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

Sentara Health Insurance Plans in Abingdon, Virginia

Sentara Health Plans is one of 6 carriers offering marketplace plans in Abingdon's Rating Area 6 for 2026.
Virginia's Marketplace offers HMO, PPO, and EPO plans, allowing for a range of network and cost options.
Abingdon residents may qualify for subsidies if their income is between 100% and 400% of the Federal Poverty Level (FPL).
Virginia expanded Medicaid in 2019, covering adults with incomes up to 138% FPL through programs like FAMIS Plus.

Navigating your health insurance options in Abingdon, Virginia, includes understanding the carriers and plans available to you. For 2026, Sentara Health Plans is one of the key providers offering coverage through Marketplace Virginia. As a resident of Abingdon, you have access to a variety of plan types, including HMO, PPO, and EPO options, designed to fit different healthcare needs and budgets. It's crucial to compare these plans based on premiums, deductibles, out-of-pocket maximums, and network providers to find the best fit for your family.

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What Are Your Health Insurance Options with Sentara Health Plans in Abingdon?

Abingdon residents seeking health insurance have several avenues to explore, with Sentara Health Plans being a prominent option. In Virginia, the health insurance marketplace operates as a State-Based Marketplace using the Federal Platform (SBM-FP), meaning you'll apply and enroll through HealthCare.gov. This platform allows you to compare plans from all participating carriers, including Sentara Health Plans, and determine your eligibility for financial assistance. Virginia's Medicaid program, known as Virginia Medicaid or FAMIS Plus, expanded in 2019. This means adults with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for free or low-cost health coverage. For those with incomes above 100% FPL but below 400% FPL, significant subsidies in the form of Advance Premium Tax Credits (APTCs) are available to reduce monthly premiums, making marketplace plans more affordable. Cost-Sharing Reductions (CSRs) can also lower out-of-pocket costs for eligible individuals and families, especially those enrolled in Silver-tier plans. Abingdon, with a population of 8,330, and its parent Washington County, with 53,926 residents, are part of Virginia Rating Area 6. This rating area also covers Bristol, Buchanan, Dickenson, Lee, Norton, Russell, Scott, Tazewell, and Wise counties. For 2026, 6 carriers offer marketplace plans in Rating Area 6, ensuring a competitive market for consumers.

Understanding Plan Types Available in Abingdon

When selecting a health insurance plan in Abingdon, you'll encounter different plan structures that impact how you access care and what you pay. In Virginia, marketplace shoppers can choose from Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) plans.

HMO (Health Maintenance Organization): These plans typically require you to choose a primary care provider (PCP) within the plan's network who then refers you to specialists. HMOs often have lower premiums and out-of-pocket costs, but offer less flexibility in choosing providers outside the network.
PPO (Preferred Provider Organization): PPO plans offer more flexibility. You don't usually need a referral to see a specialist and can see out-of-network providers, though you'll pay more for doing so. PPOs generally have higher premiums than HMOs but provide a broader choice of doctors and hospitals.
EPO (Exclusive Provider Organization): EPO plans combine features of both HMOs and PPOs. They typically don't require referrals to see specialists, but they generally won't cover care from out-of-network providers except in emergencies.

Sentara Health Plans, like other carriers in the marketplace, offers a range of these plan types. It's important to check the specific plan details to understand the network, referral requirements, and cost structure that best suits your healthcare preferences.

Health Insurance Carriers in Abingdon

In 2026, 6 carriers offer marketplace plans in Rating Area 6, which includes Abingdon. This ensures that residents have multiple options when choosing a health insurance plan. The confirmed carriers for this rating area are:

CareFirst BlueChoice
Cigna
HealthKeepers
Oscar Health
Sentara Health Plans
United Healthcare

Sentara Health Plans provides various options within the marketplace, and you can compare their offerings against other carriers on Marketplace Virginia (HealthCare.gov). When choosing a plan, consider factors such as the plan's metal tier (Bronze, Silver, Gold, Platinum), the network of doctors and hospitals, prescription drug coverage, and overall out-of-pocket costs. Johnston Memorial Hospital in Abingdon is a major acute care facility in Washington County, and verifying its inclusion in a plan's network can be a critical factor for local residents.

Making Your Health Insurance Decision in Abingdon

Choosing the right health insurance plan involves assessing your income, healthcare needs, and budget. Here's a guide to help you decide:

Income Level (as % FPL)	Recommendation	Key Benefit
Below 138% FPL	Apply for Virginia Medicaid (FAMIS Plus)	Comprehensive, low-cost coverage with no premiums or deductibles for eligible adults.
100% - 250% FPL	Consider an Enhanced Silver Plan	Eligible for Cost-Sharing Reductions (CSRs) which lower deductibles, copayments, and out-of-pocket maximums, in addition to premium tax credits.
251% - 400% FPL	Utilize Premium Tax Credits for any Metal Tier	Receive Advance Premium Tax Credits (APTCs) to reduce your monthly premium for Bronze, Silver, Gold, or Platinum plans.
Above 400% FPL	Compare all Metal Tiers on Marketplace Virginia	While not eligible for subsidies, you can still find competitive plans and choose the tier that best matches your expected healthcare usage.

Abingdon, Virginia, has an uninsured rate of 3.9%, per U.S. Census Bureau ACS 2024 5-year estimates, significantly lower than the Washington County rate of 6.7%. This suggests that most residents have found suitable coverage, often leveraging the options available through the Marketplace. Whether you're looking for comprehensive coverage from Sentara Health Plans or comparing options from other carriers like CareFirst BlueChoice or United Healthcare, a licensed health insurance agent can provide personalized assistance. They can help you understand your eligibility for subsidies, compare plans, and enroll at no cost to you.

Frequently Asked Questions

Can I get Sentara Health Plans through the Marketplace Virginia?

Yes, Sentara Health Plans is one of 6 carriers offering marketplace plans in Abingdon's Rating Area 6 for 2026. You can enroll in a Sentara plan through Marketplace Virginia (HealthCare.gov) during open enrollment or a special enrollment period.

What types of plans does Sentara Health Plans offer in Abingdon?

In Abingdon, and across Virginia, marketplace plans including those from Sentara Health Plans are typically offered as Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) plans. The specific plan types offered by Sentara may vary, so it's important to check the details for your exact ZIP code.

What is the uninsured rate in Abingdon, Virginia?

Abingdon, Virginia, has an uninsured rate of 3.9%, which is lower than its parent Washington County's uninsured rate of 6.7%. These figures are per U.S. Census Bureau ACS 2024 5-year estimates. This indicates a high rate of coverage among residents.

Do I need a referral to see a specialist with Sentara Health Plans?

Whether you need a referral depends on the specific Sentara Health Plans plan type you choose. HMO plans typically require a referral from your primary care provider (PCP) to see a specialist, while PPO and EPO plans often do not, though EPOs may only cover in-network specialists. Always confirm the referral requirements for your chosen plan.

Can I get financial help to pay for Sentara Health Plans coverage?

Yes, depending on your income, you may be eligible for financial assistance. If your income is between 100% and 400% of the Federal Poverty Level (FPL), you may qualify for Advance Premium Tax Credits (APTCs) to lower your monthly premiums. If your income is between 100% and 250% FPL, you may also qualify for Cost-Sharing Reductions (CSRs) which reduce your deductibles, copayments, and out-of-pocket maximums.