Low Cost Health Insurance Rates In Virginia – Individuals And Families

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 2024 rates. Providing your zip code starts the easy process. Choose and customize coverage that matches your budget, with a large provider network. Many plans provide copays (no deductible) for primary-care physician and specialist office visits, Urgent Care visits, and ER visits. $0 premium plans are also offered.

 

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 are free, without paying any out-of-pocket costs. Thus, 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. Many immunizations and screenings are 100% covered. Note: Medigap and Medicare plans (Supplement, Advantage, and Part D Prescription Drug) are offered to applicants that are eligible for Medicare.

 

Va plan designs changed eight 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.
 

Beginning in 2024, Virginia has a state-based health insurance Exchange (assuming SCC does not delay the date). The website was fully operational last year. Several functions (including a longer Open Enrollment period) are available, providing the state added flexibility to customize the application process and plan availability. The Center for Medicare and Medicaid Services has approved the transition. It's possible that the cost of many plans will decrease, and small business coverage may also be impacted. Plan designs are not likely to substantially change.
 

Virginia HB1428 and SB732 are the legislative bills that approved the transition, and the Virginia Bureau of Insurance will oversee the operation. A maximum assessment of 3% on participating carriers will fund the new Exchange. The SCC will have the authority to review and approve individual, family, and small group plans. A benchmark individual plan will also be established.

Most Affordable Virginia Health Insurance Plans
 

Anthem HealthKeepers Catastrophic DED 9450 -- Large deductible of $9450, but $40 copay for first three pcp office visits. No coinsurance (0%), so maximum out-of-pocket expenses are also $9,450. Since it is a Catastrophic-tier plan, you must be under age 30 to apply for coverage. Children's eye exams and children's glasses have a $0 copay. Also, no federal subsidy is available. Bronze-tier contracts are often a better option if you qualify for federal tax credits.
 

Anthem HealthKeepers Bronze DED 7500 Standard -- $7,500 deductible with maximum out-of-pocket expenses of $9,400 and 50% coinsurance. Office visit copays are $50 and $100. Generic drug copays are $25 and $62.50 (mail order). Preferred brand and non-preferred brand drugs are subject to a deductible. Urgent Care copay is $75.
 

Anthem HealthKeepers Bronze DED 5500 -- $5,500 deductible with maximum out-of-pocket expenses of $9,450. $30 pcp office visit copay. Specialist visits must meet the policy deductible. $60 Urgent Care copay. Deductible applies to all drugs.
 

Anthem HealthKeepers Bronze X 5800 -- $5,800 deductible with maximum out-of-pocket expenses of $9,450. $25 pcp office visit copay. Specialist visits must meet the policy deductible. $50 Urgent Care copay. Generic drug copays are $20 and $50 (mail order).
 

Anthem HealthKeepers Bronze X 5900 for HSA -- $5,900 deductible with maximum out-of-pocket expenses of $8,000. Coinsurance is 35% and the plans is HSA-eligible. Very popular plan for high-income earners that typically do not meet the policy deductible.
 

CareFirst BlueChoice HMO Young Adult $9,450 -- Large deductible of $9,450, but $0 copay for first three pcp office visits. No coinsurance (0%), so maximum out-of-pocket expenses are also $9,100. Since it is a Catastrophic-tier plan, you must be under age 30 to apply for coverage. Also, no federal subsidy is available. Bronze-tier contracts are often a better option if you qualify for federal tax credits.
 

CareFirst BlueChoice HMO HMO Standard Gold 1500 Med Ded 25 Dent Ded -- $1,500 deductible with maximum out-of-pocket expenses of $8,700. Coinsurance is 25%. $30 and $60 office visit copays (Tier 1) and $45 Urgent Care copay. Generic and preferred brand drug copays are $15 and $30. Non-preferred brand drug copay is $60.
 

Cigna Connect Bronze 8500 Indiv Med Deductible -- $8,500 deductible with maximum out-of-pocket expenses of $9,450. Coinsurance is 50%. Non-preventative expenses are subject to coinsurance and deductible. Prescription drugs are subject to coinsurance and deductible.
 

Cigna Connect Bronze CMS Standard -- $7,500 deductible with maximum out-of-pocket expenses of $9,400. Coinsurance is 50%. $50 and $100 office visit copays. Generic drug copays are $25 and $75 (mail order). Preferred brand and non-preferred drugs subject to deductible. $75 Urgent Care copay.
 

Cigna Connect Bronze 6500 Indiv Med Deductible -- $6,500 deductible with maximum out-of-pocket expenses of $9,450. Coinsurance is 50%. $35 and $60 office visit copays. Generic drug copays are $3 and $7.50 (mail order). Preferred brand and non-preferred drugs subject to deductible. $75 Urgent Care copay.
 

Cigna Connect Bronze 3400 Indiv Med Deductible -- $3,400 deductible with maximum out-of-pocket expenses of $9,450. Coinsurance is 50%. $50 pcp office visit copay. Generic drug copays are $3 and $7.50 (mail order). Preferred brand and non-preferred drugs subject to deductible. $60 Urgent Care copay.
 

Kaiser KP VA Catastrophic 9100/0/Vision -- Large deductible of $9,100, but $0 copay for first three pcp office visits. No coinsurance (0%), so maximum out-of-pocket expenses are also $9,100. Since it is a Catastrophic-tier plan, you must be under age 30 to apply for coverage. Also, no federal subsidy is available. Bronze-tier contracts are often a better option if you qualify for federal tax credits.
 

Kaiser KP VA Bronze 7500/40%/Vision -- $7,500 deductible with maximum out-of-pocket expenses of $9,100. Coinsurance is 40%.
 

Kaiser KP VA Bronze 6900/0%/HSA/Vision -- $6,900 deductible with maximum out-of-pocket expenses of $6,900. Coinsurance is 0%. HSA-eligible.
 

Kaiser KP VA Bronze 6000/55/Vision -- $6,000 deductible with maximum out-of-pocket expenses of $9,100. $55 pcp office visit copay. $75 Urgent Care copay. Most generic drugs receive a $35 copay.
 

OptimaFit Bronze 9100 0% Standard M -- $9,100 deductible with maximum out-of-pocket expenses of $9,100. Coinsurance is 0%. $40 copay for first three pcp office visits. Children's eye exam and glasses covered.
 

OptimaFit Bronze 7200 40% Direct M -- $7,200 deductible with maximum out-of-pocket expenses of $9,100. Coinsurance is 40%. $45 and $90 office visit copays (Tier 1) and $50 Urgent Care copay. Preferred generic drug copay is $20 ($60 mail-order).
 

OptimaFit Bronze 6250 20% HSA Select CH M -- HSA-eligible plan with $6,250 deductible and maximum out-of-pocket expenses of $7,050. Coinsurance is 20%.
 

Piedmont Bronze 9100 -- Deductible is $9,100 with 0% coinsurance and $9,100 maximum out-of-pocket expenses. Children's eye exam covered with $0 copay.
 

Piedmont Bronze 7500 -- $7,500 deductible with maximum out-of-pocket expenses of $9,000. Coinsurance is 50%. $50 and $100 office visit copays. $75 Urgent Care copay. Generic drug copay is $25 ($63 mail order). Preferred brand drug copys are $50 and $125.
 

Piedmont Bronze 5500 HSA -- HSA-eligible plan with $5,700 deductible and maximum out-of-pocket expenses of $7,200. Coinsurance is 35%.
 

UnitedHealthcare Simple Bronze -- $8,700 deductible with maximum out-of-pocket expenses of $8,700. Coinsurance is 0%.
 

UnitedHealthcare Bronze Virtual First -- $7,600 deductible with maximum out-of-pocket expenses of $8,700. Coinsurance is 50%. $50 pcp office visit copay. $75 Urgent Care copay. Tier 1 and Tier 2 drug copays are $3 and $30.Diagnostic lab tests subject to $40 copay at free standing office.
 

UnitedHealthcare Value Base Bronze -- $7,900 deductible with maximum out-of-pocket expenses of $8,700. $25 pcp office visit copay. $75 Urgent Care copay. Tier 1 and Tier 2 drug copays are $3 and $30.
 

Oscar Secure -- $8,700 deductible with maximum out-of-pocket expenses of $8,700. Coinsurance is 0%.
 

Oscar Bronze Simple -- $8,000 deductible with maximum out-of-pocket expenses of $8,700. Coinsurance is 40%. $75 Urgent Care copay. Tier 1A and 1B drug copays are $3 and $30.
 

Low cost Va health insurance plans

More than 400,000 consumers previously enrolled in plans, 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 future total in-force plans are expected to increase. Short-term plans are now limited in duration, due to recent legislation, and higher Exchange enrollment should occur in 2025.

 

With more than 800,000 potential customers, if the number of sign-ups reaches 500,000 in future years (which is possible), rates should remain fairly level. It's also possible several carriers will reduce premiums. Optima initially enrolled almost 100,000 persons in their first year of Marketplace operation, and provides a popular HSA option. 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.

 

Applicants between the ages of 60 and 64 present the highest risk, but it is very important to continue to keep their premiums affordable. Large subsidies are offered to help offset the higher premiums. But households with higher incomes may not qualify for a federal tax credit, and thus, Bronze and Silver-tier plans are the most popular. Recently, subsidies were substantially increased due to the health pandemic, and increased numbers of unemployed persons. Larger families now receive substantial federal tax credits to help pay their policy premium.

 

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 were currently considered "grandfathered," then you were able to keep these non-compliant policies until two years ago, unless notified that these plans had 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 previously purchased these policies, 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 desired 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 featured the "Optima Equity" which 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.

 

Best HSA Plans

Save Money With A Virginia HSA

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.

 

Short-Term Plans

 

If benefits are only needed for a few months (or possibly longer), a short-term plan is a great inexpensive fit. Companion Life, Independence American, and UnitedHealthcare offer the most competitively-priced temporary policies. Allstate's rates are also fairly attractive, but the deductible is higher with additional coinsurance. Also, their policies utilize the Aetna PPO network, providing a large selection of doctors and facilities, and an Urgent Care copay. 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-$2 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.

 

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. If this occurs, during the next Open Enrollment period, you can apply for guaranteed coverage.
 

Illustrated below are monthly rates for Richmond. Of course, prices will vary, depending upon where you reside, and your current age. Each carrier offers several types of plans, with optional deductibles and coinsurance. Three months is the longest initial duration offered.

32-year-old non-smoking male

 

$53 -- $10,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$61 -- $5,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$69 -- $10,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$83 -- $5,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$87 -- $5,000 deductible with 50% coinsurance and $1 million policy maximum benefits. Underwriting company is Everest.

$93 -- $2,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$101 -- $2,500 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$101 -- $2,500 deductible with 50% coinsurance and $1 million policy maximum benefits. Underwriting company is Everest.

$138 -- $1,000 deductible with 50% coinsurance and $1 million policy maximum benefits. Underwriting company is Everest.

$150 -- $1,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

 

48-year-old non-smoking female

 

$91 -- $10,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$108 -- $5,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$111 -- $10,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$134 -- $5,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$176 -- $5,000 deductible with 50% coinsurance and $1 million policy maximum benefits. Underwriting company is Everest.

$177 -- $2,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$194 -- $2,500 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$205 -- $2,500 deductible with 50% coinsurance and $1 million policy maximum benefits. Underwriting company is Everest.

$249 -- $1,000 deductible with 50% coinsurance and $1 million policy maximum benefits. Underwriting company is Everest.

$249 -- $1,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

 

50-year-old non-smoking married couple

 

$184 -- $10,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$203 -- $10,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$225 -- $5,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$312 -- $2,500 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$480 -- $1,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

 

50-year-old non-smoking married couple with two children

 

$184 -- $10,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$203 -- $10,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$225 -- $5,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$312 -- $2,500 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$480 -- $1,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

 

60-year-old non-smoking female

 

$157 -- $10,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$192 -- $5,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$222 -- $5,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

$326 -- $2,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life.

$419 -- $1,000 deductible with 30% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare.

 

Part G (HD) Plans For Seniors

 

For Virginia Seniors, Plan G (HD) is an alternative to Plan F (HD), which is no longer offered to new applicants. Once the 2024 deductible of $2,800 is reached, benefits match regular Plan G. Major benefits include Part A hospice care copayment or coinsurance, Part B excess charges, Part A hospital costs and coinsurance, and skilled nursing care facility coinsurance. Shown below are monthly premiums for a non-smoking male in Fairfax County.

 

Age 65

$29 -- CareFirst BlueChoice
$37 -- United States Fire
$38 -- Mutual Of Omaha
$39 -- United American
$40 -- Medico
$48 -- Continental Life

Age 68

$34 -- CareFirst BlueChoice
$38 -- United States Fire
$38 -- Mutual Of Omaha
$40 -- Medico
$46 -- United American
$48 -- Continental Life

Age 70

$37 -- CareFirst BlueChoice
$40 -- Mutual Of Omaha
$41 -- United States Fire
$41 -- Medico
$50 -- United American
$51 -- Continental Life

 

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, government proposed changes should increase the number of available options throughout the year, although some benefits may be limited.

 

Affordable Virginia healthcare is offered to most individuals and families by many companies. The federal subsidy (under age 65) 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. Your network of physicians, specialists, and hospitals may also change.

 

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! The enrollment process is very simple.