United Healthcare Health Insurance Plans in Tazewell County, Virginia
- United Healthcare is one of 6 carriers offering health insurance plans on HealthCare.gov in Tazewell County for the 2026 plan year.
- Marketplace plans in Tazewell County include Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) options.
- Virginia Medicaid (FAMIS Plus) is available to adults with incomes up to 138% of the Federal Poverty Level (FPL), while pregnant women and children can qualify at up to 200% FPL.
- The median household income in Tazewell County is $47,313, with an uninsured rate of 4.1% per U.S. Census Bureau ACS 2024 5-year estimates.
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What United Healthcare Plans Are Available in Tazewell County?
For the 2026 plan year, United Healthcare is a confirmed carrier offering plans on HealthCare.gov in Virginia Rating Area 6, which includes Tazewell County. Virginia's marketplace offers a robust selection of plan types, and United Healthcare participates with both Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) structures. This means residents have choices regarding how they access care, whether through a primary care physician coordinating referrals (HMO) or with more flexibility to see specialists without a referral (PPO). When selecting a plan, it is important to consider the network of providers, including local hospitals such as Clinch Valley Medical Center in Richlands and Carilion Tazewell Community Hospital in Tazewell. Always verify that your preferred doctors and facilities are in-network for any specific United Healthcare plan you are considering.Understanding Your Health Insurance Options in Tazewell County
Residents of Tazewell County have several pathways to securing health insurance coverage, primarily through HealthCare.gov, Virginia Medicaid, or direct enrollment with a carrier. The type of plan and financial assistance available often depends on household income and specific circumstances. Virginia is a state-based marketplace using the federal platform, meaning enrollment for subsidized plans occurs through HealthCare.gov. In 2026, 6 carriers offer marketplace plans in Rating Area 6, which covers Bristol, Buchanan, Dickenson, Lee, Norton, Russell, Scott, Tazewell, Washington, Wise counties. These plans are categorized into metal tiers: Bronze, Silver, Gold, and Platinum, each offering different levels of cost-sharing.| Metal Tier | Key Feature | Best For |
|---|---|---|
| Bronze | Lowest monthly premium, highest out-of-pocket costs (deductible, copay, coinsurance). | Healthy individuals who rarely visit the doctor and want protection from catastrophic medical bills. |
| Silver | Moderate premiums and out-of-pocket costs. Eligible for Cost-Sharing Reductions (CSRs) if income is below 250% FPL. | Individuals and families who qualify for subsidies and expect moderate healthcare use, or those with incomes between 150-250% FPL who can get significant savings on out-of-pocket costs. |
| Gold | Higher monthly premium, lower out-of-pocket costs. | Individuals and families with chronic conditions or those who anticipate frequent medical care and want more predictable costs. |
Virginia Medicaid and FAMIS Programs in Tazewell County
Virginia expanded its Medicaid program in 2019, extending eligibility to more adults in Tazewell County. Individuals and families with household 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 out-of-pocket costs. For specific populations, Virginia offers additional support:- FAMIS Moms: Pregnant women in Tazewell County with household incomes up to 200% FPL can qualify for FAMIS Moms, which covers prenatal care, labor and delivery, and 12 months of postpartum care. Applications can be submitted through commonhelp.virginia.gov.
- FAMIS (Family Access to Medical Insurance Security): Uninsured children in households with incomes up to 200% FPL are eligible for FAMIS. For children in families between 200% and 400% FPL, FAMIS Select offers low-cost coverage options.
Health Insurance Carriers in Tazewell County
In 2026, 6 carriers offer marketplace plans in Virginia Rating Area 6, which serves Tazewell County and its neighboring areas. These carriers provide a range of plan options, allowing residents to compare benefits, networks, and costs. The confirmed carriers for Tazewell County's Rating Area 6 are:- CareFirst BlueChoice
- Cigna
- HealthKeepers
- Oscar Health
- Sentara Health Plans
- United Healthcare
Making the Right Health Plan Decision in Tazewell County
Choosing the right health insurance plan in Tazewell County involves evaluating your healthcare needs, budget, and eligibility for financial assistance. Here's a guide to help you navigate your options:- If your income is below 138% FPL: You likely qualify for Virginia Medicaid (FAMIS Plus). This offers comprehensive, low-cost coverage. Apply through commonhelp.virginia.gov.
- If your income is between 100% and 400% FPL: You are eligible for Advanced Premium Tax Credits (APTCs) on HealthCare.gov, which can significantly reduce your monthly premiums. You may also qualify for Cost-Sharing Reductions (CSRs) if you choose a Silver plan and your income is below 250% FPL, lowering your deductibles, copays, and out-of-pocket maximums.
- If your income is above 400% FPL: You can still enroll in a marketplace plan through HealthCare.gov, though you will pay the full premium. You can also explore off-marketplace plans directly with carriers like United Healthcare.
Frequently Asked Questions
Can I get United Healthcare plans on HealthCare.gov in Tazewell County?
Yes, United Healthcare is one of 6 carriers offering plans on HealthCare.gov in Virginia Rating Area 6, which includes Tazewell County, for the 2026 plan year. You can compare their plans with others through the marketplace.
What types of health insurance plans does United Healthcare offer in Tazewell County?
In Tazewell County, United Healthcare offers both Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) plans through HealthCare.gov. Shoppers can choose the plan structure that best fits their needs and budget.
Am I eligible for Medicaid in Tazewell County, Virginia?
Virginia expanded Medicaid in 2019. Adults in Tazewell 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.
Are local hospitals like Clinch Valley Medical Center covered by United Healthcare plans?
Coverage for specific hospitals like Clinch Valley Medical Center or Carilion Tazewell Community Hospital depends on the specific United Healthcare plan and its network. Always verify network participation directly with the plan provider or the hospital before enrolling.
What is Virginia Rating Area 6?
Virginia Rating Area 6 is a geographic region used by health insurance carriers to set plan prices. It covers multiple counties, including Bristol, Buchanan, Dickenson, Lee, Norton, Russell, Scott, Tazewell, Washington, and Wise counties. All plans offered in this rating area have the same base rates.