Last Updated on by Edward Harris
Compare healthcare plans in Virginia Beach from all insurers. Coverage is available for individuals, families, Seniors, students, low-income households, and small businesses. Instantly view rates and benefits for multiple plans, and enroll online in minutes. There are no fees or obligations, and specific plans are offered at all times throughout the year. The maximum deductible for 2025 Exchange plans is $9,200.
This website allows you to view policies throughout the entire state of Virginia, and apply for coverage. Off-Exchange and non-Obamacare plans are also available for applicants under age 65. The carriers that offer coverage through Virginia's Insurance Marketplace are Aetna, Anthem, CareFirst BlueChoice, Cigna, Group Hospitililization And Medical Services, HealthKeepers, Innovation Health Plan, Kaiser, Optimum Choice, Oscar, and Sentara Health Plans.
Applicants for Marketplace plans must reside in the state, be a US citizen, not eligible for Medicaid or Medicare, and not be incarcerated. The Virginia Health Benefit Exchange replaced Healthcare.gov two years ago, and several grants were awarded to build the website and infrastructure.
Senior Medicare Advantage, Part D prescription drug, and Medicare Supplement plans are offered to review and compare prices and benefits. During Open Enrollment periods, medical questions are not asked and pre-existing conditions are covered.
Note: Optima Health changed their name to Sentara Health Plans. Sentara is a reputable and trusted carrier with more than 300 locations, including Sentara Northern Virginia Medical Center.
Under Age-65 Plans
Individuals and families residing in Virginia Beach City County can apply for subsidized (Obamacare) or unsubsidized Marketplace plans. Catastrophic, Bronze, Silver, and Gold-Tier options are available and listed below:
Catastrophic Tier
Anthem HealthKeepers Catastrophic DED 9200 -- $40 office visit copay for first three pcp visits. $9,200 deductible.
Oscar Catastrophic -- $0 office visit copay for first three pcp visits. $9,200 deductible.
Bronze Tier
Optima Health Sentara Direct M Bronze 7200 Ded -- $45 and $90 office visit copays. $7,200 deductible. $20 ($75 mail order) Tier 1 drug copays. $50 Urgent Care copay. $9,200 maximum out-of-pocket expenses.
Optima Health Direct M Bronze $6,000 Ded HSA -- HSA-eligible plan with $6,000 deductible. 30% coinsurance. $8,000 maximum out-of-pocket expenses.
Optima Health Sentara Standard M Bronze 7500 Ded -- $50 and $100 office visit copays. $7,500 deductible. $25 ($75 mail order) Tier 1 drug copays. $50 and $100 copays (subject to deductible) for preferred brand and brand drugs. $75 Urgent Care copay. $9,200 maximum out-of-pocket expenses.
Anthem HealthKeepers Bronze DED 8200 -- $8,200 deductible and 40% coinsurance. Office visits and prescriptions must meet deductible. $9,20 maximum out-of-pocket expenses.
Anthem HealthKeepers Bronze DED 5500 -- $30 pcp office visit copay. Specialist office visits and prescriptions must meet deductible ($9,200). $60 Urgent Care copay. $9,200 maximum out-of-pocket expenses. 35% and 50% coinsurance.
Anthem HealthKeepers Bronze X 5900 for HSA -- HSA-eligible plan with $5,900 deductible and $8,250 maximum out-of-pocket expenses. Coinsurance is 35%.
Anthem HealthKeepers Bronze DED 5800 -- $25 pcp office visit copay. Generic drug copay is $20 ($50 mail order). $9,200 deductible. $50 Urgent Care copay. Coinsurance is 30% and 50%.
Anthem HealthKeepers Bronze DED 7500 Standard -- $50 and $100 office visit copays. Generic drug copay is $25 ($62.50 mail order). $7,500 deductible and $9,200 maximum out-of-pocket expenses. $75 Urgent Care copay. $50 physical rehabilitation visit copay. 50% coinsurance.
Silver Tier
Optima Health Sentara M Silver 6600 Ded -- $25 and $75 pcp and specialist office visit copays. Preferred generic and preferred brand drug copays are $20 and $50 ($60 and $150 mail order). $6,600 deductible. $50 Urgent Care copay. $35 copay for outpatient mental health services.
Optima Health Sentara Standard M Silver 5000 Ded -- $40 and $80 pcp and specialist office visit copays. Preferred generic and preferred brand drug copays are $20 and $40 ($60 and $120 mail order). $5,000 deductible. $60 Urgent Care copay. $40 copay for outpatient mental health services.
Optima Health Sentara M Silver 3250 Ded -- $40 and $75 pcp and specialist office visit copays. Preferred generic and preferred brand drug copays are $15 and $50 ($45 and $150 mail order). $3,250 deductible. $50 Urgent Care copay. $50 copay for outpatient mental health services.
Anthem HealthKeepers Silver DED 5000 Standard -- $40 and $80 office visit copays. Generic and preferred brand drug copays are $20 and $40 ($50 and $120 mail order). $5,000 deductible. $60 Urgent Care copay. 40% coinsurance.
Anthem HealthKeepers Silver DED 4300 -- $15 pcp office visit copay. Generic and preferred brand drug copays are $5 and $40 ($12.50 and $120 mail order). $4,300 deductible. $55 Urgent Care copay. 20% and 50% coinsurance.
Anthem HealthKeepers Silver DED 5000 Standard -- $40 and $80 office visit copays. Generic and preferred brand drug copays are $20 and $40 ($50 and $120 mail order). $5,000 deductible. $60 Urgent Care copay. 40% coinsurance.
Anthem HealthKeepers Silver DED 2400 -- $25 pcp office visit copay. Generic and preferred brand drug copays are $15 and $70 ($37.50 and $210 mail order). $2,400 deductible. $55 Urgent Care copay. 30% coinsurance.
Anthem HealthKeepers Silver X DED 3200 -- $15 pcp office visit copay. Generic and preferred brand drug copays are $5 and $55 ($12.50 and $165 mail order). $3,200 deductible. $50 Urgent Care copay. 35% and 50% coinsurance.
Gold Tier
OptimaFit Gold 1300 20% Direct M -- $35 and $65 pcp and specialist office visit copays. Preferred generic and preferred brand drug copays are $15 and $40 ($45 and $120 mail order). $1,300 deductible. $50 Urgent Care copay.
OptimaFit Gold 2000 25% Standard M -- $30 and $60 pcp and specialist office visit copays. Preferred generic and preferred brand drug copays are $15 and $30 ($45 and $90 mail order). $2,000 deductible. $45 Urgent Care copay.
OptimaFit Gold 2200 20% Direct M -- $50 and $100 pcp and specialist office visit copays. Preferred generic and preferred brand drug copays are $15 and $40 ($45 and $120 mail order). $2,200 deductible. $50 Urgent Care copay.
Anthem HealthKeepers Gold X 1500 -- $10 ($0 first 5 visits) and $50 office visit copays. Generic and preferred brand/ non-preferred generic drug copays are $5 and $45 ($15 and $135 mail order). $1,500 deductible. $50 Urgent Care copay.
Anthem HealthKeepers Gold X 1800 -- $15 pcp office visit copay. Generic and preferred brand/ non-preferred generic drug copays are $5 and $40 ($15 and $120 mail order). $1,800 deductible. $50 Urgent Care copay.
Virginia Beach Health Insurance Rates (Monthly)
30-Year-Old With $34,000 Income
$38 -- Anthem HealthKeepers Bronze X 8200
$50 -- Anthem HealthKeepers Bronze X 5500
$55 -- Anthem HealthKeepers Bronze X 5900 for HSA
$58 -- Anthem HealthKeepers Bronze X 7000 $0 PCP
50-Year-Old With $42,000 Income
$89 -- Anthem HealthKeepers Bronze X 8200
$108 -- Anthem HealthKeepers Bronze X 5500
$116 -- Anthem HealthKeepers Bronze X 5900 for HSA
$120 -- Anthem HealthKeepers Bronze X 7000 $0 PCP
60-Year-Old With $47,000 Income
$79 -- Anthem HealthKeepers Bronze X 8200
$108 -- Anthem HealthKeepers Bronze X 5500
$129 -- Anthem HealthKeepers Bronze X 5900 for HSA
$128 -- Anthem HealthKeepers Bronze X 7000 $0 PCP
35-Year-Old Married Couple With $55,000 Income
$96 -- Anthem HealthKeepers Bronze X 8200
$122 -- Anthem HealthKeepers Bronze X 5500
$133 -- Anthem HealthKeepers Bronze X 5900 for HSA
$139 -- Anthem HealthKeepers Bronze X 7000 $0 PCP
45-Year-Old Married Couple And Child With $62,000 Income
$149 -- Anthem HealthKeepers Bronze X 8200
$179 -- Anthem HealthKeepers Bronze X 5500
$193 -- Anthem HealthKeepers Bronze X 5900 for HSA
$200 -- Anthem HealthKeepers Bronze X 7000 $0 PCP
45-Year-Old Married Couple And Two Children With $84,000 Income
$94 -- Anthem HealthKeepers Bronze X 8200
$141 -- Anthem HealthKeepers Bronze X 5500
$162 -- Anthem HealthKeepers Bronze X 5900 for HSA
$173 -- Anthem HealthKeepers Bronze X 7000 $0 PCP
55-Year-Old Married Couple And Two Children With $100,000 Income
$179 -- Anthem HealthKeepers Bronze X 8200
$242 -- Anthem HealthKeepers Bronze X 5500
$271 -- Anthem HealthKeepers Bronze X 5900 for HSA
$285 -- Anthem HealthKeepers Bronze X 7000 $0 PCP
Short-Term Health Insurance
Temporary short-term medical coverage is offered to applicants under age 65. ACA regulations do not apply and you can be denied coverage. Pre-existing conditions are generally not covered and annual or lifetime dollar benefit limits may apply. All essential health benefits are not required. Monthly rates are shown below:
Female Age 30
$63 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$73 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$92 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$112 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$115 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$167 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Married Couple Age 30
$95 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$114 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$149 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$184 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$188 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$277 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Male Age 40
$70 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$83 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$106 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$130 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$132 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$194 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Married Couple Age 40
$131 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$159 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$188 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$232 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$268 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$277 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Female Age 50
$105 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$126 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$164 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$203 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$209 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$307 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Married Couple Age 50
$184 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$225 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$287 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$356 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$385 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$543 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Male Age 60
$170 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$208 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$267 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$331 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$355 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$505 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Married Couple Age 60
$273 -- Companion Life Economy 10000. $10,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$336 -- Companion Life Economy 5000. $5,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$409 -- UnitedHealthcare Short Term Medical Value. $5,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$508 -- UnitedHealthcare Short Term Medical Value. $2,500 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
$583 -- Companion Life Choice 2000. $2,000 deductible with $1 million maximum benefits. 20% coinsurance and one-time $19.95 application fee. Indemnity plan.
$778 -- UnitedHealthcare Short Term Medical Value. $1,000 deductible with $1 million maximum benefits. 30% coinsurance and one-time $20 application fee. Network plan.
Virginia Beach Senior Medicare Plans
Medicare Supplement Plans (Female Age 65 Monthly Rates)
Plan A
$73 -- AARP-UnitedHealthcare
$91 -- Accendo
$93 -- Mutual Of Omaha
$94 -- Anthem BCBS
$99 -- Medico
$99 -- Continental Life
$100 -- Capitol Life
$100 -- United States Fire
$102 -- Great Southern Life
$105 -- Lumico Life
$111 -- GPM Health
$112 -- Central States
$115 -- National Health
$124 -- Union Security
$130 -- United American
$144 -- Guarantee Trust Life
$149 -- Bankers Fidelity
Plan B
$99 -- AARP-UnitedHealthcare
$103 -- United States Fire
$117 -- Continental Life
$175 -- United American
Plan F
$118 -- Accendo
$121 -- Capitol Life
$124 -- Great Southern Life
$126 -- AARP-UnitedHealthcare
$128 -- Central States
$130 -- Mutual Of Omaha
$130 -- United States Fire
$133 -- Lumico Life
$140 -- Continental Life
$142 -- Union Security
$147 -- National Health
$152 -- Manhattan Life
$158 -- Anthem BCBS
$158 -- Great Southern Life
$159 -- Manhattan Life
$162 -- Cigna
$208 -- Medico
Plan F (HD)
$31 -- United American
$35 -- Great Southern Life
$41 -- Cigna
$46 -- National Health
Plan G
$97 -- Capitol Life
$97 -- AARP-UnitedHealthcare
$102 -- Anthem BCBS
$103 -- United States Fire
$104 -- Mutual Of Omaha
$105 -- Union Security
$105 -- Lumico Life
$107 -- Accendo
$108 -- Central States
$109 -- Great Southern Life
$114 -- Manhattan Life
$117 -- Continental Life
$130 -- Cigna
$134 -- Medico
Plan G (HD)
$31 -- United American
$38 -- Mutual Of Omaha
$38 -- United States Fire
$42 -- Continental Life
Plan N
$73 -- Capitol Life
$75 -- Union Security
$79 -- Mutual Of Omaha
$80 -- Accendo
$81 -- United States Fire
$82 -- Great Southern Life
$82 -- Central States
$84 -- AARP-UnitedHealthcare
$84 -- Continental Life
$86 -- GPM Health
$96 -- Cigna
$99 -- National Health
$99 -- Anthem BCBS
$103 -- Medico
$150 -- United American
Medicare Advantage Plans For Virginia Beach
AARP Medicare Advantage from UHC (HMO) H5253-087-0 -- $0 monthly premium with $255 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $8, and $47. Primary doctor and specialist office visit copays are $0 and $0-$25. Lab services and outpatient x-ray copays are $0 and $20. Maximum out-of-pocket expenses are $4,900. 5,266 members are enrolled statewide (estimated). 4.0 Summary Star Rating.
AARP Medicare Advantage from UHC (HMO) H5253-088-0 -- $29 monthly premium with $255 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $8, and $47. Primary doctor and specialist office visit copays are $0 and $0-$20. Lab services and outpatient x-ray copays are $0 and $25. Maximum out-of-pocket expenses are $3,900. 2,109 members are enrolled statewide (estimated). 4.0 Summary Star Rating.
AARP Medicare Advantage from UHC (PPO) H2001-096-0 -- $0 monthly premium with $255 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47. Primary doctor and specialist office visit copays are $0 and $0-$30. Lab services and outpatient x-ray copays are $0 and $5. Maximum out-of-pocket expenses are $6,700. Enrollment numbers not available. 4.0 Summary Star Rating.
AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS) H5253-119-0 -- $0 monthly premium with $495 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $14, and $47. Primary doctor and specialist office visit copays are $0 and $0-$50. Lab services and outpatient x-ray copays are $0 and $25. Maximum out-of-pocket expenses are $8,900. 817 members are enrolled statewide (estimated). 4.0 Summary Star Rating.
AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO) H2001-099-0 -- $0 monthly premium with no prescription drug benefits. Primary doctor and specialist office visit copays are $0 and $0-$50. Lab services and outpatient x-ray copays are $0 and $25. Maximum out-of-pocket expenses are $8,900. Enrollment numbers not available. 4.0 Summary Star Rating.
AARP Medicare Advantage Access from UHV VA-20 (PPO) H2001-115-0 -- $247 monthly premium with $570 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $8, and $47. Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. Maximum out-of-pocket expenses are $3,000. Enrollment numbers not available. 4.0 Summary Star Rating.
Aetna Medicare Select Plan (HMO) H3931-100-0 -- $0 monthly premium with $0 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47. Primary doctor and specialist office visit copays are $0 and $40. Lab services and outpatient x-ray copays are $0 and $0-$50. ER and Urgent Care copays are $90 and $0-$65. Maximum out-of-pocket expenses are $7,550. 323 members are enrolled statewide.
Aetna Medicare Essential Plan (PPO) H5521-084-0 -- $40 monthly premium with $300 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47. Primary doctor and specialist office visit copays are $0 and $40. Lab services and outpatient x-ray copays are $0-$25 and $0-$50. ER and Urgent Care copays are $90 and $0-$65. Maximum out-of-pocket expenses are $6,700. 267 members are enrolled statewide.
Aetna Medicare Eagle (PPO) H5521-322-0 -- $0 monthly premium with no prescription drug coverage. Primary doctor and specialist office visit copays are $0 and $35. Lab services and outpatient x-ray copays are $0 and $0-$50. ER and Urgent Care copays are $0-$65 and $90. 188 members are enrolled statewide.
Align Connect (HMO C-SNP) H1277-002-0 -- $0 monthly premium with $480 deductible. Preferred generic, generic, and preferred brand drug copays are $2, $15, and $45. Primary doctor and specialist office visit copays are $0 and $15. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $90 and $55. Less than 10 members are enrolled statewide.
Align Thrive (HMO I-SNP) H1277-001-0 -- $0 monthly premium with $480 deductible. Preferred generic, generic, and preferred brand drug copays are $2, $15, and $45. Primary doctor and specialist office visit copays are $0 and $15. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $90 and $55. Less than 10 members are enrolled statewide.
Anthem MediBlue Plus (HMO) H3447-013-0 -- $0 monthly premium with $150 deductible. Preferred generic, generic, and preferred brand drug copays are $4, $10, and $35. Primary doctor and specialist office visit copays are $0 and $35. Lab services and outpatient x-ray copays are $0 and $45-$105. ER and Urgent Care copays are $90 and $50. Maximum out-of-pocket expenses are $4,900. 9,198 members are enrolled statewide.
Anthem MediBlue Access (PPO) H4909-014-0 -- $0 monthly premium with $95 deductible. Preferred generic, generic, and preferred brand drug copays are $4, $13, and $42. Primary doctor and specialist office visit copays are $0 and $45. Lab services and outpatient x-ray copays are $0-$15 and $50-$110. ER and Urgent Care copays are $90 and $45. Maximum out-of-pocket expenses are $7,550. 17,792 members are enrolled statewide.
Anthem MediBlue Extra (HMO) H3447-028-0 -- $35.10 monthly premium with $480 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47. Primary doctor and specialist office visit copays are $0 and $30. Lab services and outpatient x-ray copays are $0 and $20-$90. ER and Urgent Care copays are $90 and $50. Maximum out-of-pocket expenses are $5,200. 1,411 members are enrolled statewide.
Anthem MediBlue Care To You (HMO) H3447-026-0 -- $35.10 monthly premium with $0 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $7.50, and $40. Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $120 and $0. 15 members are enrolled statewide.
Anthem MediBlue Dual Advantage (HMO D-SNP) H3447-030-0 -- $0 monthly premium. Preferred generic, generic, and preferred brand drug copays are $5, $15, and $40. Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $0. 2,316 members are enrolled statewide.
Humana Gold Plus- Diabetes And Heart (HMO C-SNP) H5619-046-0 -- $0 monthly premium with $150 deductible. Preferred generic, generic, and preferred brand drug copays are $4, $12, and $47. Primary doctor and specialist office visit copays are $0 and $45. Lab services and outpatient x-ray copays are $0-$50 and $0-$105. ER and Urgent Care copays are $90 and $0-$45.
Humana Gold Plus (HMO) H5619-045-0 -- $0 monthly premium with $160 deductible. Preferred generic, generic, and preferred brand drug copays are $4, $12, and $47. Primary doctor and specialist office visit copays are $10 and $45. Lab services and outpatient x-ray copays are $0-$50 and $10-$105. ER and Urgent Care copays are $90 and $10-$45.
Humana Gold Plus (HMO) H6622-005-0 -- $0 monthly premium with $100 deductible. Preferred generic, generic, and preferred brand drug copays are $2, $8, and $45. Primary doctor and specialist office visit copays are $0 and $35. Lab services and outpatient x-ray copays are $0-$50 and $0-$95. ER and Urgent Care copays are $120 and $0-$35.
Humana Gold Plus (HMO) H6622-050-0 -- $15 monthly premium with $415 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $15, and $47. Primary doctor and specialist office visit copays are 20%. Lab services and outpatient x-ray copays are $0 or 20%. ER and Urgent Care copays are $90 and 20%.
Humana Gold Choice (PFFS) H8145-042-0 -- $35 monthly premium with no prescription drug coverage. Primary doctor and specialist office visit copays are $20 and $50. Lab services and outpatient x-ray copays are $0-$50 and $20-$110. ER and Urgent Care copays are $90 and $20-$50.
Humana Gold Choice (PFFS) H8145-004-0 -- $88 monthly premium with $160 deductible. Preferred generic, generic, and preferred brand drug copays are $5, $15, and $47. Primary doctor and specialist office visit copays are $20 and $50. Lab services and outpatient x-ray copays are $0-$50 and $20-$110. ER and Urgent Care copays are $90 and $20-$50.
HumanaChoice (PPO) H5216-144-0 -- $57 monthly premium with $265 deductible. Preferred generic, generic, and preferred brand drug copays are $4, $12, and $47. Primary doctor and specialist office visit copays are $15 and $45. Lab services and outpatient x-ray copays are $0-$50 and $15-$105. ER and Urgent Care copays are $90 and $15-$45.
HumanaChoice (PPO) H5216-152-0 -- $0 monthly premium with no prescription drug coverage. Primary doctor and specialist office visit copays are $10 and $35. Lab services and outpatient x-ray copays are $0-$50 and $10-$95. ER and Urgent Care copays are $120 and $10-$35.
HumanaChoice (Regional PPO) H1390-001-0 -- $0 monthly premium with no prescription drug coverage. Primary doctor and specialist office visit copays are $15 and $50. Lab services and outpatient x-ray copays are $0-$50 and $15-$110. ER and Urgent Care copays are $90 and $15-$50.
HumanaChoice (Regional PPO) H1390-002-0 -- $82 monthly premium with $360 deductible. Preferred generic, generic, and preferred brand drug copays are $5, $15, and $47. Primary doctor and specialist office visit copays are $15 and $50. Lab services and outpatient x-ray copays are $0-$50 and $15-$110. ER and Urgent Care copays are $90 and $15-$50.
Magellan Complete Care Of Virginia LLC (HMO D-SNP) H7559-001-0 -- $0 monthly premium with $0 deductible. Preferred generic, generic, and preferred brand drug copays are 15% Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $0.
Optima Medicare Classic (PPO) H2563-014-0 -- $0 monthly premium with no prescription drug coverage. Primary doctor and specialist office visit copays are $0 and $30. Lab services and outpatient x-ray copays are $0 and $0-$85. ER and Urgent Care copays are $90 and $30.
Optima Medicare Value (HMO) H2563-003-0 -- $0 monthly premium with $150 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $12, and $47. Primary doctor and specialist office visit copays are $0 and $30. Lab services and outpatient x-ray copays are $0 and $0-$85. ER and Urgent Care copays are $90 and $30.
Optima Community Complete (HMO D-SNP) H2563-004-0 -- $0 monthly premium with $0 deductible. Preferred generic, generic, and preferred brand drug copays are $0. Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $0.
Optima Medicare Prime (HMO) H2563-003-1 -- $65 monthly premium with $130 deductible. Preferred generic, generic, and preferred brand drug copays are $0, $8, and $45. Primary doctor and specialist office visit copays are $0 and $25. Lab services and outpatient x-ray copays are $0 and $0-$80. ER and Urgent Care copays are $90 and $25.
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) R1548-001-0 -- $0 monthly premium with $0 deductible. Preferred generic, generic, and preferred brand drug copays are $0. Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $0.
UnitedHealthcare Dual Complete (HMO D-SNP) H7464-001-0 -- $0 monthly premium with $0 deductible. Preferred generic, generic, and preferred brand drug copays are $0. Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $0.
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) H0710-032-0 -- $29.40 monthly premium with $435 deductible. Preferred generic, generic, and preferred brand drug copays are 25%. Primary doctor and specialist office visit copays are $0 and $0-20%. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $90 and $65.
Virginia Premier Advantage Gold (HMO) H9877-002-0 -- $0 monthly premium with $250 deductible. Preferred generic, generic, and preferred brand drug copays are $2, $15, and $47. Primary doctor and specialist office visit copays are $0 and $45. Lab services and outpatient x-ray copays are $15 and $0-$45. ER and Urgent Care copays are $90 and $45.
Virginia Premier Advantage Platinum (HMO) H9877-003-0 -- $29 monthly premium with $100 deductible. Preferred generic, generic, and preferred brand drug copays are $2, $12, and $47. Primary doctor and specialist office visit copays are $0 and $35. Lab services and outpatient x-ray copays are $0 and $0-$35. ER and Urgent Care copays are $90 and $35.
Virginia Premier Advantage Elite (HMO D-SNP) H9877-001-0 -- $0 monthly premium with $0 deductible. Preferred generic, generic, and preferred brand drug copays are 25% Primary doctor and specialist office visit copays are $0. Lab services and outpatient x-ray copays are $0. ER and Urgent Care copays are $0.
Virginia Part D Prescription Drug (PDP) Plans
AARP Medicare Rx Preferred from UHC (S5921-389) -- $84.30 monthly premium with $0 deductible and 3,637 formulary drugs available. Preferred Pharmacy 30-day copays are $5 (preferred generic), $10 (generic), $47 (preferred brand), 40% (non-preferred), and 33% (specialty).
AARP Medicare Rx Saver from UHC (S5921-352) -- $59.50 monthly premium with $590 deductible and 3,027 formulary drugs available. Preferred Pharmacy 30-day copays are $2 (preferred generic), $8 (generic), 17% (preferred brand), 43% (non-preferred), and 25% (specialty).
Anthem MediBlue Rx Plus (S5596-006) -- $58.40 monthly premium with $590 deductible and 3,241 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $4 (generic), 15% (preferred brand), 41% (non-preferred), and 25% (specialty).
Anthem MediBlue Rx Standard (S5596-005) -- $76.80 monthly premium with $590 deductible and 2,951 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $4 (generic), 17% (preferred brand), 50% (non-preferred), and 25% (specialty).
Cigna-HealthSpring Rx Secure-Essential (S5617-286) -- $22.20 monthly premium with $435 deductible and 3,100 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $2 (generic), 18% (preferred brand), 43% (non-preferred), and 25% (specialty).
Cigna-HealthSpring Rx Secure (S5617-216) -- $28.70 monthly premium with $435 deductible and 3,124 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $2 (generic), $30 (preferred brand), 37% (non-preferred), and 25% (specialty).
Cigna-HealthSpring Rx Secure-Extra (S5617-252) -- $63.00 monthly premium with $100 deductible and 3,274 formulary drugs available. Preferred Pharmacy 30-day copays are $4 (preferred generic), $10 (generic), $42 (preferred brand), 49% (non-preferred), and 31% (specialty).
EnvisionRxPlus (S7694-007) -- $14.20 monthly premium with $435 deductible and 3,108 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $7 (generic), $35 (preferred brand), 39% (non-preferred), and 25% (specialty).
Express Scripts Medicare-Saver (S5660-223) -- $23.80 monthly premium with $435 deductible and 2,922 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $4 (generic), $30 (preferred brand), 45% (non-preferred), and 25% (specialty).
Express Scripts Medicare-Value (S5660-109) -- $47.90 monthly premium with $435 deductible and 2,998 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $3 (generic), $25 (preferred brand), 44% (non-preferred), and 25% (specialty).
Express Scripts Medicare-Choice (S5660-217) -- $74.60 monthly premium with $250 deductible and 3,243 formulary drugs available. Preferred Pharmacy 30-day copays are $2 (preferred generic), $7 (generic), $42 (preferred brand), 48% (non-preferred), and 28% (specialty).
Humana Walmart Value Rx Plan (S5884-186) -- $13.20 monthly premium with $435 deductible and 3,126 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $4 (generic), $47 (preferred brand), 35% (non-preferred), and 25% (specialty).
Humana Basic Rx Plan (S5884-132) -- $27.60 monthly premium with $435 deductible and 3,048 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $1 (generic), 25% (preferred brand), 38% (non-preferred), and 25% (specialty).
Humana Premier Value Rx Plan (S5884-153) -- $54.50 monthly premium with $435 deductible and 3,207 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $4 (generic), $42 (preferred brand), 44% (non-preferred), and 25% (specialty).
Magellan Rx Medicare Basic (S4607-153) -- $30.50 monthly premium with $435 deductible and 2,964 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $2 (generic), $27 (preferred brand), 43% (non-preferred), and 25% (specialty).
Mutual Of Omaha Rx Plus (S7126-006) -- $55.50 monthly premium with $435 deductible and 3,282 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $10 (generic), $42 (preferred brand), 48% (non-preferred), and 25% (specialty).
Mutual Of Omaha Rx Value (S7126-039) -- $25.80 monthly premium with $435 deductible and 2,922 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $2 (generic), $27 (preferred brand), 48% (non-preferred), and 25% (specialty).
SilverScript Choice (S5601-014) -- $24.70 monthly premium with $415 deductible and 3,007 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $1 (generic), $47 (preferred brand), 38% (non-preferred), and 25% (specialty).
SilverScript Plus (S5601-015) -- $65.20 monthly premium with $0 deductible and 3,057 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $2 (generic), $47 (preferred brand), 50% (non-preferred), and 33% (specialty).
WellCare Wellness Rx (S4802-176) -- $13.20 monthly premium with $435 deductible and 3,026 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $7 (generic), $40 (preferred brand), 46% (non-preferred), and 25% (specialty).
WellCare Medicare Rx Select (S5810-281) -- $15.60 monthly premium with $435 deductible and 3,404 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $3 (generic), $47 (preferred brand), 42% (non-preferred), and 25% (specialty).
WellCare Value Script (S4802-142) -- $16.20 monthly premium with $435 deductible and 3,398 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $8 (generic), $43 (preferred brand), 47% (non-preferred), and 25% (specialty).
WellCare Classic (S4802-069) -- $26.60 monthly premium with $435 deductible and 3,026 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $2 (generic), $33 (preferred brand), 34% (non-preferred), and 25% (specialty).
WellCare Medicare Rx Saver (S5810-041) -- $31.10 monthly premium with $435 deductible and 3,124 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $2 (generic), $28 (preferred brand), 39% (non-preferred), and 25% (specialty).
WellCare Value Plus (S5768-130) -- $69.80 monthly premium with $0 deductible and 3,404 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $4 (generic), $47 (preferred brand), 49% (non-preferred), and 33% (specialty).
