Low cost health insurance plans in Virginia provide affordable medical coverage to individuals, families, the self-employed, and small businesses. Compare free quotes and review the top plans in the state from the most reputable and highly-rated companies, both during and after Open Enrollment. You can easily apply for a policy that will give you the benefits you need, at the guaranteed lowest rates. Providing your zip code starts the easy process.
Many of the least expensive plans still provide rich benefits, including office visit, ER, major medical, and prescription drug coverage. And unless you are purchasing a short term policy, all of your qualified preventive benefits will be free, without paying any out of pocket costs. So if you need a complete annual physical, OBGYN exam, mammogram or colonoscopy, you're fully covered. If you have children, all of their well-check visits along with many other benefits are provided with no copays, deductibles, waiting periods, or out-of-pocket costs to meet.
Va plan designs changed three years ago when the State Exchange/Marketplace became operational. Since all carriers did not participate, specific policies were originally not available. However, consumers can now purchase coverage inside or outside of the Marketplace. Also, federal tax subsidies help many single persons and families pay for their benefits. Our website always provides the most current and affordable plan options, regardless if you are eligible for Obamacare subsidies, or your household income is too high to qualify for an instant tax credit.
Most Affordable 2017 Plans
Anthem HealthKeepers Catastrophic 7150 -- Large deductible of $7,150, but $40 copay for first three pcp office visits. No coinsurance (0%), so maximum out-of-pocket expenses are also $7,150. Since it is a Catastrophic-tier plan, you must be under age 30 to apply for coverage. Also, no federal subsidy is available.
Anthem HealthKeepers Bronze 6350 -- $6,350 deductible with maximum out-of-pocket expenses of $7,150. Deductible and 40% coinsurance applies to all non-preventative office visits. This plan is one of the cheapest available Bronze-tier plans.
Anthem HealthKeepers Bronze 5900 -- $5,900 deductible with maximum out-of-pocket expenses of $7,150. Coinsurance is 35%. The first two pcp office visits are subject to a $40 copay, and do not have to meet a deductible. However, specialist visits must meet the deductible and coinsurance. Medical deductible and coinsurance (wither 35% 0r 50%) applies to Tier 1, 2, 3, and 4 drugs.
Anthem HealthKeepers Bronze 5150 -- $5,150 deductible with maximum out-of-pocket expenses of $7,150 with 35% coinsurance. The pcp office visit copay is $45 for the first three (not two) visits.
Cigna Connect 5750 -- $5,750 deductible with $7,150 maximum out-of-pocket expenses and 50% coinsurance. Prescription drug benefits also subject to deductible and coinsurance.
Cigna Connect HSA 5000 -- HSA-eligible plan with $5,000 deductible and $6,550 maximum out-of-pocket expenses. Coinsurance is 50%.
Aetna Leap Basic Bon Secours -- $7,050 deductible with maximum out-of-pocket expenses of $7,050 and 0% coinsurance. Generic drugs, however, are only subject to a $5 copay.
Innovation Health Leap Bronze -- Same benefits as previous plan (Innovation partners with Aetna).
Kaiser KP VA Bronze 6500/50/Dental/Ped Dental -- Pcp office visit copay of $50 while specialist visits must meet deductible. $6,500 deductible and 40% coinsurance. All drugs must meet 40% coinsurance and the deductible.
Piedmont Bronze Standard 6650 HMO -- Pcp office visit copay of $45, and same copay on outpatient mental and behavioral health treatment. Deductible is $6,650 with 50% coinsurance. $35 copay on generic drugs with deductible and coinsurance applying to all other drugs.
More than 400,000 consumers enrolled in plans for 2016, which was an increase of about 9.5% from the previous year. This number exceeded expectations, and may help keep premiums low in future years. The higher the enrollment (especially young healthy persons), the more competitive rates become. The predicted enrollment was expected to be between 320,000 and 380,000 persons, and 2017 and 2018 total in-force plans are expected to increase.
With more than 800,000 potential customers, if the number of sign-ups reaches 500,000 in future years (which is possible), rates should stay fairly level. It's also possible several carriers will actually reduce premiums. Optima initially enrolled almost 100,000 persons in their first year of Marketplace operation, but no longer offer policies. And like most companies, including Blue Cross Blue Shield, it is hoped that more applicants under age 25 will be active in future Marketplaces. Because this segment of the population is typically healthy and rarely files major claims, rates for older applicants tend to reduce, when more younger persons apply for coverage.
Policies That Are No Longer Available
We have also listed (below) some of the most affordable medical plans in the state prior to the creation of the Marketplace. They were underwritten plans, meaning you were required to answer medical questions related to your health to qualify. If they are currently considered "grandfathered," then you were able to keep these non-compliant policies until 2017, unless notified that these plans have been discontinued. New Marketplace policies have replaced all of the plans listed below. Although prices are higher, federal subsidies help lower premiums and benefits are much richer.
If you purchased these policies before 2014, and you were being treated for an existing condition, often you were not denied coverage. Actually, most persons that applied for a policy were accepted. Prior to the Affordable Care Act legislation, policy surcharges and waiting periods were also allowed, and specific applicants for coverage could be denied.
Anthem's CoreShare plan provided office visit coverage for your primary physicians and specialists. After you had met the deductible, the plan paid 50% of the cost. However, until the deductible was met, your network providers adjusted your portion of the out-of-pocket-cost down, due to Anthem's contractual agreements.
Generic and brand-name prescriptions were covered, although subject to a copay. To keep premiums down, you could choose higher out of pocket options. The $5,000 and $3,000 deductible options were very popular. Anthem is still a very popular health insurance company in Virginia.
The Copay Select Saver from Golden Rule (a UnitedHealthOne company) provided four office visits per year that were only subject to a $35 copay. A discount was applied to prescriptions (usually it was less than 20%) and deductibles as high as $10,000 were available. If you stayed away from major hospital claims, this policy became very attractive to budget-minded consumers.
Mental health, substance abuse and maternity benefits were not included, although that was typical for low-priced policies. The UHC Network continues as of the biggest in the US, so you were be able to use your policy if you traveled.
Anthem's Smart Sense policy had become very popular in states where it was available. It was very similar to the Copay Select Saver (above), although rates were lower in many parts of Virginia. It also had a $35 copay, but covered only three office visits per year (one less than the UHC Copay Select Saver).
There was a brand name drug benefit and approved preventive expenses (just like the other policies) had no copay, deductible or waiting period to meet. The Anthem network is very big and the Smart Sense did offer some coverage for mental health and chiropractic expenses. If you traveled out of state, you were be able to find participating providers in most other areas.
Optima Health had a nice little plan called the "Optima Equity" and it was eligible to be used for a private or family HSA. The $3,500 deductible option was very competitively priced when compared to other Health Savings Accounts In Virginia. The coinsurance was 20% with a maximum out of pocket expense of $1,500. If you were mainly concerned with covering larger claims, this Optima policy should have been looked at. However, if you only needed coverage for a few months, this plan should not have been used.
Aetna also offered a low cost Virginia medical plan. The "PPO Value 5000" option allowed three office visits per year (per person) with a $40 copay. Once again, preventive services were covered at 100% with no cost to the policyholders. The generic copay was $20 which means that you probably did not use that coverage very often. The rate was guaranteed for one year and Aetna is still one of the highest-rated insurance carriers in the US.
If you only need to keep benefits for a few months (or possibly longer), a short-term plan will be a great inexpensive fit. The IHC Group and UnitedHealthcare offer the most competitively-priced temporary policies. Companion Life's rates are also fairly attractive, but the deductible is higher with additional coinsurance. Since these types of policies do not meet ACA guidelines, there are many benefits that will not be included.
For example, if you become pregnant, prenatal and delivery expenses are not covered. And you will not be able to apply for a temporary plan until you have delivered the baby and have been released from doctor's care and the hospital. Many mental-illness and substance abuse benefits are excluded and lifetime maximum caps are $250,000-$1 million instead of unlimited. Treatment for therapy and extended hospital confinement may also be subject to contract maximums. Prescription drug coverage for generic and preferred brand medications will be fairly comprehensive. But specialty drugs may be excluded or subject to unusually large out-of-pocket expenses.
However, temporary policies are quickly approved if there are no serious health issues. It takes less than 20 minutes to apply, and the effective date can be any day of the month instead of only the 1st of the month for Marketplace plans. But there are limitations in coverage, duration of benefits, and how pre-existing conditions are treated. Also, the renewal of the policy may not be available. Illustrated below are monthly rates for a 30 year-old non-smoking male living in Richmond. Of course, prices will vary, depending upon where you reside, and your current age. Also, recent rulings from HHS have limited plans to 90 days of coverage.
$53 -- $7,500 deductible. HCC Life
$56 -- $5,000 deductible. HCC Life
$58 -- $2,500 Deductible. HCC Life
$71 -- $5,000 deductible. UnitedHealthcare
$82 -- $500 Deductible. HCC Life
$104 -- $5,000 deductible. National General
$120 -- $5,000 Deductible. The IHC Group
Get Covered Now
The process of searching, comparing, applying and enrolling for quality medical coverage has drastically changed. The system is definitely not perfect, and although many consumers are greatly benefited by subsidies and elimination of underwriting, many others are facing higher premiums and loss of grandfathered plans. Many major carriers are also discontinuing operations, or substantially reducing the number of plans they offer in Virginia. However, President Trump's proposed changes should increase the number of available options throughout the year.
Affordable Virginia healthcare is offered to most individuals and families by many companies. The federal subsidy can substantially lower your premium, and quality coverage can be obtained both during and after Open Enrollment. You're just moments away from comparing the best available plans at the lowest possible price. Since options change every year, it's always important to review your existing costs and benefits, to new offerings by insurers in your area.
Regardless whether you have pre-existing conditions, qualify for a large or no subsidy, or are currently covered or uninsured, we will provide the best possible options from the most respected companies. Newborn, child, young adult, and Senior plans are offered in every County. As we always say...We do the shopping so you do the saving!
UPDATES From The Past:
June 2014 -- May 9th was the last day for insurers to file rate increases for 2015 plans. It is expected that actual pricing will be available in August or September. Open Enrollment begins on November 15th for 2015 effective dates. The penalty for not having qualified coverage increased from 1% of household income in 2014 to 2% of household income for 2015.
September 2015 -- 84% of all Va residents enrolled in Marketplace healthcare plans are receiving a federal subsidy. More than 270,000 persons have been able to qualify for instant tax-credits to help reduce premiums. The average subsidy was about $250 (per month), with Silver and Bronze-tier plans the most popular option.
November 2016 -- The number of available carriers is shrinking, so perhaps Donal Trump's Presidential win occurred just in time. Although major changes are not expected until 2018 (and possibly 2019), it is safe to assume that Obamacare, in its present form, will certainly be heavily tweaked, or replaced.