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. 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.
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.
Va plan designs changed six 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 Virginia Health Insurance Plans
Anthem HealthKeepers Catastrophic X 8150 -- Large deductible of $8,150, but $40 copay for first three pcp office visits. No coinsurance (0%), so maximum out-of-pocket expenses are also $8,150. 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.
Anthem HealthKeepers Bronze X 7500 -- $7,500 deductible with maximum out-of-pocket expenses of $8,150. Deductible and 40% coinsurance applies to all non-preventative office visits. This policy is one of the cheapest available Bronze-tier plans.
Anthem HealthKeepers Bronze X 5250 -- $5,250 deductible with maximum out-of-pocket expenses of $8,150. $40 pcp office visit copay.
Anthem HealthKeepers Bronze X 6300 -- $6,300 deductible with maximum out-of-pocket expenses of $8,150. Coinsurance is 35%. The first five pcp office visits are subject to a $35 copay, and do not have to meet a deductible. However, specialist visits must meet the deductible and coinsurance. Generic drug copay is $20 ($50 for mail order). Other tiers of drugs subject to coinsurance and deductible.
Anthem HealthKeepers Bronze X 4900 for HSA -- $5,250 deductible with maximum out-of-pocket expenses of $6,850. Coinsurance is 35% and the plans is HSA-eligible.
Cigna Connect 7000 -- $7,000 deductible with maximum out-of-pocket expenses of $8,150. Coinsurance is 40%. Non-preventative expenses are subject to coinsurance and deductible.
Cigna Connect 6750 -- $6,750 deductible with maximum out-of-pocket expenses of $8,150. Coinsurance is 40%. $30 pcp office visit copay. Preferred generic drug copays are $8 and $24 (mail order).
Cigna Connect 6500 -- $6,500 deductible with maximum out-of-pocket expenses of $8,150. Coinsurance is 30%. $20 copay for pcp visits. Preferred generic, generic, and preferred brand drug copays (retail and mail order) are $4 and $12, $20 and $60, and $60 and $180.
Kaiser KP VA Catastrophic 8150/0/Dental -- Large deductible of $8,150, but $0 copay for first three pcp office visits. No coinsurance (0%), so maximum out-of-pocket expenses are also $8,150. 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 5500/50/Dental -- $5,500 deductible with maximum out-of-pocket expenses of $8,150. Coinsurance is 35%. $50 copay for first three pcp visits. Copay is waived for children under age five. $110 copay for diagnostic tests. $30 generic drug copay.
CareFirst BlueChoice HMO Young Adult $8,150 -- Large deductible of $8,150, but $0 copay for first three pcp office visits. No coinsurance (0%), so maximum out-of-pocket expenses are also $8,150. 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.
Virginia Premier Preferred Bronze -- $6,600 deductible with maximum out-of-pocket expenses of $7,900. Coinsurance is 50%. Non-preventative expenses are subject to coinsurance and deductible.
Piedmont Choice POS Bronze Standard 6800 HMO -- Office visit copays of $35 and $75, with $75 Urgent Care copay. Deductible is $6,800 with 40% coinsurance and $7,900 maximum out-of-pocket expenses. $35 copay on generic drugs ($87.50 mail order) with deductible and coinsurance applying to all other drugs.
OptimaFit Bronze 7200 20% Select CH M -- $7,200 deductible with maximum out-of-pocket expenses of $7,900. Coinsurance is 20%. $40 and $60 office visit copays (first three visits). Generic and preferred brand drug copays are $25 and $45.
OptimaFit Bronze 6000 20% HSA Select CH M -- HSA-eligible plan with $6,000 deductible and maximum out-of-pocket expenses of $6,650. Coinsurance is 20%.
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. However, if 12-month short-term plan rates remain competitive, with guaranteed-renewal included,
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 offers 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.
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.
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 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 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.
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 benefits are only needed for a few months (or possibly longer), a short-term plan is 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. Also, their policies are indemnity plans instead of a PPO or HMO. National General utilizes 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 a 32-year-old non-smoking male living in 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.
$39 -- $5,000 deductible with 20% coinsurance and $750,000 policy maximum benefits. Underwriting company is IHC Group
$47 -- $2,500 deductible with 20% coinsurance and $750,000 policy maximum benefits. Underwriting company is IHC Group
$60 -- $2,500 deductible with 20% coinsurance and $750,000 policy maximum benefits. Underwriting company is National Insurance
$62 -- $1,000 deductible with 20% coinsurance and $750,000 policy maximum benefits. Underwriting company is IHC Group
$70 -- $5,000 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is Companion Life
$94 -- $2,500 deductible with 20% coinsurance and $1 million policy maximum benefits. Underwriting company is UnitedHealthcare
$94 -- $500 deductible with 20% coinsurance and $750,000 policy maximum benefits. Underwriting company is 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, 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 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!