Get the best health insurance rates for individuals in Virginia from top-rated companies, and easily and quickly enroll online for Exchange benefits. Single, family, and small business on and off-Marketplace medical plan rates are also available so you can view and compare options and prices, and sign up for coverage with or without a federal subsidy. We understand that each person has different priorities and and you may need coverage for many years, or perhaps just a few months. Instantly, review customized quotes from multiple companies, including Senior Medicare Supplement, Part D prescription drug, and Advantage plans.
Open Enrollment (2018 or 2019) typically begins in November. However, the period lasts only 45 days, instead of 90 days. During this time, subsidized policies are offered with pre-existing conditions immediately covered on your effective date. The application process now takes only 10-20 minutes. "Off-Exchange" plans are also offered for persons that don't qualify for a federal subsidy or choose different types of policies (short-term). Many affordable options are available if you miss the deadline. Applicants that have reached age 65 also have access to guaranteed Medigap coverage from a wide selection of carriers. High-deductible plans provide 100% coverage after the deductible has been met.
Open Enrollment For Under Age 65
You can still apply for medical plan benefits after the Open Enrollment period ends (under age 65) by using a "Special Enrollment Period" exemption. This applies to many situations, including pregnancy or adoption, losing credible coverage from an employer, reaching age 26 while covered on a parent's policy, divorcing, or moving to a different service area. These "life events" provide 60 days to review and choose plans without underwriting. If President Trump's healthcare options eventually gain Congress-approval, we will review and rate them for you. It's possible that by 2019, additional low-cost plans may be offered that do not include all essential health benefits. Premiums on newer plans could reduce by as much as 25%-45%.
Catastrophic plans are inexpensive, and cover office visits, hospitalization, prescription drugs and other required essential benefits. Because of the higher deductibles and copays, out-of-pocket expenses are generally higher than most other options. Often, Silver-tier plans provide the best combination of major medical benefits, copays for specialists and non-generic prescriptions, and a federal subsidy that includes "cost-sharing." Depending on the household Federal Poverty Level, significant savings may be available. HSA, high-deductible, and comprehensive plans are offered. Copays are often available on pcp office visits, specialist visits, and ER and Urgent Care visits.
Senior Medigap Plans
For Seniors, the month you reach age 65 and have enrolled in Medicare Part B, a six-month window begins. During this time, you can choose any available plan with no medical underwriting. If you apply for benefits after the six-month period, you may pay a higher premium because of existing health conditions. A Part B "late enrollment penalty" may be imposed in some situations, so typically, it's best to enroll in Medicare when it first becomes available. Supplement plans are standardized, which helps simplify the comparison process. The Virginia Department of Insurance approves all carriers licensed to conduct business in the state.
With our assistance, you can quickly apply for quality, but inexpensive plans from the most recognized companies. Policies are available to be kept one month or continuously renewed each year. If you qualify for the federal Obamacare subsidy, your premium could drastically reduce, potentially saving you thousands of dollars. We will calculate the amount you are eligible for, and explain which policies will maximize your personal benefits. If you are eligible for Medicare (Seniors) or Medicaid (lower household income), we will review all available options.
Medicare Advantage and Supplement plans are also offered if you have reached age 65. Prescription drug plans (Part D) are offered to eligible Seniors. Virginia Medicare insurers are Aetna, Anthem BCBS, Anthem HealthKeepers, Humana, Kaiser Permanente, LifeWorks Advantage, Molina, Optima, Piedmont, Trusted Medicare Plus, UnitedHealthcare, and Virginia Premier Health Plan. Additional carriers for persons under age 65 are listed below.
Virginia Health Insurance Companies
When you are looking at different policies, it's important to consider only qualified "real" insurance plans. These will typically be carriers you recognize, such as Humana, Anthem Blue Cross, Aetna, Coventry, Innovation, Health Keepers, UnitedHealthOne, Kaiser Mid-Atlantic, CareFirst Blue Cross Blue Shield, Piedmont, and Optima. These companies will stand behind their policy coverage and process claims very quickly and efficiently. We help you choose the most affordable health insurance plans in Va that offer the best benefits for the lowest cost. Note: Several of these carriers offer Group and Senior coverage, but not individual private coverage.
Dental coverage is also offered through many popular carriers including Anthem Blue Cross and Blue Shield, CareFirst BlueCross BlueShield, Humana, Dominion Dental, IHC, Nationwide and UnitedHealthcare. Other ancillary coverage, such as vision, critical illness, disability, life, and long-term care, are available through additional companies. Small group and large group benefits can be offered with streamlined underwriting. COBRA benefits are extended to qualified applicants.
Only basic information is needed to provide your current rates. Typically, your zip code, date of birth and possibly your county of residence are the main items of information needed. Although there are not necessarily large premium differences from one zip code to another, prices can vary. For example, rates in Richmond and Norfolk will be different than Hampton and Blacksburg. It's possible that a specific company will offer policies in Newport News, but not Roanoke. Your age will also impact the premium an insurer charges. Premiums, without a subsidy, are most expensive for persons between the ages of 61 and 64. However, households that qualify for financial help, can save thousands of dollars per year.
For short-term plans outside of the Marketplace, a high BMI will probably increase the price you pay. A normal BMI, coupled with no existing conditions, may qualify you for a "preferred" rating. During Open Enrollment, Exchange coverage requires no medical questions to be asked. If you miss the OE period, or simply forget to enroll, there are several affordable policies that can be used until the next OE period. Plans are available in three-month increments, and can be renewed one time with medical underwriting. National General offers 12 months of guaranteed coverage by purchasing four concurrent three-month plans.
Purchasing Coverage Through The Exchange
With the creation of the Virginia Health Exchange five years ago, underwriting guidelines changed. Since medical questions are no longer asked, all applicants (including children) qualify for a policy (assuming you meet citizenship requirements). The variable is the size of your tax subsidy, which is based on your projected earnings for next year, and how it relates to the Federal Poverty Level. Changes in projected household income can impact your subsidy, and also the cost of medical coverage.
We can quickly and accurately calculate that amount for you. Bronze and Silver Marketplace options are the cheapest available medical plans. Platinum and Gold policies are the most costly since out-of-pocket expenses and deductibles are the lowest. "Catastrophic" tier policies are inexpensive options that are offered to applicants that have not reached age 30. "Financial hardship" exceptions are available to older applicants, although often, Bronze and Silver-tier plans are more cost-effective.
Va family rates are typically higher than single or individual rates. An older age and/or nicotine use will also result in higher premiums. Reaching age 65 generally creates an immediate Medicare-eligibility. When that occurs, there is always an Open Enrollment window that allows you to qualify for Medicare Supplement coverage regardless of your existing medical conditions.
Researching rates and coverage from different carriers is sometimes not easy. If you have ever tried to compare televisions in a retail store (or online), you know what we mean. We'll help you understand why certain policies will provide maximum coverage at the most affordable cost. By customizing a policy for you, you'll be less likely to pay for items you will rarely (or never) use. Additional helpful resources include the Office of Family Health Services and FAMIS (low-cost coverage for children).
Maternity And Delivery Coverage
Maternity benefits are included on all qualified plans. If you're fairly certain you will be utilizing this portion of your policy in the next few years, then a "Silver" or "Gold" plan may be your best choice because of lower available deductibles. However, your maximum "out-of-pocket expenses" must also be taken into consideration, since you are likely to meet the maximum amount if your delivery occurs. Deductibles as low as $1,000-$3,000 are available ($7,350 is the maximum), although maximum out-of-pocket expenses must also be considered. A Health Savings Account (HSA) can also be utilized to help pay for expenses with tax-deductible dollars.
But what if you have no need for any type of maternity benefits? Or there may be other specific policy options you don't need? We can focus and research on the plans that don't charge you for unneeded policy provisions. That's one of the ways you'll save money by using the free quotes our website provides. And as companies change their benefits and exclusions, we'll keep you updated so your policy is always current. By personally customizing a policy to match your specific needs, you pay less. Also, as dependents eventually need their own coverage, children can easily qualify for guaranteed plans, regardless of any health issues that may be present.
Viewing and comparing your Virginia healthcare options is just one of the many free services we provide. We're confident you'll be matched with the carrier that gives you the most benefits for the least cost. And as plans, rates or laws change, we'll keep you up to date on the impact it has on you and how you can make the right adjustments to your policies.
Additional Information -- A new private Marketplace for small business owners is being established by the Va Chamber of Commerce, who is partnering with ChamberSolutions. A "defined contribution" concept will be utilized, which will allow employees to select benefits from multiple options.
The "Virginia Benefits Market" provides types of policies, including high-deductible, comprehensive, and PPO/HMO contracts. Our website, along with licensed brokers, provides details, prices, and information regarding setting up and implementing coverage.