Health Insurance for Contractors in Chesterfield County, Virginia

Updated July 2026 · VirginiaPlanFinder.com — Licensed Health Insurance Producer (NPN #21249133)

As a contractor or self-employed individual in Chesterfield County, Virginia, securing affordable and comprehensive health insurance is a critical step in managing your health and finances. The primary avenue for coverage is through Marketplace Virginia, the state-based marketplace that uses the federal platform, HealthCare.gov. Here, you can find plans that comply with the Affordable Care Act (ACA), offering essential health benefits and financial assistance to reduce your monthly premiums and out-of-pocket costs. Virginia expanded Medicaid in 2019, providing a vital safety net for those with lower incomes, covering individuals up to 138% of the Federal Poverty Level.

Get Your Free Health Insurance Quote

A licensed agent can compare coverage options for you at no cost.

By submitting, you agree to be contacted by a licensed agent. Standard message and data rates may apply.

✓

You're all set!

A licensed agent will reach out shortly.

What Health Insurance Options Are Available for Contractors in Chesterfield County?

Contractors in Chesterfield County have several distinct pathways to health insurance, each with its own eligibility criteria and benefits. Understanding these options is key to finding the best fit for your specific needs and financial situation.

Marketplace Plans (ACA Plans)

The most common option for self-employed individuals is purchasing a plan through Marketplace Virginia. These plans are available during the annual Open Enrollment Period (typically November 1 to January 15) or through a Special Enrollment Period if you experience a qualifying life event (such as getting married, having a baby, or losing other coverage). ACA plans offer comprehensive coverage, including: Importantly, PPO plans ARE available on-exchange in Virginia, alongside HMO and EPO options, giving you more flexibility in choosing your doctors and hospitals without requiring a primary care physician referral for specialists.

Virginia Medicaid (FAMIS Plus)

Virginia expanded its Medicaid program in 2019 (known as Virginia Medicaid Expansion or FAMIS Plus), meaning adults with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for free or low-cost health coverage. For a single individual in 2026, this threshold is approximately $21,114 per year. Medicaid offers comprehensive benefits with no monthly premiums and minimal out-of-pocket costs. If your income falls within this range, applying for Virginia Medicaid should be your first step.

Coverage for Pregnant Women and Children

Virginia also provides robust support for families. Virginia Medicaid (FAMIS Moms) covers pregnant women with incomes up to 200% FPL, including prenatal care, labor and delivery, and an extended 12 months of postpartum care. Children in households up to 200% FPL can qualify for FAMIS (Family Access to Medical Insurance Security), with FAMIS Select offering low-cost coverage for children between 200% and 400% FPL. Applications for these programs can be submitted through commonhelp.virginia.gov.

Financial Assistance for Contractors in Chesterfield County

One of the most significant benefits of purchasing health insurance through Marketplace Virginia is the availability of financial assistance, which can make coverage much more affordable for contractors.

Premium Tax Credits (Subsidies)

If your household income is between 100% and 400% of the FPL, you may qualify for Premium Tax Credits (PTCs). These credits reduce your monthly premium payments, making health insurance more accessible. The exact amount of your subsidy depends on your income, household size, and the cost of plans in your area. For example, a single contractor in Chesterfield County with an income of $45,000 might pay significantly less per month than the sticker price of a plan.

Cost-Sharing Reductions (CSRs)

In addition to premium tax credits, individuals with incomes up to 250% of the FPL may also qualify for Cost-Sharing Reductions (CSRs). CSRs reduce the amount you have to pay out-of-pocket for deductibles, copayments, and coinsurance. To receive CSRs, you must enroll in a Silver-tier plan. These enhanced Silver plans provide much better value than standard Silver plans or even some Gold plans, as they significantly lower your financial exposure when you need care.

Choosing the Right Plan Tier

Marketplace plans are categorized into metal tiers: Bronze, Silver, Gold, and Platinum. These tiers indicate how you and your plan share costs, not the quality of care.
Metal Tier What the Plan Pays (on average) What You Pay (on average) Best For
Bronze 60% 40% Contractors who want the lowest monthly premium and can afford higher out-of-pocket costs if they get sick or injured. Good for those who rarely visit the doctor.
Silver 70% 30% Contractors who qualify for Cost-Sharing Reductions (CSRs) or those who want a balance between monthly premiums and out-of-pocket costs. Good if you expect moderate medical needs.
Gold 80% 20% Contractors who expect to use a lot of medical services and prefer to pay a higher monthly premium for lower costs when they receive care.
Platinum 90% 10% Contractors with very high expected medical costs who want the lowest possible out-of-pocket expenses for services, in exchange for the highest monthly premium.
Chesterfield County, part of Virginia Rating Area 3, which covers Charles City, Chesterfield, Colonial Heights, Dinwiddie, Goochland, Hanover, Henrico, Hopewell, New Kent, Petersburg, Powhatan, Richmond, Richmond counties, has a population of 377,869 and an uninsured rate of 6.5% per U.S. Census Bureau ACS 2024 5-year estimates. The county is served by Bon Secours St Francis Medical Center in Midlothian, an acute care hospital. For contractors, understanding the local healthcare landscape, including available providers and plan types, is crucial for selecting appropriate coverage that meets both health and financial needs.

Health Insurance Carriers in Chesterfield County

In 2026, 6 carriers offer marketplace plans in Rating Area 3, which includes Chesterfield County. These carriers provide a range of plan types, including HMO, PPO, and EPO options, ensuring contractors have choices that fit their preferences for network access and cost structure. The confirmed carriers for Chesterfield County are: When reviewing plans, always check the specific network of doctors and hospitals to ensure your preferred providers, including Bon Secours St Francis Medical Center, are included.

Next Steps for Contractors Seeking Health Insurance

Navigating health insurance as a contractor can feel complex, but understanding your options and leveraging available assistance can simplify the process significantly.
Your Estimated Annual Income (Single Individual) Recommended Action Program Name
Below $21,114 (138% FPL) Apply for Virginia Medicaid (FAMIS Plus) immediately. This is comprehensive, low-cost coverage. Virginia Medicaid / FAMIS Plus
$21,114 – $61,000 (138% – 400% FPL) Explore Marketplace Virginia plans. You will likely qualify for significant Premium Tax Credits and potentially Cost-Sharing Reductions (if you choose a Silver plan). Marketplace Virginia (ACA Plans with PTC/CSR)
Above $61,000 (400% FPL) Explore Marketplace Virginia plans. While you may not qualify for subsidies, you can still find comprehensive ACA-compliant coverage. Consider the different metal tiers based on your expected healthcare usage. Marketplace Virginia (ACA Plans)
A licensed health insurance producer can provide personalized guidance, helping you compare plans, understand subsidy eligibility, and enroll in coverage that best suits your needs as a contractor in Chesterfield County. Their assistance is typically free of charge.

Frequently Asked Questions

Can I get a tax deduction for health insurance premiums as a contractor?
Yes, self-employed individuals and contractors in Chesterfield County can generally deduct 100% of their health insurance premiums from their gross income, provided they are not eligible to participate in an employer-sponsored health plan (from their spouse, for example). This deduction applies to premiums paid for medical, dental, and long-term care insurance.
What if my income as a contractor fluctuates throughout the year?
If your income as a contractor fluctuates, it is crucial to estimate your annual income accurately when applying for marketplace plans and subsidies. If your actual income differs significantly from your estimate, you may need to adjust your information on HealthCare.gov or Marketplace Virginia to avoid repaying excess subsidies or missing out on additional assistance. Regular updates can help ensure your subsidies are correct.
Are PPO plans available to contractors in Chesterfield County?
Yes, PPO plans are available on-exchange in Chesterfield County, Virginia, through Marketplace Virginia. Contractors can choose from HMO, PPO, and EPO plan structures, allowing for flexibility in provider networks and referral requirements. Carriers like Cigna and United Healthcare offer PPO options in Rating Area 3.

Get Your Free Quote