Virginia Beach Health Insurance Rates For Individuals And Seniors

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 2023 Exchange plans is $9,100.

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.  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.

 

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 X 9100 -- $40 office visit copay for first three pcp visits. $9,100 deductible.

 

Bronze Tier

OptimaFit Bronze 7200 40% Direct M -- $45 copay for first three pcp Tier 1 visits. $90 copay for first three Tier 2 visits. Specialist visits are subject to $90 and $180 copays. $7,200 deductible. $20 ($60 mail order) Tier 1 drug copays. $50 Urgent Care copay.

OptimaFit Bronze 6250 20% HSA Direct M -- HSA-eligible plan with $7,050 deductible. 20% coinsurance.

OptimaFit Bronze 9100 0% Direct M -- $9,100 deductible and 0% coinsurance.

Anthem HealthKeepers Bronze X 8200 -- $8,200 deductible and 40% coinsurance. Office visits and prescriptions must meet deductible.

Anthem HealthKeepers Bronze X 9100 Standard -- $9,100 deductible and 0% coinsurance. Office visits and prescriptions must meet deductible.

Anthem HealthKeepers Bronze X 5500 -- $30 pcp office visit copay. Specialist office visits and prescriptions must meet deductible ($9,100). $60 Urgent Care copay.

Anthem HealthKeepers Bronze X 5900 for HSA -- HSA-eligible plan with $5,900 deductible and $7,450 maximum out-of-pocket expenses. Coinsurance is 35%.

Anthem HealthKeepers Bronze X 5800 -- $25 pcp office visit copay. Generic drug copay is $20 ($60 mail order). $5,800 deductible. $50 Urgent Care copay.

Anthem HealthKeepers Bronze X 7500 -- $50 and $100 office visit copays. Generic drug copay is $25 ($75 mail order). $7,500 deductible. $75 Urgent Care copay.

 

Silver Tier

OptimaFit Silver 6600 30% Direct M -- $25 and $75 pcp and specialist office visit copays.  Preferred generic and preferred brand drug copays are $20 and $50. $6,600 deductible.

OptimaFit Silver 4600 30% Direct M -- $25 and $75 pcp and specialist office visit copays.  Preferred generic and preferred brand drug copays are $15 and $50.  $4,600 deductible.

OptimaFit Silver 3000 25% Direct M -- $40 and $75 pcp and specialist office visit copays.  Preferred generic and preferred brand drug copays are $15 and $50.  $3,000 deductible.

Anthem HealthKeepers Silver X 6250 -- $35  pcp office visit copay.  Generic and preferred brand/ non-preferred generic drug copays are $15 and $60.  $6,250 deductible. $55 Urgent Care copay.

Anthem HealthKeepers Silver X 5300 -- $20  pcp office visit copay.  Generic and preferred brand/ non-preferred generic drug copays are $20 and $60.  $5,300 deductible. $50 Urgent Care copay.

Anthem HealthKeepers Silver X 2200 -- $25  pcp office visit copay.  Generic and preferred brand/ non-preferred generic drug copays are $15 and $60.  $2,200 deductible. $55 Urgent Care copay.

 

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. $75 Urgent Care copay.

Anthem HealthKeepers Gold X 2000 -- $25  pcp office visit copay.  Generic and preferred brand/ non-preferred generic drug copays are $10 and $40 ($30 and $120 mail order). $2,000 deductible. $50 Urgent Care copay.

 

Virginia Beach Healthcare

 

 

 

 

 

 

 

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

 

Senior Va Medicare Advantage Rates

 

Medicare Advantage Plans For Virginia Beach

 

 

 

AARP Medicare Advantage Plan 1 (HMO) H5253-087-0 -- $0 monthly premium with $0 deductible.  Preferred generic, generic, and preferred brand drug copays are $0, $8, and $47.  Primary doctor and specialist office visit copays are $0 and $25.  Lab services and outpatient x-ray copays are $5 and $14. ER and Urgent Care copays are $90 and $40. Maximum out-of-pocket expenses are $4,500. 6,095 members are enrolled statewide.

AARP Medicare Advantage Plan 2 (HMO) H5253-088-0 -- $26 monthly premium with $0 deductible.  Preferred generic, generic, and preferred brand drug copays are $0, $8, and $47.  Primary doctor and specialist office visit copays are $0 and $20.  Lab services and outpatient x-ray copays are $5 and $15. ER and Urgent Care copays are $90 and $40. Maximum out-of-pocket expenses are $3,900. 1,683 members are enrolled statewide.

AARP Medicare Advantage Choice (PPO) H2577-011-0 -- $0 monthly premium with $0 deductible.  Preferred generic, generic, and preferred brand drug copays are $0, $14, and $47.  Primary doctor and specialist office visit copays are $0 and $35.  Lab services and outpatient x-ray copays are $0 and $15. ER and Urgent Care copays are $90 and $40. Maximum out-of-pocket expenses are $6,700. 2,007 members are enrolled statewide.

AARP Medicare Advantage Patriot (PPO) H2577-015-0 -- $0 monthly premium.  Prescription drug benefits not provided.  Primary doctor and specialist office visit copays are $0 and $40.  Lab services and outpatient x-ray copays are $0 and $15. ER and Urgent Care copays are $90 and $40. Maximum out-of-pocket expenses are $6,700. 1,266 members are enrolled statewide.

Aetna Medicare Select Plan (HMO) H3931-100-0 -- $0 monthly premium with $0 deductible.  Preferred generic, generic, and preferred brand drug copays are $0, $0, 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 $5,400. 1,275 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 Plans

 

Virginia Part D  Prescription Drug (PDP) Plans

AARP MedicareRx  Preferred  (S5820-006) -- $75.20 monthly premium with $0 deductible and 3,507 formulary drugs available. Preferred Pharmacy 30-day copays are $5 (preferred generic), $10 (generic), $45 (preferred brand), 40% (non-preferred), and 33% (specialty).

AARP MedicareRx Saver Plus  (S5921-352) -- $26.20 monthly premium with $435 deductible and 3,072 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $7 (generic), $27 (preferred brand), 35% (non-preferred), and 25% (specialty).

AARP MedicareRx Walgreens  (S5921-389) -- $34.20 monthly premium with $435 deductible and 3,018 formulary drugs available. Preferred Pharmacy 30-day copays are $0 (preferred generic), $5 (generic), $40 (preferred brand), 32% (non-preferred), and 25% (specialty).

Anthem MediBlue Rx Enhanced  (S5596-068) -- $20.90 monthly premium with $300 deductible and 3,085 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $2 (generic), 20% (preferred brand), 38% (non-preferred), and 25% (specialty).

Anthem MediBlue Rx Plus  (S5596-006) -- $46.00 monthly premium with $0 deductible and 3,115 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $3 (generic), $40 (preferred brand), 42% (non-preferred), and 33% (specialty).

Anthem MediBlue Rx Standard  (S5596-005) -- $46.50 monthly premium with $365 deductible and 2,848 formulary drugs available. Preferred Pharmacy 30-day copays are $1 (preferred generic), $2 (generic), $33 (preferred brand), 40% (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).