Find 2018 Medicare Plans in Virginia - VA Medicare Insurance Overview

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Virginia Medicare Insurance

Medicare in Virginia

Medicare offers healthcare coverage to Virginia residents age 65 or older, or to those Virginia residents that suffer from certain medical disabilities. In 2016, 1,338,000 people are enrolled in Medicare in Virginia, accounting for 16.3% of the population in Virginia. On average about $8,772 was spent per Virginian Medicare enrollee in 2009, approximately 15.37% lower than the national average of $10,365. From 2015 to 2030 the senior population in Virginia is projected to increase by an estimated 54.51% according to calculations based off of the 2000 Census. Thus, the number of individuals enrolled in Medicare in Virginia is also expected to grow.

Local Medicare Resources

Virginian Medicare beneficiaries, their families, and their caregivers can receive free, unbiased, and one-on-one health insurance counseling from the Virginia Insurance Counseling and Assistance Program (VICAP). Virginia also participates in Senior Medicare Patrol (SMP), a program which aims to educate and also empower consumers on how to identify, avoid, and report instances of healthcare errors, waste, fraud and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Virginia 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Virginia is $43.90, 29.74% less than the national average of $62.48. 28.1% of 2017 Medicare Part C insurance plans in Virginia have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Virginia the average annual drug deductible for Medicare Part C insurance plans with drug components is $266.69. 14.68% of 2017 Medicare Part C insurance plans with a drug component in Virginia have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Virginia is $12.38. 67.24% of 2017 Medicare Part C insurance plans without a drug component in Virginia have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Virginia is $5,798.34. 5.12% of 2017 Medicare Advantage plans in Virginia had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Virginia was 3.6 stars in 2017.
  • Among Virginia's 2017 Medicare Advantage plans with CMS star ratings:
    • 6.48% earned a score of 5 stars
    • 24.12% earned a score of 4 or 4.5 stars

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Virginia Medicare Insurance Companies

There are 23 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Virginia. Of these, the companies that offer the largest variety of plans to choose from are Humana, UnitedHealthcare, and Kaiser Permanente. In Virginia,. The following are all medicare insurance providers in Virginia:

Humana

33 Plans

Aetna

7 Plans

WellCare

2 Plans

Optima Medicare

2 Plans

Highmark

2 Plans

Cigna

2 Plans

Molina Healthcare of Virginia

1 Plans

MERIT HEALTH INSURANCE COMPANY

1 Plans

Innovation Health

1 Plans

Innovation Health

1 Plans

2018 Featured Medicare Plans in Virginia

There are 96 medicare plans in Virginia. The following are the 10 highest rated medicare plans in Virginia based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $5Kaiser Permanente - Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost) - Alexandria City County
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from $20Kaiser Permanente - Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost) - Alexandria City County
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from $30Kaiser Permanente - Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) - Alexandria City County
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from $37Kaiser Permanente - Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost) - Alexandria City County
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from $51Kaiser Permanente - Kaiser Permanente Medicare Plus Basic w/D (B) (Cost) - Alexandria City County
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from $59Kaiser Permanente - Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) - Alexandria City County
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from $98Kaiser Permanente - Kaiser Permanente Medicare Plus High w/o D (AB) (Cost) - Alexandria City County
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from $142Kaiser Permanente - Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost) - Alexandria City County
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from $0Anthem BCBS - Anthem MediBlue Local (HMO) - Chesterfield County
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from $0Anthem BCBS - Anthem MediBlue Smart Fit (HMO) - Chesterfield County
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See all Medicare plans in Virginia

Virginia Featured Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Virginia based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $31Humana - HumanaChoice R1390-002 (Regional PPO)
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from $0Humana - HumanaChoice R1390-001 (Regional PPO) - Accomack County
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from $22Humana - Humana Value Plus H6622-042 (HMO) - Albemarle County
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from $22Humana - Humana Value Plus H6622-041 (HMO) - Accomack County
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from $21Humana - Humana Value Plus H6622-045 (HMO) - Chesapeake City County
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Virginia Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Virginia based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $196UnitedHealthcare - Erickson Advantage Signature with Drugs (HMO-POS) - Fairfax County
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from $160UnitedHealthcare - Erickson Advantage Signature without Drugs (HMO-POS) - Fairfax County
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from $49UnitedHealthcare - Erickson Advantage Freedom (HMO-POS) - Fairfax County
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from $80Aetna - Aetna Medicare Choice Plan (PPO) - Alexandria City County
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from $52Aetna - Aetna Medicare Essential Plan (PPO) - Amelia County
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Virginia Featured Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Virginia based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $113Piedmont Community Health Plan - Piedmont Select Medicare Option One (PPO) - Amherst County
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from $78Piedmont Community Health Plan - Piedmont Select Medicare Option Two (PPO) - Amherst County
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from $23Piedmont Community Health Plan - Piedmont Select Medicare Option Three (PPO) - Amherst County
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from $29Aetna - Aetna Medicare Prime Plan (HMO) - Alexandria City County
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from $29Aetna - Aetna Medicare UVA Health System Prime Plan (HMO) - Albemarle County
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Virginia Featured Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Virginia based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $31Humana - HumanaChoice R1390-002 (Regional PPO)
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from $29Aetna - Aetna Medicare Prime Plan (HMO) - Alexandria City County
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from $29Aetna - Aetna Medicare UVA Health System Prime Plan (HMO) - Albemarle County
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from $0Aetna - Aetna Medicare Select Plan (HMO) - Essex County
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from $0Humana - HumanaChoice R1390-001 (Regional PPO) - Accomack County
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Most Popular Medicare Doctors in Virginia

The following are the most popular medicare doctors in Virginia based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
RadiologyROANOKE, VA
SurgeryRICHMOND, VA
SurgeryVA BEACH, VA
SpecialistFALLS CHURCH, VA
RadiologyRICHMOND, VA
RadiologyVIRGINIA BEACH, VA
RadiologyRICHMOND, VA
RadiologyFAIRFAX, VA
SurgeryVA BEACH, VA
SurgeryRICHMOND, VA
See all doctors accepting Medicare in Virginia

Browse Medicare Plans by Cities

  1. Virginia Beach, VA
  2. Norfolk, VA
  3. Chesapeake, VA
  4. Richmond, VA
  5. Newport News, VA
  6. Hampton, VA
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