What are the Best Health Insurance Options in West Virginia?
The state of West Virginia makes use of partnership exchange that means people can enroll on Healthcare.gov website for healthcare plans. But, the state of West Virginia would oversee the health plans that are offered on the Healthcare.gov website.
For the year 2019, enrolment was between November 1st to December 15th, 2018 and it is complete. However, those having qualifying events like marriage, childbirth, divorce, etc. can apply as and when they go through the qualifying events. Documents support the same need to be submitted.
West Virginia does not have rules about short term insurance plans and hence follows the Federal system for short-term plans. While in most other places, short term plans are restricted to six months, in West Virginia, an initial term duration of 364 days is possible with a renewal of up to 36 months.
There are five insurers who offer short terms health insurance plans in West Virginia. They are:
- National General
- Companion Life
- Standard Life
- Everest Prime
- Golden Rule (United HealthCare)
- Independence America Life
In West Virginia is estimated that there are 433,494 residents were enrolled for Medicare. Around 24% of the population of West Virginia is enrolled for Medicare. This is in higher than the national average, where 18% are enrolled for Medicare. The national average of disabled persons is 16%, whereas in West Virginia it is 21%.
Medicare beneficiaries can opt for the Federal benefits via the Original Medicare plan or can for private plans under Medicare Advantage schemes. Throughout the country, 33% have selected Medicare Advantage plans, while in West Virginia also there are 25% of beneficiaries who have registered for Medicare Advantage.
When it comes to Part D coverage, that is coverage for outpatient medicines, those in West Virginia can choose from any of the 27 part D plans. The premiums for these Part D plans on an average range from $13 to $156.
Medicare spending nationally is at $9,070 per person, however, in West Virginia, it is $9,533.
There are a total of two private insurers in West Virginia who offer health insurance for individuals. They are Care Source and Highmark Blue Cross Blue Shield.
The Medicaid program as per the ACA has been accepted for expansion by West Virginia. As of July 2018, there were 543,289 people who had Medicaid coverage. Another 188,745 people have got coverage from 2013 to 2018. A 62% growth has been recorded in this area under Medicaid.
Issues related to health insurance
- Mandatory clause: While people are suggested to buy health insurance for their good, it is no longer mandatory to buy health insurance. While there used to be a tax penalty for those who did not have health insurance, it is no longer there now.
- Buying insurance: Insurance in West Virginia can be purchased by any US citizen or a legal resident. In West Virginia insurance, can be bought from Healthcare.gov portal. Even if someone opts to buy health insurance from a private company, the same rates would be applicable. Details of social security, employer details, income details would need to be provided while applying for a health insurance policy.
- Subsidies: Subsidy is given based on the number of people in the household and the income earned. If one is eligible for a subsidy, they can make use of it to either reduce their monthly premium or get the subsidy amount when they file taxes.
- Resolution: Resolution of problems can be done by contacting the agency designated for this purpose, which is the West Virginia Office of the Insurance Commissioner. They can also be contacted online.