West Virginia · Kanawha County

Health insurance plans in Kanawha County, West Virginia (2026)

I pulled every 2026 marketplace plan sold in Kanawha County, West Virginia out of the official CMS plan file. There are 37 plans from two carriers, and a 40 year old in Kanawha pays $1,094 a month at full price for the benchmark silver plan. That is $150 more than in Berkeley County, the other West Virginia county I track. Across all 79 counties and parishes I track in 24 states, no benchmark is higher. CareSource also sells in Kanawha now and is leaving for 2027, so some of your neighbors have to switch plans 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 Charleston, South Charleston, St. Albans, Dunbar or anywhere else in the county.

Who sells marketplace plans in Kanawha County

Kanawha County and Berkeley County, the two West Virginia counties I track, have the same number of carriers, two each. Across all 79 counties and parishes I track in 24 states, 73 have more carriers than Kanawha. CareSource alone accounts for 22 of the 37 plans in Kanawha, 59 percent of the shelf, so a lot of what you see when you shop is one company's lineup in different metal levels.

CarrierPlansBronzeSilverGoldPlatinumNetwork types
CareSource Leaving for 20272241062HMO 22
Highmark Blue Cross Blue Shield West Virginia154370PPO 15

Kanawha plan counts from the CMS 2026 landscape file (county FIPS 54039, Rating Area 2). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

Leaving Kanawha County for 2027

CareSource sells 22 of the 37 plans in Kanawha County this year. CareSource is leaving the West Virginia individual market for 2027. After that exit, only one carrier is left from the 2026 Kanawha lineup: Highmark Blue Cross Blue Shield West Virginia. If you are enrolled with CareSource in Kanawha, you will get a notice this fall. 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.

What it costs in Kanawha County before any subsidy

These are the full monthly prices, before any premium tax credit, for the cheapest Kanawha 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 Kanawha pay less, often a lot less.

Monthly premium, full priceAge 21Age 40Age 60Couple, both 40Couple 40 + 2 kids
Lowest bronze$618$790$1,677$1,579$2,525
Lowest silver$826$1,056$2,242$2,111$3,375
Benchmark silver (second lowest)$856$1,094$2,323$2,188$3,498
Lowest gold$767$980$2,080$1,959$3,132
Lowest platinum$1,447$1,849$3,926$3,698$5,911

Benchmark silver is the second lowest of the 13 silver premiums listed for Kanawha. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in Kanawha County

The gold row is the surprise in Kanawha County. The cheapest gold plan for a 40 year old, $980 a month, is $76 cheaper than the cheapest silver plan at $1,056. 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 Kanawha shelf, and a gold deductible here tops out at $3,000.

In Kanawha County the benchmark is $304 above the cheapest bronze at age 40, and only three 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 $1,094 benchmark minus what the government expects you to pay from your income. A 40 year old in Kanawha whose expected share is $304 a month or less would pay nothing for the cheapest bronze. At 60 the Kanawha gap grows to $646 and at 21 it shrinks to $238, which is why older enrollees are the ones most likely to find a $0 plan.

Berkeley County, around Martinsburg, is the other West Virginia county I track. Compared with Berkeley County, the Kanawha benchmark is $150 higher at 40 and the cheapest bronze is $108 higher. The same two carriers sell in both, so moving between Kanawha and Berkeley changes the price you pay but not the companies you can pick from.

Kanawha plans by metal level, network and deductible

Metal levelPlans$0 deductibleDeductible range
Catastrophic10
Bronze10$9,200 to $9,200
Expanded Bronze70$3,800 to $10,600
Silver132$0 to $6,200
Gold134$0 to $3,000
Platinum22
Total378

By network type the 37 Kanawha plans break down as 22 HMO and 15 PPO. Only 15 are PPOs, and every one of them comes from Highmark Blue Cross Blue Shield West Virginia. If seeing specialists without a referral matters to you, that narrows the Kanawha shelf to one company. 8 plans in Kanawha have a $0 medical deductible (4 gold, 2 silver and 2 platinum). They cost more each month, but nothing has to be spent before the plan starts paying.

Every Kanawha price on this page is before subsidies, and most enrollees pay less. For a 40 year old in Kanawha the premium tax credit is measured against the $1,094 benchmark. Estimate your own subsidy, or send me your ZIP and I will run the Kanawha numbers for you.

2027 plans for Kanawha County

These are the 2026 plans and prices for Kanawha County. The 2027 plans and prices are published around November 1, 2026, and I will update this page with the new Kanawha numbers then. 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.

Questions about Kanawha County coverage

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

For 2026, two carriers sell individual marketplace plans in Kanawha County: CareSource and Highmark Blue Cross Blue Shield West Virginia. Together they offer 37 plans across the metal levels, according to the CMS plan landscape file.

What is the cheapest health insurance in Kanawha County?

At full price before any subsidy, the cheapest bronze plan in Kanawha County is $618 a month for a 21 year old, $790 at 40 and $1,677 at 60. In Kanawha a couple both aged 40 pays $1,579 for the cheapest bronze, and two 40 year olds with two children pay $2,525. Catastrophic plans in Kanawha, open only to people under 30 or with a hardship exemption, start at $479 at age 21. Most people in Kanawha who qualify for a premium tax credit pay less than these prices.

What is the benchmark silver plan premium in Kanawha County for 2026?

The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $1,094 a month for a 40 year old in Kanawha County before subsidies. In Kanawha it is $856 at age 21 and $2,323 at age 60, and the lowest silver plan is $1,056 at 40.

Which insurance companies are leaving Kanawha County for 2027?

CareSource is leaving the West Virginia individual market for 2027. In 2026 it sells 22 plans in Kanawha County. Only one carrier from the 2026 Kanawha lineup remains: Highmark Blue Cross Blue Shield West Virginia. The full 2027 lineup and prices are published around November 1, 2026.

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

Yes to both. 15 of the 37 plans in Kanawha are PPOs, all from Highmark Blue Cross Blue Shield West Virginia, and 8 plans have a $0 medical deductible. The cheapest gold plan for a 40 year old in Kanawha is $980 a month before subsidies.

More for Kanawha County residents

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