Oscar Health Insurance Plans in Richmond, Virginia

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

For residents of Richmond, Virginia, Oscar Health offers a range of health insurance options through Marketplace Virginia, which utilizes the federal HealthCare.gov platform. These plans provide comprehensive coverage for essential health benefits, including doctor visits, prescription drugs, hospital care, and mental health services. As an expanded Medicaid state, Virginia ensures that individuals and families with lower incomes have access to affordable healthcare, either through Virginia Medicaid or subsidized marketplace plans. Understanding your eligibility for financial assistance, such as premium tax credits and cost-sharing reductions, is key to finding an Oscar Health plan that fits your budget and healthcare needs in Richmond.

What Are My Oscar Health Plan Options in Richmond?

Oscar Health participates in the Marketplace Virginia, providing health insurance coverage for individuals and families in Richmond and the surrounding Rating Area 3. When selecting an Oscar Health plan, you'll typically encounter various metal tiers—Bronze, Silver, Gold, and sometimes Platinum. Each tier represents a different balance between monthly premiums and out-of-pocket costs:

• Bronze Plans: These plans have the lowest monthly premiums but the highest deductibles and out-of-pocket maximums. They are suitable for individuals who expect to use healthcare services infrequently and want protection against catastrophic medical costs.
• Silver Plans: Offering moderate premiums and out-of-pocket costs, Silver plans are unique because they are the only tier eligible for Cost-Sharing Reductions (CSRs). If your income is between 100% and 250% of the Federal Poverty Level (FPL), you can get extra savings on deductibles, copayments, and coinsurance, making Silver plans a strong value.
• Gold Plans: With higher monthly premiums than Bronze or Silver, Gold plans come with lower deductibles and out-of-pocket maximums. These plans are ideal for individuals who anticipate needing more frequent medical care and prefer to pay more upfront for lower costs when they receive services.

Oscar Health, like other carriers in Virginia, may offer various plan types including Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), and Exclusive Provider Organizations (EPO). PPO plans ARE available on-exchange in Virginia, meaning marketplace shoppers in Richmond can choose from HMO, PPO, and EPO structures. Always review the plan's Summary of Benefits and Coverage (SBC) to understand specific benefits, cost-sharing, and network restrictions.

Who Qualifies for Financial Assistance in Richmond?

Many Richmond residents can significantly reduce their health insurance costs through financial assistance programs available via Marketplace Virginia. These subsidies are crucial for making coverage affordable:

• Premium Tax Credits (Subsidies): If your household income is between 100% and 400% of the Federal Poverty Level (FPL), you may qualify for premium tax credits. These credits can be applied directly to your monthly premium, lowering your out-of-pocket cost. The exact amount depends on your income, household size, and the cost of the benchmark Silver plan in your area.
• Cost-Sharing Reductions (CSRs): Available exclusively for Silver plans, CSRs reduce the amount you pay for deductibles, copayments, and coinsurance. You may qualify for CSRs if your income is between 100% and 250% FPL. CSRs effectively increase the value of a Silver plan, offering better coverage for a lower out-of-pocket cost.
• Virginia Medicaid (FAMIS Plus): Virginia expanded Medicaid in 2019. Adults with income up to 138% FPL may qualify for Virginia Medicaid or FAMIS Plus, which provides comprehensive coverage with no monthly premiums and minimal or no out-of-pocket costs. This is a critical safety net for lower-income individuals and families in Richmond.

For pregnant women in Virginia, FAMIS Moms covers those with income up to 200% FPL, including 12 months of postpartum care. Children in households up to 200% FPL can receive coverage through FAMIS. For children between 200% and 400% FPL, FAMIS Select offers low-cost coverage. You can apply for these programs through commonhelp.virginia.gov.

Health Insurance Carriers in Richmond

In 2026, 6 carriers offer marketplace plans in Rating Area 3, which covers Charles City, Chesterfield, Colonial Heights, Dinwiddie, Goochland, Hanover, Henrico, Hopewell, New Kent, Petersburg, Powhatan, Richmond, Richmond counties. Oscar Health is one of these options, providing competitive plans for Richmond residents. The full list of confirmed carriers for Rating Area 3 includes:

• CareFirst BlueChoice
• Cigna
• HealthKeepers
• Oscar Health
• Sentara Health Plans
• United Healthcare

When comparing plans, it's important to look beyond just the monthly premium. Consider the network of doctors and hospitals, the plan's deductible, copayments, coinsurance, and the maximum out-of-pocket limit. Richmond, Virginia, with a population of 229,359 and an uninsured rate of 8.8% per U.S. Census Bureau ACS 2024 5-year estimates, is served by several major acute care hospitals, including Medical College of Virginia Hospitals, Bon Secours St Marys Hospital, Bon Secours Richmond Community Hospital, and Cjw Medical Center. Ensure your chosen Oscar Health plan includes access to the providers and facilities you prefer.

Making an Informed Decision in Richmond

Choosing the right Oscar Health plan or any other health insurance in Richmond involves evaluating your personal health needs, financial situation, and preferred access to care. Here's a quick guide to help you decide:

A licensed health insurance producer specializing in the Virginia marketplace can provide personalized guidance, helping you navigate the options and enroll in an Oscar Health plan or another carrier's plan that best suits your unique circumstances. Their services are typically free to you.

Frequently Asked Questions

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