Reputation grade
C
Peer-relative, A–F
Insurer profile · Highmark · NAIC + CMS
Highmark Blue Cross Blue Shield West Virginia
Highmark Blue Cross Blue Shield West Virginia's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- C
- Reputation grade
- 20.4%
- Claims denied
- 1
- States (CMS data)
The verdict
Highmark Blue Cross Blue Shield West Virginia earns a C reputation grade - a record near the industry median, according to CMS Transparency in Coverage filings, 20.4% of its marketplace claims were denied across 1 state.
- C
- reputation grade
- 20.4%
- claims denied (CMS)
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
20.4%
CMS, 1 states
Graded on 1 of 3 measures: claim denials. The score is rescaled across the measures available, so it is not directly comparable with a carrier graded on more of them.
How we calculated this grade →Other C-graded carriers in PlainInsurer's dataset include Liberty Mutual and Aetna (CVS Health), and the closest overall composite score to Highmark Blue Cross Blue Shield West Virginia's 53.0 belongs to Blue Care Network of Michigan (52.4), each rescaled across the measures that carrier reports.
Highmark Blue Cross Blue Shield West Virginia is part of the Highmark family, alongside Highmark Health and Highmark BCBSD Inc. in PlainInsurer's dataset -- a shared parent doesn't mean shared performance, so check each subsidiary's own record before assuming they behave alike.
Other C-graded insurers
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| Liberty Mutual | C |
| Aetna (CVS Health) | C |
| Allstate Property | C |
| AIG Homeowners | C |
| Allstate Insurance | C |
Closest composite score to Highmark Blue Cross Blue Shield West Virginia
Carriers with the nearest overall composite score (53.0)
| Insurer | Composite score |
|---|---|
| Blue Care Network of Michigan | 52.4 |
| Blue Cross and Blue Shield of Alabama | 54.1 |
| BCBS of Texas | 54.4 |
| Buckeye Community Health Plan | 54.6 |
CMS marketplace filing
Reported appeal outcomes for Highmark Blue Cross Blue Shield West Virginia
130
appeals filed
41
overturned (reported outcomes)
31.5%
of appeals with a reported outcome
The reported appeals on this profile come from West Virginia (130 filed, 41 overturned).
CMS reports an overturn outcome for 130 of these 130 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗
What the data shows for Highmark Blue Cross Blue Shield West Virginia
Highmark Blue Cross Blue Shield West Virginia, part of Highmark, carries a C reputation grade in PlainInsurer's dataset, with a composite score of 53.0 (higher means more consumer friction relative to size). It does not yet carry enough NAIC complaint history for a normalized complaint index.
On the claims side, CMS Transparency-in-Coverage filings show Highmark Blue Cross Blue Shield West Virginia denied 20.4% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.
See where Highmark Blue Cross Blue Shield West Virginia sits against every reporting carrier in the claim-denial rate ranking.
Source: NAIC Consumer Information Source complaint data (2024). Source: CMS Transparency in Coverage PUF (PY2026), cms.gov.
Aggregates only, not advice. Full terms on the disclaimer.
Questions about Highmark Blue Cross Blue Shield West Virginia
What does Highmark Blue Cross Blue Shield West Virginia's grade mean?
Highmark Blue Cross Blue Shield West Virginia received a grade of C, indicating a record near the industry median.
How many complaints does Highmark Blue Cross Blue Shield West Virginia have?
NAIC's public bulk data does not include a complaint-volume estimate for Highmark Blue Cross Blue Shield West Virginia - the carrier may be new, small, or file under a parent company. Absence of an estimate is missing data, not evidence of zero complaints.
How do I file a complaint against Highmark Blue Cross Blue Shield West Virginia?
File against Highmark Blue Cross Blue Shield West Virginia through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Highmark Blue Cross Blue Shield West Virginia a good insurance company?
PlainInsurer's C grade for Highmark Blue Cross Blue Shield West Virginia reflects a record near the industry median relative to peers on published complaint and denial data.
What types of insurance does Highmark Blue Cross Blue Shield West Virginia offer?
Detailed line-of-business data isn't currently available for Highmark Blue Cross Blue Shield West Virginia. The carrier is licensed in 0 states.
Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for Highmark Blue Cross Blue Shield West Virginia · 2024
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Download the data behind this page
The full PlainInsurer extract, covering every insurer including Highmark Blue Cross Blue Shield West Virginia, is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.
Data: NAIC published complaint index (2024) · CMS Transparency in Coverage PUF PY2026. Not affiliated with NAIC or CMS.
Every figure on PlainInsurer comes directly from NAIC MCAS and CMS Transparency in Coverage data; no editor types in numbers. See our editorial standards or methodology, or report an error. Data current as of 2026-08-11. Grades measure only the published complaint/denial data; we don't recommend any insurer or policy.