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Virginia Health Insurance —
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Virginia Health Insurance Guide

Virginia launched its own state-based ACA Marketplace, providing residents with improved plan options and dedicated enrollment support. Virginia expanded Medicaid in 2019 — adults earning up to 138% of the Federal Poverty Level may qualify for Medicaid (Cardinal Care). Above the Medicaid threshold, Virginians can access subsidized private plans from carriers including Anthem, Optima Health, Kaiser Permanente, Molina, and CareFirst. From Northern Virginia's suburbs to the Shenandoah Valley and Hampton Roads, Virginia residents benefit from a competitive health insurance market. A licensed advisor can navigate your options and estimate your subsidy — at no cost.

Virginia has expanded Medicaid — adults earning up to 138% of the Federal Poverty Level may qualify for Medicaid at no cost.

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ACA Open Enrollment Key Dates

The ACA Open Enrollment Period runs each fall. Missing the deadline may mean waiting until next year or qualifying for a Special Enrollment Period.

Nov 1, 2026

Open Enrollment begins. Compare and enroll in plans for 2027 coverage.

Dec 15, 2026

Enroll by this date for coverage starting January 1, 2027.

Jan 15, 2027

Last day of Open Enrollment. After this date a qualifying life event is required to enroll.

Frequently Asked Questions

Does Virginia have its own ACA marketplace?

Yes. Virginia launched Marketplace Virginia as its state-based platform in 2023, transitioning from HealthCare.gov. Residents now access Virginia Marketplace plans through the state platform for improved enrollment support and state-specific plan options.

Has Virginia expanded Medicaid?

Yes. Virginia expanded Medicaid in 2019. Adults earning up to 138% of the Federal Poverty Level may qualify for Virginia Medicaid (Cardinal Care). Children and pregnant women may qualify at higher income levels.

What ACA carriers serve Virginia?

Virginia Marketplace carriers include Anthem Blue Cross Blue Shield of Virginia, Optima Health, Kaiser Permanente of the Mid-Atlantic, Molina Healthcare, and CareFirst BlueCross BlueShield. Carrier availability varies significantly by region of the state.

Do ACA subsidies apply in Virginia?

Yes. If your income is at or above 100% of the Federal Poverty Level and you don't have access to affordable employer coverage, you may qualify for a Premium Tax Credit. Many Virginia residents qualify for $0–$100/month premiums after credits.

Ready to See Your Virginia Options?

Our licensed advisors help Virginia residents find the right coverage at the right price — at no cost to you.