Health Insurance Options for Part-Time Workers in Isle of Wight County, Virginia
- Part-time workers in Isle of Wight County can access health insurance through Marketplace Virginia or Virginia Medicaid/FAMIS programs.
- Virginia Medicaid is available for adults with incomes up to 138% of the Federal Poverty Level (FPL), approximately $20,783 for an individual in 2024.
- Subsidies on Marketplace Virginia can significantly reduce monthly premiums for individuals earning between 138% and 400% FPL.
- In 2026, 6 carriers offer marketplace plans in Isle of Wight County's Rating Area 4, including HMO, PPO, and EPO options.
Get Your Free Health Insurance Quote
A licensed agent can compare coverage options for you at no cost.
You're all set!
A licensed agent will reach out shortly.
What Health Insurance Options Are Available for Part-Time Workers?
For part-time workers in Isle of Wight County, health insurance options primarily fall into two categories: plans purchased through Marketplace Virginia (the ACA exchange) and government-sponsored programs like Virginia Medicaid or FAMIS. The best option for you will depend on your household income, family size, and specific healthcare needs.Isle of Wight County, part of Virginia Rating Area 4, serves a population of 39,974 with a median income of $95,241 per U.S. Census Bureau ACS 2024 5-year estimates. Despite a low uninsured rate of 4.7% for the county, many part-time workers still seek individual coverage. Residents needing acute care travel to a neighboring county, as Isle of Wight County has no acute care hospitals within its boundaries.
Marketplace Virginia (ACA Plans)
Marketplace Virginia, which uses the federal HealthCare.gov platform, is the primary avenue for individuals and families to purchase health insurance if they do not have access to affordable employer-sponsored coverage. Plans are categorized by "metal tiers" (Bronze, Silver, Gold, Platinum), indicating the percentage of healthcare costs the plan is expected to cover:- Bronze Plans: Cover approximately 60% of costs, with you paying 40%. They have lower monthly premiums but higher deductibles and out-of-pocket maximums.
- Silver Plans: Cover approximately 70% of costs, with you paying 30%. These are the only plans eligible for cost-sharing reductions (CSRs), which lower your deductibles, copayments, and out-of-pocket maximums if your income is below 250% FPL.
- Gold Plans: Cover approximately 80% of costs, with you paying 20%. They have higher monthly premiums but lower deductibles and out-of-pocket costs when you receive care.
Financial Assistance: Premium Tax Credits and Cost-Sharing Reductions
Many part-time workers qualify for financial assistance, which can make marketplace plans significantly more affordable:- Premium Tax Credits (Subsidies): These credits lower your monthly health insurance premium. Eligibility is based on household income relative to the Federal Poverty Level (FPL). If your income is between 138% and 400% FPL, you will likely qualify for a subsidy.
- Cost-Sharing Reductions (CSRs): Available only with Silver plans, CSRs reduce the amount you pay out-of-pocket for deductibles, copayments, and coinsurance. You qualify for CSRs if your income is below 250% FPL.
Virginia Medicaid and FAMIS Programs
Virginia expanded its Medicaid program in 2019 (Virginia Medicaid Expansion / FAMIS Plus), providing coverage for adults with household incomes up to 138% of the Federal Poverty Level (FPL). This means if your income falls within this range, you may qualify for comprehensive, low-cost or no-cost health insurance. For a single individual, this threshold was approximately $20,783 per year in 2024. Additionally, Virginia offers programs for pregnant women and children:- FAMIS Moms: Covers pregnant women with income up to 200% FPL. This includes prenatal care, labor and delivery, and 12 months of postpartum care.
- FAMIS (Family Access to Medical Insurance Security): Provides coverage for uninsured children in households up to 200% FPL. For children between 200% and 400% FPL, FAMIS Select offers low-cost coverage options.
Who Qualifies for Subsidies in Isle of Wight County?
Eligibility for financial assistance on Marketplace Virginia is determined by your household income in relation to the Federal Poverty Level (FPL). The income thresholds are updated annually. Here’s a general guide for 2024 FPL figures (these are subject to change):| Household Size | 138% FPL (Medicaid Eligibility) | 250% FPL (CSR Eligibility) | 400% FPL (Max Subsidy Eligibility) |
|---|---|---|---|
| 1 | Up to $20,783 | Up to $37,950 | Up to $60,720 |
| 2 | Up to $28,207 | Up to $51,450 | Up to $82,320 |
| 3 | Up to $35,632 | Up to $64,950 | Up to $103,920 |
| 4 | Up to $43,056 | Up to $78,450 | Up to $125,520 |
Health Insurance Carriers in Isle of Wight County
Residents of Isle of Wight County benefit from a competitive marketplace. In 2026, 6 carriers offer marketplace plans in Rating Area 4, which covers Chesapeake, Franklin, Franklin, Hampton, Isle of Wight, James City, Newport News, Norfolk, Northampton, Poquoson, Portsmouth, Southampton, Suffolk, Surry, Virginia Beach, Williamsburg, York counties. These carriers provide a variety of plan types, including HMOs, PPOs, and EPOs, with different network sizes and cost structures. The confirmed carriers for Isle of Wight County's Rating Area 4 for the 2026 plan year include:- CareFirst BlueChoice
- Cigna
- HealthKeepers
- Oscar Health
- Sentara Health Plans
- United Healthcare
Making the Best Choice for Your Part-Time Coverage
Choosing the right health insurance plan when working part-time involves evaluating your income, health needs, and budget. Here's a decision-making framework:- If your income is below 138% FPL: You will likely qualify for Virginia Medicaid (FAMIS Plus). This program offers comprehensive benefits with little to no out-of-pocket costs. Apply through commonhelp.virginia.gov.
- If your income is between 138% and 250% FPL: You are eligible for significant premium tax credits and cost-sharing reductions. A Silver plan is often the best value in this range, as CSRs make deductibles and copays much lower than other metal tiers.
- If your income is between 250% and 400% FPL: You will still qualify for premium tax credits to lower your monthly premiums. You can choose any metal tier that fits your budget and healthcare usage. Consider a Bronze plan for lowest premiums if you anticipate minimal healthcare use, or a Gold plan if you prefer lower out-of-pocket costs for care.
- If your income is above 400% FPL: You can purchase a plan through Marketplace Virginia without subsidies. You'll pay the full premium, so comparing plans across all available carriers and metal tiers is essential to find the best fit.
Frequently Asked Questions
Can I get health insurance if I work part-time in Isle of Wight County?
Yes, part-time employment status does not prevent you from qualifying for health insurance through the Affordable Care Act (ACA) marketplace, Virginia Medicaid, or FAMIS programs in Isle of Wight County. Your eligibility and the amount of financial assistance you receive depend primarily on your household income, not your work hours.
What are the income limits for Virginia Medicaid in Isle of Wight County?
In Virginia, adults with household incomes up to 138% of the Federal Poverty Level (FPL) are eligible for Virginia Medicaid. For a single individual, this was approximately $20,783 per year in 2024. Eligibility thresholds are higher for pregnant women (up to 200% FPL) and children (up to 200% FPL for FAMIS).
How do ACA subsidies work for part-time workers in Isle of Wight County?
If your income is above 138% FPL but below 400% FPL, you may qualify for premium tax credits (subsidies) through Marketplace Virginia. These subsidies reduce your monthly premium, making plans more affordable. The amount of your subsidy is based on a sliding scale, with lower incomes receiving greater assistance.
What types of health plans are available in Isle of Wight County?
Residents of Isle of Wight County, which is part of Virginia Rating Area 4, can choose from various plan types on Marketplace Virginia, including Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) plans. The specific options and networks vary by carrier.