West Virginia Medical/Rx Benefits Benchmarks
Real plan data from verified employers in your state
Employee Benefits in West Virginia
Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.
Our database includes 233 employers in West Virginia offering 699 verified benefit plans. PPO plans are the most common (44% of employers), followed by HDHP (39%). Funding approaches are mixed, with fully-insured (48%) and self-insured (46%) both common. Most employers offer three or more plan options to employees (53%).
Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.
West Virginia plan design & cost benchmarks
| In-Network Benefits | LimitedBalancedRobust | Your Plan |
|---|---|---|
| Individual Deductible | $860 $1,957 $2,992 | $1,95752Bal |
| Family Deductible | $1,512 $3,818 $5,984 | $3,81852Bal |
| Individual OOP Max | $3,448 $5,120 $6,859 | $5,12052Bal |
| Family OOP Max | $7,523 $11,027 $13,642 | $11,02752Bal |
| Coinsurance | 13% 19% 29% | 19%52Bal |
| Primary Care | $23 $32 $48 | $3252Bal |
| Specialist | $39 $51 $73 | $5152Bal |
| Emergency Room | $151 $377 $482 | $37752Bal |
| Urgent Care | $60 $69 $91 | $6952Bal |
Unlock the full benchmarks
Real plan-design and cost benchmarks for west virginia, with percentile rankings and exportable data.
Deductibles, copays, coinsurance & out-of-pocket maximums
Monthly employee premium contributions by tier
Total monthly premium costs by coverage tier
Rx copays, deductibles & mail-order options
Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.
Plan Type Mix
% of employers offering each
Plan Funding
% of employers by funding
Plans Offered
% of employers by plan count
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