West Virginia Medicare Coverage Guide
Find dental, vision, hearing aid, and nursing home Medicare benefits available to West Virginia residents.
West Virginia Dental Coverage
West Virginia Medicaid covers limited dental for dual-eligible beneficiaries. WVU School of Dentistry in Morgantown serves the population. Rural access remains a major challenge.
Available Programs
- WV Medicaid Dental
- Medicare Advantage dental plans
- WVU School of Dentistry
Typical Out-of-Pocket Cost
$800–$2,800/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for West Virginia Residents
- WVU dental school in Morgantown offers quality low-cost care
- WV SHIP (1-877-987-4463) for plan guidance
- Remote Area Medical clinics periodically offer free dental in WV
West Virginia Vision Coverage
WV Medicaid covers vision for dual-eligible members. Limited MA plan options in rural areas.
Available Programs
- WV Medicaid vision
- Medicare Advantage vision
- WV Division of Rehabilitation Services
Typical Out-of-Pocket Cost
$200–$450/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for West Virginia Residents
- DRS: 304-766-4601 for vision rehabilitation
- Annual diabetic eye exam covered by Part B
- WV SHIP: 1-877-987-4463
West Virginia Hearing Aids Coverage
Medicare does not cover hearing aids. WV has limited audiology resources outside Charleston and Morgantown.
Available Programs
- Medicare Advantage hearing plans
- WVU Center for Excellence in Disabilities
- WV Assistive Technology System
Typical Out-of-Pocket Cost
$1,000–$7,000 per pair
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for West Virginia Residents
- WVATS: 1-800-841-8436 for assistive technology
- OTC hearing aids available in Charleston and Huntington
- WV SHIP: 1-877-987-4463
West Virginia Nursing Home Coverage
Medicare Part A covers SNF. WV Medicaid covers long-term care. WV has affordable nursing home costs and active HCBS waiver programs.
Available Programs
- Medicare Part A SNF
- WV Medicaid LTC
- Aged and Disabled Waiver
- WV SHIP (1-877-987-4463)
Typical Out-of-Pocket Cost
$180–$250/day semi-private
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for West Virginia Residents
- WV has affordable nursing home costs
- Aged and Disabled Waiver supports home-based care
- SHIP: 1-877-987-4463
📊 Live CMS Data West Virginia Medicare Snapshot
Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 — public data from data.cms.gov
- UnitedHealth
- Highmark BCBS WV
- Aetna
Get Free Help in West Virginia
SHIP Counseling
Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.
Find West Virginia SHIP →1-800-MEDICARE
Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.
Medicare.gov →Medicare Plan Finder
Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in West Virginia by ZIP code.
Compare Plans →Nursing Home Compare
Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across West Virginia.
Care Compare →