Upmc For Life
Avg Star Rating
4.5 ★
Plan
Premium
MOOP
Stars
Type
Compare & Enroll — Part C & Part D
Compare & Enroll in Medicare Plans in 26034, WV
With 231 Medicare Advantage options from 29 insurers, 26034, WV has significantly more plan choices than the national average, suggesting a highly competitive market where insurers often lower premiums to attract members. Approximately 85% of local MA plans charge $0 beyond the standard Part B premium, reflecting strong price competition. The 6 hospitals within 25.0 miles provide reasonable inpatient access for most plan networks. We've organized the CMS data below to help you cross-reference plan costs, quality ratings, and local provider access. Compare plans below, and when you're ready, enroll directly at Medicare.gov.
📊 Direct from CMS
🚫 No agents or commissions
✓ Just the data, no sales pitch
Compare Plans at Medicare.gov →
Data freshness: CMS data as of February 2026 •
ACS data as of 2023 •
CDC PLACES data as of 2025 •
Reviewed & approved on 2026-02-16 •
Page last updated May 2026
Reviewed by: Wes Ward, Founder & Data Lead •
View our methodology
Important: We are not affiliated with Medicare or any government agency. This site displays publicly available CMS data to help you compare plans. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).
Important: Plan availability, benefits, and CMS Star Ratings shown here come directly from CMS public files. Plan details can change—always verify with the insurer and at Medicare.gov.
Part C Plans
231
Part D Plans
22
Top MA Star
4.5
Top Drug Star
3.5
Medicare Eligibility in 26034, WV
Approximately 1,713 residents (27.4% of the population) in 26034, WV are 65 or older and likely Medicare-eligible. Whether you're approaching 65, already enrolled, or a caregiver comparing options, the plan data below is organized to help you evaluate Part C (Medicare Advantage) and Part D (prescription drug) coverage side by side.
The median household income in 26034, WV is $54,205 (27.9% below the National Average), which may affect eligibility for Extra Help with Part D drug costs.
Part C: Medicare Advantage Plans
Medicare Advantage (Part C) replaces Original Medicare through private insurers who bundle hospital, medical, and often drug coverage into a single plan. 26034, WV's 231 Medicare Advantage plans are a mix leaning toward HMO networks (124 HMO, 106 PPO). 196 plans offer $0 monthly premiums. The average local star rating is 3.8 out of 5, with the top plan earning 4.5 ★.
Top Medicare Advantage Plans in 26034, WV
We organize CMS plan data into separate leaderboards so you can compare based on what matters most to you. Part C premiums in 26034, WV range from $0 to $202/month. Among rated plans, 117 plans rated 4+ stars.
Highest CMS Star Ratings
Star Ratings are assigned by CMS based on quality measures including customer service, preventive care, and managing chronic conditions.
| Plan Name | Insurer | Star Rating | Premium | Type | |
|---|---|---|---|---|---|
| Community Blue Medicare Hmo Signature (HMO) | Highmark Blue Cross Blue Shield Or Highmark Blue Shield | 4.5 ★ | $0.00/mo | HMO | Enroll |
| Upmc For Life Hmo Rx Choice (HMO) | Upmc For Life | 4.5 ★ | $26.10/mo | HMO | Enroll |
| Upmc For Life Hmo Rx (HMO) | Upmc For Life | 4.5 ★ | $56.30/mo | HMO | Enroll |
| Upmc For Life Hmo Premier Rx (HMO) | Upmc For Life | 4.5 ★ | $0.00/mo | HMO | Enroll |
| Aetna Medicare Value Plus (PPO) | Aetna Medicare | 4.5 ★ | $0.00/mo | PPO | Enroll |
Lowest Monthly Premium
Lower premiums can save money, but check total costs including deductibles, copays, and MOOP.
| Plan Name | Insurer | Monthly Premium | MOOP | Star Rating |
|---|---|---|---|---|
| Aetna Medicare Advantra Premier (HMO-POS) | Aetna Medicare | $0.00/mo | $5,500 | 3.5 ★ |
| Aetna Medicare Advantra Signature Plus (HMO-POS) | Aetna Medicare | $0.00/mo | $5,500 | 3.5 ★ |
| Community Blue Medicare Hmo Signature (HMO) | Highmark Blue Cross Blue Shield Or Highmark Blue Shield | $0.00/mo | $6,500 | 4.5 ★ |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross And Blue Shield | $0.00/mo | $5,000 | 4.0 ★ |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Highmark Wholecare Medicare Assured | $0.00/mo | $9,250 | 3.5 ★ |
Lowest Maximum Out-of-Pocket (MOOP)
MOOP caps your financial risk. Once you hit this limit, the plan covers 100% of covered services for the rest of the year.
| Plan Name | Insurer | MOOP (In-Network) | Premium | Star Rating |
|---|---|---|---|---|
| Humana Gold Choice H8145-163 (PFFS) | Humana | $1,500 | $155.00/mo | 3.5 ★ |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plans | $2,600 | $0.00/mo | N/A |
| Summacare Medicare Emerald (HMO-POS) | Summacare Medicare Advantage Plans | $2,800 | $56.20/mo | 4.0 ★ |
| Medmutual Advantage Premium (PPO) | Medical Mutual Of Ohio | $3,450 | $29.60/mo | 4.5 ★ |
| Summacare Medicare Amber (HMO) | Summacare Medicare Advantage Plans | $3,450 | $0.00/mo | 4.0 ★ |
Plan Type Mix in 26034, WV
HMO plans require referrals and in-network care. PPO plans offer more flexibility. SNP (Special Needs Plans) serve specific populations. MAPD plans include drug coverage.
| Plan Type | Count | Percentage | Description |
|---|---|---|---|
| PPO | 86 | 37.2% | No referrals; in and out-of-network |
| HMO | 34 | 14.7% | Requires referrals; in-network only |
| HMO-POS | 34 | 14.7% | HMO with some out-of-network options |
| HMO D-SNP | 26 | 11.3% | Medicare Advantage plan |
| HMO-POS D-SNP | 10 | 4.3% | Medicare Advantage plan |
| PPO D-SNP | 9 | 3.9% | Medicare Advantage plan |
| HMO C-SNP | 9 | 3.9% | Medicare Advantage plan |
| HMO I-SNP | 8 | 3.5% | Medicare Advantage plan |
| Regional PPO | 6 | 2.6% | Medicare Advantage plan |
| PPO I-SNP | 5 | 2.2% | Medicare Advantage plan |
| HMO-POS C-SNP | 2 | 0.9% | Medicare Advantage plan |
| HMO-POS I-SNP | 1 | 0.4% | Medicare Advantage plan |
| PFFS | 1 | 0.4% | Private Fee-for-Service |
Choosing the Right Medicare Advantage Plan
The best Part C plan depends on your doctors, medications, and budget. Key factors to evaluate:
- Provider network: Verify your doctors and hospitals near 26034, WV are in-network before enrolling
- Total cost: A $0 premium may have higher copays—calculate your annual cost
- Star Ratings: 4+ stars indicate above-average quality and member satisfaction
Read our full guide on choosing Medicare Advantage → · Print our enrollment checklist →
Medicare Glossary: HMO, PPO, MOOP & more →
Medicare Advantage Insurers in 26034, WV
29 insurance companies offer Medicare Advantage plans in 26034, WV. Below, we group plans by insurer so you can compare options from each company. More insurers generally means more competition and better benefits for consumers.
Primetime Health Plan
Avg Star Rating
4.5 ★
Plan
Premium
MOOP
Stars
Type
Medical Mutual Of Ohio
Avg Star Rating
4.3 ★
Plan
Premium
MOOP
Stars
Type
Highmark Blue Cross Blue Shield Or Highmark Blue Shield
Avg Star Rating
4.2 ★
Plan
Premium
MOOP
Stars
Type
Summacare Medicare Advantage Plans
Avg Star Rating
4.0 ★
Plan
Premium
MOOP
Stars
Type
Geisinger Gold
Avg Star Rating
4.0 ★
Peak Health
Avg Star Rating
4.0 ★
Caresource Mycare Ohio (Hmo D-Snp)
Avg Star Rating
4.0 ★
Plan
Premium
MOOP
Stars
Type
Upmc For Life Complete Care
Avg Star Rating
4.0 ★
Plan
Premium
MOOP
Stars
Type
Vista Health Plan Inc.
Avg Star Rating
4.0 ★
Plan
Premium
MOOP
Stars
Type
Unitedhealthcare
Avg Star Rating
3.9 ★
Plan
Premium
MOOP
Stars
Type
Anthem Blue Cross And Blue Shield
Avg Star Rating
3.9 ★
Plan
Premium
MOOP
Stars
Type
Aetna Medicare
Avg Star Rating
3.8 ★
Plan
Premium
MOOP
Stars
Type
Humana
Avg Star Rating
3.6 ★
Plan
Premium
MOOP
Stars
Type
The Health Plan
Avg Star Rating
3.5 ★
Plan
Premium
MOOP
Stars
Type
Highmark Blue Cross Blue Shield
Avg Star Rating
3.5 ★
Plan
Premium
MOOP
Stars
Type
Highmark Wholecare Medicare Assured
Avg Star Rating
3.5 ★
Valor Health Plan
Avg Star Rating
3.5 ★
Plan
Premium
MOOP
Stars
Type
Jefferson Health Plans
Avg Star Rating
3.5 ★
Plan
Premium
MOOP
Stars
Type
Devoted Health
Avg Star Rating
3.4 ★
Plan
Premium
MOOP
Stars
Type
Wellcare
Avg Star Rating
3.3 ★
Plan
Premium
MOOP
Stars
Type
Healthspring
Avg Star Rating
3.0 ★
Molina Healthcare Of Ohio
Avg Star Rating
3.0 ★
Plan
Premium
MOOP
Stars
Type
West Virginia Senior Advantage
Avg Star Rating
2.5 ★
Plan
Premium
MOOP
Stars
Type
Wellpoint
Avg Star Rating
N/A
Perennial Advantage
Avg Star Rating
N/A
Provider Partners Health Plans
Avg Star Rating
N/A
Unitedhealthcare Community Plan
Avg Star Rating
N/A
Plan
Premium
MOOP
Stars
Type
American Health Advantage Of Pennsylvania
Avg Star Rating
N/A
Plan
Premium
MOOP
Stars
Type
Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.
Part D: Prescription Drug Plans (PDP)
Part D covers prescription drugs through standalone plans for those on Original Medicare, or as part of a Medicare Advantage bundle. Among the 22 standalone Part D plans in 26034, WV, some offer $0 annual deductibles while others charge up to the 2026 maximum of $590. 5 plans are at or below the regional premium benchmark, making them eligible for Low Income Subsidy auto-enrollment. The 2026 $2,000 out-of-pocket cap means drug costs are now more predictable regardless of which plan you choose, but formulary coverage still varies significantly—always verify your medications are covered before enrolling.
Part D Formulary Notice: Each Part D plan has its own formulary (list of covered drugs). The same medication may be on different tiers—or not covered at all—depending on the plan. Always check that your specific medications are covered before enrolling.
2026 Out-of-Pocket Cap: Thanks to the Inflation Reduction Act, your total out-of-pocket drug costs are capped at $2,000 per year in 2026. Once you reach this limit, you pay nothing more for covered Part D drugs for the rest of the year. This eliminates the old "donut hole" coverage gap that previously caused higher costs.
Low Income Subsidy (LIS / Extra Help): If you have limited income and resources, you may qualify for Extra Help paying Part D costs. Visit SSA.gov or call 1-800-MEDICARE.
Top Part D Drug Plans in 26034, WV
We organize Part D plans by CMS Star Ratings, premiums, and deductibles so you can find the best fit for your prescription needs. Part D premiums in 26034, WV range from $0 to $193/month. Remember: all Part D plans now cap your annual out-of-pocket drug costs at $2,000 thanks to the Inflation Reduction Act.
Highest CMS Star Ratings (Part D)
Part D Star Ratings measure drug pricing, customer service, member complaints, and pharmacy access.
| Plan Name | Insurer | Star Rating | Premium | Deductible | |
|---|---|---|---|---|---|
| Wellcare Value Script (PDP) | Wellcare | 3.5 ★ | $7.60/mo | $615 | Enroll |
| Wellcare Value Script (PDP) | Wellcare | 3.5 ★ | $8.20/mo | $615 | Enroll |
| Wellcare Classic (PDP) | Wellcare | 3.5 ★ | $7.70/mo | $615 | Enroll |
| Wellcare Classic (PDP) | Wellcare | 3.5 ★ | $14.70/mo | $615 | Enroll |
| Silverscript Choice (PDP) | Aetna Medicare | 3.0 ★ | $22.70/mo | $615 | Enroll |
Lowest Monthly Premium
Lower premiums help with monthly cash flow, but check drug tier costs and the deductible.
| Plan Name | Insurer | Monthly Premium | Drug Deductible | Star Rating |
|---|---|---|---|---|
| Humana Basic Rx Plan (PDP) | Humana | $0.00/mo | $615 | 3.0 ★ |
| Humana Basic Rx Plan (PDP) | Humana | $6.60/mo | $615 | 3.0 ★ |
| Wellcare Value Script (PDP) | Wellcare | $7.60/mo | $615 | 3.5 ★ |
| Wellcare Classic (PDP) | Wellcare | $7.70/mo | $615 | 3.5 ★ |
| Wellcare Value Script (PDP) | Wellcare | $8.20/mo | $615 | 3.5 ★ |
Lowest Annual Drug Deductible
The deductible is what you pay out-of-pocket before the plan starts covering drug costs. The 2026 maximum Part D deductible is $590. Many plans offer $0 deductible options.
| Plan Name | Insurer | Drug Deductible | Monthly Premium | Star Rating |
|---|---|---|---|---|
| Humana Premier Rx Plan (PDP) | Humana | $0 | $117.60/mo | 3.0 ★ |
| Humana Premier Rx Plan (PDP) | Humana | $0 | $123.60/mo | 3.0 ★ |
| Aarp Medicare Rx Preferred From Uhc (PDP) | Unitedhealthcare | $130 | $121.90/mo | 2.0 ★ |
| Aarp Medicare Rx Preferred From Uhc (PDP) | Unitedhealthcare | $130 | $123.40/mo | 2.0 ★ |
| Blue Rx Pdp Complete (PDP) | Highmark Blue Shield | $200 | $164.80/mo | 3.0 ★ |
Understanding drug tiers: Part D plans organize medications into 5 cost tiers — Tier 1 (Preferred Generic) is cheapest; Tier 5 (Specialty) is most expensive. Two plans with the same premium can have very different costs for your drugs depending on tier placement. Learn more about drug tiers →
Choosing the Right Part D Drug Plan
The right Part D plan depends on your specific medications. Key factors to evaluate:
- Formulary: Verify your drugs are covered before enrolling
- Preferred pharmacies: Lower copays at certain locations—check your pharmacy is in-network
- Total annual cost: Premium + deductible + copays for your drugs
Read our full guide on choosing Part D →
What is a formulary? See our Medicare Glossary →
Part D Drug Plan Insurers in 26034, WV
6 insurance companies offer standalone Part D drug plans in 26034, WV. Below, we group plans by insurer.
Wellcare
Avg Star Rating
3.5 ★
Humana
Avg Star Rating
3.0 ★
Plan
Premium
Deductible
Stars
Type
Highmark Blue Shield
Avg Star Rating
3.0 ★
Aetna Medicare
Avg Star Rating
3.0 ★
Healthspring
Avg Star Rating
2.5 ★
Unitedhealthcare
Avg Star Rating
2.0 ★
Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.
Ready to Enroll in 26034, WV?
Compare plans side-by-side at Medicare.gov or speak with a licensed Medicare specialist.
📋 Print our Medicare Enrollment Checklist — gather your info before you compare.
📅 Enrollment Dates & Deadlines · 🩺 Questions to Ask Your Doctor
Medicare.gov is the official U.S. government site for Medicare. Available 24/7.
Pharmacy Access in 26034, WV
Part D plans have preferred pharmacy networks where you'll pay lower copays. Here's a look at pharmacy options in and around 26034, WV.
Total Pharmacies
11
within 5.0 miles
Chain Pharmacies
3
CVS, Walgreens, etc.
Independent Pharmacies
8
locally owned
| Pharmacy | Address & Phone | Distance | Type |
|---|---|---|---|
| DAVIS BROTHERS PHARMACY INC | 559 CAROLINA AVE STE B CHESTER, WV 260341364 304-438-1741 | 0.3 mi | Independent |
| THE TAMARKIN COMPANY | 619 BRADSHAW AVE EAST LIVERPOOL, OH 439203277 330-038-7554 | 1.1 mi | Independent |
| RITE AID OF OHIO INC | 614 BRADSHAW AVE EAST LIVERPOOL, OH 439203240 330-038-6210 | 1.1 mi | Chain |
| DECARIA BROTHERS INC. | 15549 STE RTE 170 STE 1 EAST LIVERPOOL, OH 43920 330-038-7726 | 1.1 mi | Independent |
| DECARIA BROTHERS, INC | 104 E FIFTH ST EAST LIVERPOOL, OH 439203031 330-038-0825 | 1.2 mi | Independent |
| DECARIA BROTHERS INC | 104 E 5TH ST EAST LIVERPOOL, OH 439203031 330-038-0825 | 1.2 mi | Independent |
| RONCI FAMILY DISCOUNT DRUG | 2249 LISBON ST EAST LIVERPOOL, OH 43920 330-038-5521 | 2.4 mi | Independent |
| COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC | 16480 SAINT CLAIR AVE EAST LIVERPOOL, OH 439209124 330-038-7777 | 3.6 mi | Independent |
| WAL-MART STORES EAST LP | 16280 DRESDEN AVE EAST LIVERPOOL, OH 439209024 330-038-9813 | 3.8 mi | Chain |
| RITE AID OF OHIO INC | 220 THIRD STREET WELLSVILLE, OH 439681660 330-053-5889 | 4.5 mi | Chain |
Pharmacy data from CMS. Network participation varies by plan—always verify with your specific Part D plan.
Local Healthcare Access in 26034, WV
Before choosing a plan, consider the healthcare infrastructure in 26034, WV. Medicare Advantage plans restrict you to in-network hospitals, so understanding local hospital quality helps you pick the right plan — not just the cheapest one.
Note: The facilities below do not indicate which providers are in-network for any specific plan. Always verify network status with your plan before enrolling.
Hospitals Nearby
6
within 25.0 miles
Top-Rated Hospitals near 26034, WV
If hospital access matters to your plan choice, check quality ratings before you enroll. These are the highest CMS-rated hospitals near 26034, WV — click a hospital name to see its full profile and verify it's in your plan's network.
| Hospital | CMS Rating | Distance | Beds |
|---|---|---|---|
| Ahn Wexford Hospital | 5 ★ | 26.0 mi | 100 |
| East Liverpool City Hospital | 4 ★ | 1.6 mi | 144 |
| Heritage Valley Sewickley | 4 ★ | 20.5 mi | 186 |
| Upmc Passavant | 4 ★ | 28.8 mi | 346 |
| Heritage Valley Beaver | 3 ★ | 14.1 mi | 361 |
| Hmhp St Elizabeth Boardman Health Center | 3 ★ | 26.9 mi | 306 |
| Upmc Jameson | 3 ★ | 28.9 mi | 175 |
| Weirton Medical Center, Inc | 2 ★ | 15.3 mi | 238 |
| Trinity Medical Ctr East &Trinity Medical Ctr West | 2 ★ | 18.3 mi | 519 |
| Salem Regional Medical Center | 2 ★ | 24.6 mi | 252 |
View all 6 hospitals near 26034, WV to check quality before you enroll →
Hospital data from CMS Hospital Compare and Provider of Services file. Distance calculated from center of 26034, WV.
Telehealth in 26034, WV: Is Your Internet Ready?
Many Medicare Advantage and some Part D plans now include telehealth benefits, making routine check-ins and prescription refills easier from home. But telehealth requires reliable internet—here's a look at connectivity in 26034, WV. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.
Check Internet Providers at Your Address
Telehealth works best with reliable internet. Use this tool (provided free by ISP Reports) to see what's available at your address.
Opens ISP Reports in a new tab. This is not a paid relationship. Special thank you to ISP Reports for allowing free use of their address tool.
Internet Coverage in 26034, WV
Fiber Available
11.9%
of households
Cable/DSL Available
100.0%
of households
Top Provider
XFINITY
99.8% coverage
No Broadband
1.9%
of households
Internet coverage data from ISP Reports. View full internet report for 26034, WV.
Medicare-Relevant Demographics in 26034, WV
Understanding 26034, WV's demographics helps contextualize why insurers offer the plans they do. Areas with more seniors and higher incomes tend to attract more insurer competition, while areas with higher Medicaid enrollment may have more Dual-Eligible Special Needs Plans (D-SNP) available.
Total Population
6,261
Population 65+
1,713
27.4% of total
Median Age
48
9.5 years older than the national average
Median Income
$54,205
27.9% below the National Average
On Medicare
1,349
21.6% of residents
On Medicaid
1,729
27.6% of residents
Uninsured
689
11.0% of residents
Social Security Recipients
2,177
34.8% of population
Demographic data from U.S. Census Bureau American Community Survey (2023). View full 26034, WV demographics (BestNeighborhood.org).
Community Health in 26034, WV
CDC PLACES population-health estimates for 26034, WV. These indicators influence which Medicare plans tend to perform best here — plans that score well on condition-specific quality measures (diabetes A1c control, blood-pressure control, heart-attack readmission) are usually stronger matches in communities with elevated disease burden.
Diabetes
16.5%
of adults · US avg 12.1%
Heart Disease
9.3%
coronary heart disease · US avg 6.2%
High Blood Pressure
45.0%
of adults · US avg 34.1%
Source: CDC PLACES (2025) — zip-level, population-weighted estimates.
Medicare Plans by Health Condition in 26034, WV
Not every Medicare plan performs equally on every condition. These condition-specific pages rank the plans available in this zip by the CMS quality measures that matter most for each condition:
Top Medicare Doctors in 26034, WV
Medicare-enrolled doctors practicing in or near 26034, WV, ranked by specialty leadership and Medicare patient volume. The plan you pick is only as good as the doctors who accept it — verify your preferred doctors are in-network before enrolling.
Qualify for Both Medicare & Medicaid?
If you are dual-eligible for Medicare and Medicaid, a Dual-Eligible Special Needs Plan (D-SNP) combines both into a single card — typically with $0 premiums, $0 copays, and extra benefits like dental, vision, transportation, and over-the-counter allowances.
View D-SNP Plans in 26034, WV →Local Medicare FAQ: 26034, WV
Common decision points based on 26034, WV's specific plan market and local healthcare landscape.
How does 26034, WV's Medicare Advantage market compare?
26034, WV has 231 Medicare Advantage plans from 29 insurers. This is significantly above the national average of approximately 57 plans per area, indicating a highly competitive local market. More competition typically means lower premiums and better supplemental benefits for beneficiaries. The local mix includes 124 HMO and 106 PPO plans. Plan availability updates annually during the Medicare Annual Enrollment Period (October 15 – December 7).
Should I choose an HMO or PPO Medicare Advantage plan in 26034, WV?
With 6 hospitals nearby, a PPO plan may offer valuable flexibility if your preferred providers aren't all in the same network. HMO plans (124 available) cost less but limit your choices. In 26034, WV, HMO plans dominate the market, which often means more competitive HMO pricing. Always verify your doctors are in-network before enrolling in any plan.
What's the real cost of $0 premium plans in 26034, WV?
196 plans (85% of available options) in 26034, WV charge $0 beyond the standard Part B premium. This high percentage reflects strong insurer competition in the area. However, $0 premium doesn't mean $0 cost. These plans may have higher copays, coinsurance, or out-of-pocket maximums. In 26034, WV, maximum out-of-pocket limits range from $1,500 to an average of $6,906. We recommend calculating your total expected annual cost (premium + copays + drug costs) rather than choosing based on premium alone.
How does the 2026 $2,000 drug cap affect 26034, WV beneficiaries?
The Inflation Reduction Act capped annual out-of-pocket drug spending at $2,000 starting in 2025, eliminating the old "donut hole" coverage gap. This applies to all 22 standalone Part D plans in 26034, WV.
What this means locally:
- Cost predictability — No matter which of the 22 Part D plans you choose, your drug costs are capped at $2,000/year
- $0 deductible options — Some local plans offer $0 deductibles, meaning coverage starts immediately
- Low-income options — 5 plans meet the regional benchmark for Extra Help/LIS eligibility
While the out-of-pocket cap standardizes maximum costs, formulary coverage still varies significantly between plans. A drug that costs $5/month on one plan's formulary might cost $50 on another. Always check that your specific medications are covered and compare tier placement before enrolling.
See all Medicare FAQs in our complete guide → · Enrollment checklist →
Medicare Glossary · Enrollment Dates & Deadlines · Doctor Questions
About the Data & Editorial Team
Wes Ward
Founder & Data Lead
Wes Ward is the founder of InsuranceDataNow.org and reviews all content for data accuracy and methodology compliance.
With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to consumer data tools. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org.
Role: Reviews and approves all content for data accuracy, source verification, and methodology compliance.
Transparency & Disclosures
InsuranceDataNow is an advertising-supported publisher based in South Jordan, Utah. We are not affiliated with or endorsed by Medicare or the U.S. government.
TPMO Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (24 hours a day/7 days a week) to get information on all of your options.
Sources
- CMS Medicare Plan Finder Data (Part C & D): Plan availability, premiums, deductibles, formularies, and Star Ratings from cms.gov
- CMS Provider Data: Hospital and pharmacy facility data from data.cms.gov
- CMS NPPES: Doctor identity, specialties, and addresses from npiregistry.cms.hhs.gov
- CMS Medicare Provider Utilization & Payment Data: Doctor patient volumes and procedures from data.cms.gov
- CMS Physician Compare: Doctor-hospital affiliations from data.cms.gov
- CDC PLACES: Zip-level chronic-condition prevalence (Behavioral Risk Factor Surveillance System estimates) from cdc.gov/places
- U.S. Census Bureau / American Community Survey: Demographics for 26034, WV from census.gov
- FCC Broadband Map: Internet availability data from broadbandmap.fcc.gov
- Telehealth.HHS.gov: Official telehealth guidance from U.S. Dept. of Health & Human Services
- ISP Reports: Internet provider coverage for 26034, WV from ispreports.org
- BestNeighborhood.org: Community demographic profiles for 26034, WV from bestneighborhood.org
- CrimeGrade.org: Block-level safety analytics for 26034, WV from crimegrade.org
All data is sourced from official government databases and trusted third-party providers. Data is updated regularly—see page header for last refresh dates. Read our full methodology → • Privacy policy