Health insurance in West Virginia
98,721 people under 65 in West Virginia have no health coverage. 48,679 of them earn in the range a premium tax credit is built for.
Source: US Census Small Area Health Insurance Estimates, 2024 release.
Who is uninsured in West Virginia
98,721 people under 65 in West Virginia have no health coverage — 7.3% of the under-65 population, 33rd highest of the 51 states and DC. Of those, 48,679 earn inside the premium tax credit range — 49% of the state's uninsured.
35,736 uninsured West Virginia residents (36% of the total) earn under $22,025. West Virginia expanded Medicaid, so that group mostly qualifies for it instead — and it enrolls year-round.
Where West Virginia residents enroll, and by when
West Virginia uses HealthCare.gov. You compare and enroll there, and the federal deadlines apply.
Open Enrollment for West Virginia: November 1, 2026 to January 15, 2027.
Checked 2026-09-01. 2027 dates moved nationally after a court ruling — what changed and why.
How enrollment works · If you missed the window
The 3 largest counties in West Virginia
By under-65 population — 25% of West Virginia's under-65 residents, from 55 counties with published estimates.
| County | Under 65 | Uninsured | In subsidy range | Share | Uninsured 50–64 |
|---|---|---|---|---|---|
| Kanawha County | 132,948 | 7.4% | 4,982 | 51% | 5.7% |
| Berkeley County | 114,247 | 6.6% | 3,977 | 53% | 5.5% |
| Monongalia County | 86,513 | 6.5% | 2,312 | 41% | 5.0% |
Source: US Census Small Area Health Insurance Estimates, 2024 release. "In subsidy range" counts uninsured under-65 residents earning 138–400% of the federal poverty level.