Medicaid in West Virginia

Looking for Medicaid eligibility in West Virginia? Here is how this coverage lane works specifically for West Virginia residents, what it costs, and how to get it.

West Virginia expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.

Medicaid in West Virginia provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.

If you do not qualify for Medicaid in West Virginia, a subsidized Marketplace plan through HealthCare.gov is usually the next best option.

West Virginia expanded Medicaid under the ACA, so adults with income up to about 138% of the Federal Poverty Level may qualify for comprehensive coverage year-round.

Medicaid rules in West Virginia still depend on household size, income, and category (for example pregnancy or disability). An application through HealthCare.gov or the state Medicaid agency is the reliable way to confirm.

Given West Virginia's approximate 6.5% uninsured rate, an annual eligibility check is worthwhile whenever wages, hours, or household composition change.

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Frequently asked questions

Who qualifies for Medicaid in West Virginia?
Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
Can I apply for Medicaid any time in West Virginia?
Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
Did West Virginia expand Medicaid?
Yes. West Virginia adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.

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