 2026 data

In Raleigh County, West Virginia, 2 insurers offered 37 individual-market medical plans for plan year 2026 (1 Bronze, 1 Catastrophic, 7 Expanded Bronze, 13 Gold, 2 Platinum, 13 Silver). The benchmark plan (second-lowest-cost silver) was $1,094 a month for a 40-year-old before tax credits, and the lowest-cost bronze (Bronze or Expanded Bronze tier) was $790. CMS counted 2,038 plan selections in Raleigh County.

Insurers in the 2026 data: CareSource, Highmark Blue Cross Blue Shield West Virginia.

These are plan-year 2026 figures from CMS, not a 2027 plan list or a personal quote. What you pay depends on your age, household income and the plan you choose.

Use verified 2026 CMS county evidence as a local benchmark when comparing Marketplace coverage. Historical averages are context, not a personal quote or current plan list.

2,038

2026 Marketplace plan selections reported by CMS.

88.6%

of selections received advance premium tax credits (APTC).

$1,307 → $213

Average monthly premium and average after APTC among the CMS county measures.

Local premium benchmark

How the CMS averages compare

These county averages describe 2026 Marketplace selections; they are not a personal quote.

Average premium$1,307
Average after APTC$213

$1,094 lower on average among the reported measures (84% difference).

What this means when comparing coverage

CMS reports 1,805 APTC recipients in the county, with average APTC of $1,235. These are county-level historical Marketplace measures, not a quote or guarantee of your eligibility, premium, savings, plan availability, or provider network.

Check ACA eligibility factors · Understand Marketplace savings · West Virginia ACA overview

Your next step

Turn the county benchmark into a personal coverage decision.

County averages cannot tell you what you qualify for. Check your household eligibility factors first, then review Marketplace savings and get personal help if you want someone to walk through the options with you.

Local evidence

What stands out in Raleigh County's 2026 ACA Marketplace data?

CMS reports 2,038 plan selections in Raleigh County. That ranks #8 of 55 West Virginia counties in this CoveragePath CMS dataset by Marketplace selections. This is enrollment context, not an estimate of how many county residents are eligible.

88.6% of reported selections received APTC. The average premium was $1,307 and the average after APTC was $213 — a $1,094 difference in these county-level CMS averages. These averages are not a personal quote or subsidy estimate.

For separate population context, the 2024 ACS uninsured estimate is 4.2%. ACS population insurance statistics and ACA Marketplace eligibility are different measures.

Local marketplace facts

What is available in Raleigh County?

Benchmark (second-lowest-cost) silver, monthly, age 40, before tax credits
$1,094 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Consumers eligible for cost-sharing reductions
514 of 2,038 (25.2%) Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
New, returning and auto-renewed consumers
14.0% new to the Marketplace, 86.0% returning; 892 (43.8% of all) were automatically re-enrolled Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
Insurers offering Marketplace plans
CareSource, Highmark Blue Cross Blue Shield West Virginia Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Lowest-cost bronze, monthly, age 40, before tax credits
$790 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Plan selections by metal level
Bronze 38.0% · Silver 27.2% · Gold 32.3% · Platinum, catastrophic and other 2.6% (of 2,038 selections) Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
Plans by metal level
Bronze: 1 · Catastrophic: 1 · Expanded Bronze: 7 · Gold: 13 · Platinum: 2 · Silver: 13 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)

How Raleigh County compares with West Virginia

Raleigh County accounts for about 3.6% of the 2026 Marketplace selections in this West Virginia county dataset. These comparisons use the same sourced county inventory shown on this page.

The county average premium is -$7 versus the selection-weighted West Virginia county benchmark of $1,314.

The county average after APTC is +$5 versus the selection-weighted benchmark of $208.

The ACS county uninsured estimate is -1.8 points versus the population-weighted West Virginia county benchmark of 6.0%.

Method: premium benchmarks are weighted by Marketplace plan selections; the ACS uninsured benchmark is weighted by the ACS county population universe. Suppressed CMS values are not estimated.

Population coverage context

Health coverage context in Raleigh County

4.2%

ACS estimate for the uninsured share of the Census S2701 population universe.

70,360

People in the ACS health-insurance coverage population universe for this county.

The U.S. Census Bureau's 2024 ACS 5-Year estimate describes population health-insurance coverage in Raleigh County. It is useful local context, but it does not measure ACA Marketplace eligibility, enrollment, premiums, subsidies, or plan availability. The Marketplace figures above come separately from CMS.

Check the factors that affect ACA eligibility · Compare West Virginia Marketplace context

Population context source: U.S. Census Bureau, 2020-2024 ACS 5-Year Subject Table S2701 · County FIPS 54081

Source: Centers for Medicare & Medicaid Services, 2026 OEP County-Level Public Use File · Verified September 19, 2026 · County FIPS 54081