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1.5 Million Medicare Beneficiaries in Virginia, supported by 21 Medicare Carriers and 43 Medicare Advantage Plans

Affordable Medicare Options for 1,590,987 Virginia residents

Medicare enrollees in Virginia have the flexibility to choose from a broad selection of Medicare options.

Original Medicare: 67.0% (1,065,577) have Original Medicare (Part A and Part B).

Medicare Advantage: 33.0% (525,410) opt to enroll in the increasingly popular Medicare Advantage plans provided by Medicare-approved private companies and insurance carriers operating in Virginia.

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Virginia County Deep Dive

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How to Find the Best Medicare Plan in Virginia That Meets Your Healthcare & Prescription Drug Plan Needs

Medicare is not one-size-fits-all. A Medicare enrollee in one city may have entirely different hospital and pharmacy preferences than someone in another. Medicare also supports different types of beneficiaries in Virginia. For example, 87.9% (1,399,178) of Virginia Medicare beneficiaries are age 65 and older; whereas 12.1% (191,809) are under the age of 65 and on disability. Just as your personal healthcare needs may change from year to year, Medicare plans in Virginia are always changing.

Medicare Advantage Plans in Virginia

In the Virginia Medicare coverage area, there are 21 different Medicare Advantage carriers, many of which provide multiple plans including a prescription drug component. Depending on your budget, Medicare eligibility, healthcare needs, and your preferred doctors, pharmacies and other coverage preferences, available plan types in Virginia may include: HMO, PPO, PFFS (Private fee-for-service), and SNP (Special Needs Plans).

Average Cost of Medicare Advantage Plans in Virginia

Medicare enrollees in Virginia have the flexibility to choose from a broad selection of Medicare options. Of Virginia’s Medicare enrollees, 67.0% (1,065,577) have Original Medicare (Part A and Part B). 33.0% (525,410) of Virginia’s Medicare population are opting to enroll in the increasingly popular Medicare Advantage plans provided by Medicare-approved private companies and insurance carriers.

  • Virginia’s Average Monthly Premium: $56.70
  • Virginia’s Average Annual Drug Deductible: $260.30
  • Virginia’s Average In-Network Out-of-Pocket Spending Limit: $5,938.53
  • Virginia’s Average Star Rating for Local Available Plans: 4.1 (Out of 5)

*Metrics reported only on MA plans that have a monthly premium, deductibles, and star rating metrics that are available and as reported by the CMS. Monthly Premium is a Consolidated Premium which includes Part C and D. Drug Deductible metric includes both Enhanced and Basic. Enhanced plans charge higher monthly premiums than basic plans but typically offer a wider range of benefits.

Eliminate the Guesswork: Review Medicare Plans Available in Virginia with a Licensed Insurance Agent

In Virginia the availability and costs of Medicare plan options vary from one insurance company to another. TrustMedicare.com partners with experienced licensed insurance agents, brokers, and insurance companies to help you to easily compare a range of Medicare Advantage, Medicare Supplement and Prescription Drug Plans that are right for your healthcare needs, budget, and eligibility.

Virginia Medicare Advantage Leaders

# Virginia Medicare Advantage (MA) Enrollees (% of MA Market)
  1. Humana 163,275 (30.98%)
  2. UnitedHealth Group 151,026 (28.66%)
  3. Anthem 87,326 (16.57%)
  4. CVS Health 59,679 (11.32%)
  5. Kaiser Foundation Health Plan 28,654 (5.44%)
  6. Sentara Health Care (SHC) 25,942 (4.92%)
  7. Mary Washington Healthcare 3,337 (0.63%)
  8. Highmark Health 2,355 (0.45%)
  9. UMWA Health and Retirement Funds 1,905 (0.36%)
  10. Total Community Options 790 (0.15%)

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Medicare Information By County