# Atlas Commons research objects — ACA marketplace coverage for West Virginia (2026) — context brief

West Virginia's ACA marketplace coverage from the CMS ACA Plan Attributes PUF, with each figure's epistemic status labeled: every plan count — medical plans, standalone dental plans, and breakdowns by metal level, plan type, HSA-eligibility, and referral requirement — is a measured census of plans offered (counts of rows in the CMS file, all labeled RECORDED); the sticker premium landscape by metal tier (40yo, pre-subsidy) is a recorded set of published CMS Rate PUF rates, with the subsidy note labeled CONTEXT; the boundary note is context (labeled CONTEXT) — these count plans offered and their sticker price, not enrollment, the insured rate, or net cost after subsidies. Sources: CMS ACA Plan Attributes PUF, CMS Marketplace Rate PUF. CC0.

Claims (warrant · source), each re-fetchable to verify:

- **185 ACA medical marketplace plans are offered in West Virginia for plan year 2026** — RECORDED · CMS ACA Plan Attributes PUF (2026 plan year) (https://www.cms.gov/marketplace/resources/data/public-use-files)
- **Medical plan counts by CMS metal level in West Virginia (2026): Silver 91, Gold 52, Expanded Bronze 28, Platinum 8** — RECORDED · CMS ACA Plan Attributes PUF (2026 plan year) (https://www.cms.gov/marketplace/resources/data/public-use-files)
- **Medical plan counts by CMS plan type in West Virginia (2026): HMO 118, PPO 67** — RECORDED · CMS ACA Plan Attributes PUF (2026 plan year) (https://www.cms.gov/marketplace/resources/data/public-use-files)
- **36 of 185 medical plans in West Virginia are HSA-eligible (2026)** — RECORDED · CMS ACA Plan Attributes PUF (2026 plan year) (https://www.cms.gov/marketplace/resources/data/public-use-files)
- **185 of 185 medical plans in West Virginia require no specialist referral (2026)** — RECORDED · CMS ACA Plan Attributes PUF (2026 plan year) (https://www.cms.gov/marketplace/resources/data/public-use-files)
- **3 standalone dental plans are offered in West Virginia for plan year 2026** — RECORDED · CMS ACA Plan Attributes PUF (2026 plan year) (https://www.cms.gov/marketplace/resources/data/public-use-files)
- **STICKER ACA premiums in West Virginia for a 40-year-old (before tax credits): Silver median $1,100/mo** — DERIVED · CMS Marketplace Rate Public Use File (atlas-aggregated per tier) (https://www.cms.gov/marketplace/resources/data/public-use-files)
- **What the West Virginia premiums mean — sticker, not your price** — INTERPRETATION · Coverage Atlas framing (over the CMS Rate PUF figures above) (https://coverage-atlas.ryanjhunter.workers.dev/)
- **What these coverage figures are — and are NOT — for West Virginia (the epistemic boundary)** — INTERPRETATION · Coverage Atlas framing (over the CMS facts above) (https://coverage-atlas.ryanjhunter.workers.dev/)

Do not take these on trust — re-fetch each named source. Full structured object: `https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/wv.jsonld` · anatomy of the research object: see /commons/the-research-object

**West Virginia — every coverage indicator (typed)** (11): Medical plans offered — 185 — RECORDED — CMS ACA Plan Attributes PUF (2026); Medical issuers — 2 — RECORDED — CMS ACA Plan Attributes PUF (2026); HSA-eligible medical plans — 36 — RECORDED — CMS ACA Plan Attributes PUF (2026)…
**West Virginia — medical plans by CMS metal level (RECORDED)** (6): Silver — 91; Gold — 52; Expanded Bronze — 28…
**West Virginia — medical plans by CMS plan type (RECORDED)** (2): HMO — 118; PPO — 67…
**West Virginia — medical plans by market coverage (RECORDED)** (1): Individual — 188…
**West Virginia — sticker ACA premiums by metal tier (40yo, pre-subsidy, DERIVED)** (5): Catastrophic — 11 — 613 — 588 — 613 — 529 — 658; Bronze — 88 — 816 — 787 — 857 — 682 — 931; Silver — 143 — 1100 — 1056 — 1135 — 911 — 1251…
**West Virginia — issuers present on the marketplace (RECORDED)** (3): CareSource; Delta Dental PPO; Highmark Blue Cross Blue Shield West Virginia…