Medicare in Virginia

Virginia Medicare
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By the numbers

There are 1.2 million Virginia residents who get their health insurance benefits from Medicare and 15% of them are enrolled in a Medicare Advantage plan.

  • Number of Medicare Advantage plans offered in Virginia: 116
  • Total enrollments in a Medicare Advantage plan: 173,844
  • Percentage of Medicare Advantage plans with a $0 premium: 54%
  • Average amount Medicare spends per beneficiary: $8,772
  • Growth of Medicare spending in Virginia (1991-2009): 9%

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in Virginia

Virginia Medicare Savings Programs: Virginia residents who are enrolled in Medicare and have limited income and resources can apply to one of the state's Medicare Savings Programs to get discounts on premiums, deductibles, and other expenses not covered.

Virginia State Health Insurance Counseling and Assistance Program (SHIP): In Virginia, the State Insurance Counseling and Assistance Program (SHIP) is run by the Division for the Aging. They provide unbiased information for beneficiaries and their loved ones at no cost.

How healthy is the state of Virginia?

Virginia is the twelfth most populous state in the U.S. and ranked as the 20th healthiest state to live. Virginia's strength as a healthy state is helped by its low violent crime rates as well as high use of early prenatal care. Two challenges facing Virginia are its moderate immunization coverage as well as high prevalence of smoking.

All data provided by the Henry J. Kaiser Family Foundation.