West Virginia · Berkeley County

Health insurance plans in Berkeley County, West Virginia (2027)

I pulled every 2027 marketplace plan sold in Berkeley County, West Virginia out of the official CMS plan file. There are 20 plans from two carriers, and a 40 year old in Berkeley pays $1,033 a month at full price for the benchmark silver plan. That is $164 less than in Kanawha County, the other West Virginia county I track. Across all 79 counties and parishes I track, only three have a higher benchmark. That is $89 more than the 2026 benchmark of $944, a change of 9 percent. CareSource sold plans in Berkeley in 2026 and has no plans here for 2027, so some of your neighbors have to switch this fall. Below are the carriers, the plan counts, the full prices before subsidy, and what I think the numbers mean if you live in Martinsburg, Inwood, Hedgesville, Falling Waters or anywhere else in the county.

Who sells marketplace plans in Berkeley County

Berkeley County and Kanawha County, the two West Virginia counties I track, have the same number of carriers, two each. Across all 79 counties and parishes I track, 69 have more carriers than Berkeley. Highmark Blue Cross Blue Shield West Virginia alone accounts for 17 of the 20 plans in Berkeley, 85 percent of the shelf, so a lot of what you see when you shop is one company's lineup in different metal levels.

CarrierPlansBronzeSilverGoldNetwork types
Highmark Blue Cross Blue Shield West Virginia17637PPO 17
Peak Health Insurance New for 20273111EPO 3

Berkeley plan counts from the CMS 2027 landscape file (county FIPS 54003, Rating Area 6). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

What changed in Berkeley County for 2027

CareSource sold 22 of the 37 plans in Berkeley County in 2026 and has no plans here in the 2027 CMS file. If you were enrolled with CareSource, you should have a notice by now. If you do nothing you are moved to a replacement plan picked on price and metal level, and nothing in that process checks your doctors or prescriptions. New in Berkeley for 2027: Peak Health Insurance. Berkeley now has two carriers and 20 plans, against two carriers and 37 plans in 2026.

What it costs in Berkeley County before any subsidy

These are the full monthly prices, before any premium tax credit, for the cheapest Berkeley plan at each metal level. I show the sticker price because it is what your subsidy is subtracted from, and most people who enroll in Berkeley pay less, often a lot less.

Monthly premium, full priceAge 21Age 40Age 60Couple, both 40Couple 40 + 2 kids
Lowest bronze$599$765$1,625$1,530$2,446
Lowest silver$795$1,016$2,158$2,032$3,249
Benchmark silver (second lowest)$808$1,033$2,194$2,066$3,303
Lowest gold$722$923$1,960$1,846$2,951

Benchmark silver is the second lowest of the 4 silver premiums listed for Berkeley. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in Berkeley County

The gold row is the surprise in Berkeley County. The cheapest gold plan for a 40 year old, $923 a month, is $93 cheaper than the cheapest silver plan at $1,016. That happens because West Virginia carriers load the cost of the extra silver discounts into silver premiums. If your income is too high for those discounts, silver is the worst value on the Berkeley shelf, and a gold deductible here tops out at $2,500.

In Berkeley County the benchmark is $268 above the cheapest bronze at age 40, and only eleven of the other 78 counties and parishes I track have a wider one. That gap decides whether bronze can be free, because your subsidy is the $1,033 benchmark minus what the government expects you to pay from your income. A 40 year old in Berkeley whose expected share is $268 a month or less would pay nothing for the cheapest bronze. At 60 the Berkeley gap grows to $569 and at 21 it shrinks to $210, which is why older enrollees are the ones most likely to find a $0 plan.

Kanawha County, around Charleston, is the other West Virginia county I track. Compared with Kanawha County, the Berkeley benchmark is $164 lower at 40 and the cheapest bronze is $121 lower. The same two carriers sell in both, so moving between Berkeley and Kanawha changes the price you pay but not the companies you can pick from.

Berkeley plans by metal level, network and deductible

Metal levelPlans$0 deductibleDeductible range
Catastrophic10
Bronze10$9,500 to $9,500
Expanded Bronze62$0 to $7,500
Silver42$0 to $6,400
Gold82$0 to $2,500
Total206

By network type the 20 Berkeley plans break down as 17 PPO and 3 EPO. PPOs are the majority here, 17 of the 20, and they come from Highmark Blue Cross Blue Shield West Virginia, so a plan that lets you see specialists without a referral is easy to find in Berkeley. 6 plans in Berkeley have a $0 medical deductible (2 gold, 2 expanded bronze and 2 silver). The 2 bronze ones among them still have out of pocket maximums of $11,700, so a $0 deductible does not mean a small bill.

Every Berkeley price on this page is before subsidies, and most enrollees pay less. For a 40 year old in Berkeley the premium tax credit is measured against the $1,033 benchmark. Estimate your own subsidy, or send me your ZIP and I will run the Berkeley numbers for you.

2027 plans for Berkeley County

These are the 2027 plans and prices for Berkeley County, from the CMS plan file released at the end of October 2026. Open enrollment for 2027 coverage in West Virginia runs from November 1, 2026 to January 15, 2027, and December 15 is the last day to pick a plan that starts January 1. If you already have a Berkeley plan, compare before you let it renew, because your carrier and your benchmark may both have changed.

Questions about Berkeley County coverage

How many health insurance companies sell marketplace plans in Berkeley County, West Virginia?

For 2027, two carriers sell individual marketplace plans in Berkeley County: Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance. Together they offer 20 plans across the metal levels, according to the CMS plan landscape file.

What is the cheapest health insurance in Berkeley County?

At full price before any subsidy, the cheapest bronze plan in Berkeley County is $599 a month for a 21 year old, $765 at 40 and $1,625 at 60. In Berkeley a couple both aged 40 pays $1,530 for the cheapest bronze, and two 40 year olds with two children pay $2,446. Catastrophic plans in Berkeley, open only to people under 30 or with a hardship exemption, start at $489 at age 21. Most people in Berkeley who qualify for a premium tax credit pay less than these prices.

What is the benchmark silver plan premium in Berkeley County for 2027?

The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $1,033 a month for a 40 year old in Berkeley County before subsidies. In Berkeley it is $808 at age 21 and $2,194 at age 60, and the lowest silver plan is $1,016 at 40.

Which insurance companies left Berkeley County for 2027?

CareSource sold 22 plans in Berkeley County in 2026 and has no plans there in the 2027 CMS plan file. Carriers still selling from the 2026 lineup: Highmark Blue Cross Blue Shield West Virginia. New for 2027: Peak Health Insurance.

Can I get a PPO or a $0 deductible plan in Berkeley County?

Yes to both. 17 of the 20 plans in Berkeley are PPOs, all from Highmark Blue Cross Blue Shield West Virginia, and 6 plans have a $0 medical deductible. The cheapest gold plan for a 40 year old in Berkeley is $923 a month before subsidies.

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