Oscar Health Insurance Plans in Craig County, Virginia
- Oscar Health is one of 6 carriers offering marketplace plans in Craig County, Virginia's Rating Area 5 for 2026.
- Individuals and families with incomes between 100% and 400% FPL may qualify for subsidies on plans purchased through Marketplace Virginia / HealthCare.gov.
- Virginia Medicaid (FAMIS Plus) covers adults up to 138% FPL, and pregnant women and children up to 200% FPL.
- Craig County, with a population of 4,856, has no acute care hospitals, meaning residents travel to neighboring counties for hospital services.
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What Oscar Health Plans Are Available in Craig County?
Oscar Health offers a range of Affordable Care Act (ACA) compliant health insurance plans in Craig County, Virginia, for the 2026 plan year. These plans are categorized into metal tiers: Bronze, Silver, Gold, and Platinum, each designed to balance monthly premiums with out-of-pocket costs. Bronze plans typically have lower premiums and higher deductibles, suitable for those who anticipate minimal medical care or want protection against catastrophic events. Silver plans offer a moderate balance and are particularly advantageous for individuals and families eligible for Cost-Sharing Reductions (CSRs), which further lower deductibles, copayments, and coinsurance. Gold and Platinum plans feature higher premiums but significantly lower out-of-pocket costs, ideal for those who expect frequent medical needs. In Virginia, marketplace shoppers in Craig County can choose from Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) plan structures. This includes PPO plans, which are available on-exchange and offer more flexibility in choosing providers without a referral, unlike HMOs which typically require referrals for specialists and limit coverage to a network of doctors and hospitals.Can I Get Financial Help for Oscar Health Plans in Craig County?
Yes, many residents of Craig County, Virginia, are eligible for financial assistance to make Oscar Health plans and other marketplace plans more affordable. These subsidies, primarily Premium Tax Credits (PTCs), are available to individuals and families with household incomes between 100% and 400% of the Federal Poverty Level (FPL). The PTCs reduce your monthly premium payment, making quality health coverage more accessible. For those with incomes between 150% and 250% FPL, additional assistance is available through Cost-Sharing Reductions (CSRs). CSRs are applied exclusively to Silver-tier plans and reduce the amount you pay for deductibles, copayments, and coinsurance when you use medical services. This means a Silver plan with CSRs provides better coverage than a standard Silver plan, often at a similar premium to a Bronze plan after PTCs.Virginia Medicaid Eligibility
Virginia expanded its Medicaid program in 2019. This means adults in Craig County with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Virginia Medicaid (also known as FAMIS Plus). This program provides comprehensive health coverage with no monthly premiums and minimal or no out-of-pocket costs. Additionally, Virginia offers robust programs for specific populations:- Pregnant Women: Virginia Medicaid (FAMIS Moms) covers pregnant women with household incomes up to 200% FPL. This includes prenatal care, labor and delivery, and 12 months of postpartum care.
- Children: The Family Access to Medical Insurance Security (FAMIS) program covers uninsured children in households with incomes up to 200% FPL. For children between 200% and 400% FPL, FAMIS Select offers low-cost coverage options.
Health Insurance Carriers in Craig County
For the 2026 plan year, residents of Craig County, Virginia, have several options when selecting a health insurance carrier through Marketplace Virginia / HealthCare.gov. Craig County is part of Virginia Rating Area 5, which covers Alleghany, Bath, Bedford, Botetourt, Carroll, Covington, Craig, Floyd, Galax, Grayson, Highland, Montgomery, Pulaski, Radford, Roanoke, Roanoke, Salem, Smyth, Wythe counties. In 2026, 6 carriers offer marketplace plans in Rating Area 5, providing a competitive selection for consumers. The confirmed carriers offering plans in Craig County for 2026 are:- CareFirst BlueChoice
- Cigna
- HealthKeepers
- Oscar Health
- Sentara Health Plans
- United Healthcare
Making the Right Choice for Your Health Coverage in Craig County
Choosing the right health insurance plan requires evaluating your expected medical needs, budget, and preferred doctors. Here’s a general guide for residents of Craig County:| Your Situation | Recommended Action | Key Consideration |
|---|---|---|
| Income below 138% FPL (e.g., ~$20,120 for an individual in 2026) | Apply for Virginia Medicaid (FAMIS Plus) via commonhelp.virginia.gov. | Comprehensive coverage with no premiums. |
| Income 100%-250% FPL (e.g., ~$14,580 - $36,450 for an individual in 2026) | Explore Silver plans on Marketplace Virginia / HealthCare.gov. | Eligible for both Premium Tax Credits and Cost-Sharing Reductions. |
| Income 250%-400% FPL (e.g., ~$36,450 - $58,320 for an individual in 2026) | Compare Bronze, Silver, and Gold plans on Marketplace Virginia / HealthCare.gov. | Eligible for Premium Tax Credits to lower monthly premiums. |
| Income above 400% FPL (e.g., >$58,320 for an individual in 2026) | Review all metal tiers on Marketplace Virginia / HealthCare.gov or off-exchange plans. | Not eligible for subsidies, focus on deductibles, copays, and network. |
| Pregnant or have children | Check eligibility for FAMIS Moms (up to 200% FPL) or FAMIS (up to 200% FPL) / FAMIS Select (200-400% FPL). | Specialized programs offer extensive coverage for families. |
Frequently Asked Questions
Is Oscar Health insurance available in Craig County, Virginia?
Yes, Oscar Health is one of six carriers offering marketplace health insurance plans in Craig County, Virginia, for the 2026 plan year. These plans are available through Marketplace Virginia / HealthCare.gov.
What types of Oscar Health plans can I find in Craig County?
In Craig County, Oscar Health and other carriers offer various plan types including Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) plans on the Marketplace Virginia / HealthCare.gov exchange. PPO plans are available on-exchange in Virginia, providing more flexibility.
Can I get financial assistance for Oscar Health plans in Craig County?
Yes, individuals and families in Craig County with incomes between 100% and 400% of the Federal Poverty Level (FPL) may qualify for premium tax credits to lower their monthly health insurance costs. Those between 150% and 250% FPL may also be eligible for Cost-Sharing Reductions (CSRs) on Silver plans, which reduce out-of-pocket expenses.
Who qualifies for Virginia Medicaid in Craig County?
Virginia expanded Medicaid in 2019. Adults in Craig County with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Virginia Medicaid (also known as FAMIS Plus). Pregnant women can qualify up to 200% FPL, and children up to 200% FPL for FAMIS. Applications can be submitted via commonhelp.virginia.gov.