WV · State

Medical Bills & Health Insurance Help in West Virginia

Whether you are staring at a hospital bill, an EOB you cannot read, or a denial letter, this page collects what is specific to West Virginia — HealthCare.gov, the federal marketplace West Virginia uses, WV Medicaid, and the state rules that shape charity care and appeals — alongside our free tools.

Coverage and enrollment in West Virginia

Marketplace

HealthCare.gov

West Virginia uses HealthCare.gov, the federal ACA marketplace. Premium tax credits and cost-sharing reductions are available to residents who qualify.

Open enrollment: Nov 1, 2025 – Jan 15, 2026

Visit HealthCare.gov

Medicaid & Medicare help

WV Medicaid

1-877-716-1212

Free Medicare counseling (SHIP): 1-877-987-4463

WV Medicaid website

West Virginia agencies

West Virginia Medicaid
WV DHHR

Bill protection rules

West Virginia has no dedicated patient-billing statute in our registry, so the federal baseline applies: non-profit hospitals must offer financial assistance under IRS §501(r) (26 U.S.C. §501(r)), and the federal No Surprises Act limits most surprise out-of-network bills. Ask the hospital for its written financial assistance policy — they are required to have one.

Tools you can use on a West Virginia bill

Bill SummarizerPaste or upload a bill and get a plain-language breakdown of every line.Appeal Letter BuilderDraft a denial appeal that cites the rules that apply to you.Financial Aid CalculatorEstimate whether you qualify for hospital charity care or a discount.Provider FinderSearch the federal NPI registry for clinicians near you.Compare Insurance PlansSee how carriers available in your area stack up.How to Read an EOBUnderstand what your insurer actually paid — and what you owe.

Not sure where to start?

Answer three short questions and we will point you to the right step for your situation in West Virginia.

Start here How to appeal a medical bill