Find Affordable Health Insurance In Virginia

How To Get Health Care Insurance When You Are Not On An Employer’s Group Health Plan

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State of  Virginia Major Medical Plans

The Affordable Care Act (ACA) health insurance, sometimes known as Obamacare, extends medical coverage beyond doctor visits and surgical procedures. Most of the plans pay all or a portion of the price of your prescribed drugs, as well as other healthcare-related services such as rehab, nursing home care, physical therapy, and mental health care.

What It Is: Traditional health care coverage like you would have through an employer. Provides coverage for pre-existing conditions.

Cost: $400 – 700/month, per person. The national average is $438.

Source: https://www.healthmarkets.com/content/health-insurance-cost-per-month

When Is Federal Open Enrollment?

You can enroll in an ACA health plan during the Federal Open Enrollment period. Every year, from November 1 to January 15, this takes place.

When Is Virginia’s Open Enrollment Period?

Washington observes the annual federal open enrollment period, which lasts from November 1 to January 15.

Special Enrollment Periods

Outside of the federal Open Enrollment period, you can register for an ACA health plan within 60 days after a qualifying life event.

Types Of Qualifying Life Events:

  • Loss of health coverage. Losing existing health coverage, including job-based, individual, and student plans.
  • Changes in marital status (getting married/divorced)
  • Having a baby or adopting
  • Changes in residence. Moving to a different ZIP code or county

Temporary Medical Insurance In Virginia

A temporary health insurance plan can offer you basic medical coverage during a gap in insurance coverage.

What It Is: These types of plans are for people in good health that do not need to treat pre-existing conditions.

Cost: Dependent on your age and state availability. Compared to ACA, these plans are very affordable.

Who Needs Temporary Health Insurance?

  • Individuals who missed the deadlines for the ACA exchanges and need to wait until the next enrollment period
  • Individuals who have a waiting period before enrollment in an employer’s health insurance or another program
  • People who are temporarily in between jobs or have been laid off
  • Self-employed individuals
  • People looking for a plan less expensive COBRA health insurance
  • Those needing temporary coverage:
    • College students or recent graduates
    • Young adults coming off their parent’s health benefit plan
    • Retirees waiting for Medicare eligibility
    • Coverage for dependents not covered under an employer plan

What Is COBRA Insurance?

The Federal COBRA Act allows employees and their qualifying dependents to extend the coverage of their workplace health insurance if the policy would expire due to a qualifying event.

COBRA coverage is available for up to 18 months for workers and 36 months for families.

To join a COBRA plan, the employer who provided the work health insurance will give enrollment information within 45 days of losing the benefits.

What It Is: A continuation of your most recent employer group health plan.

Cost: $400 – 700/month, per person. National average is $438.

COBRA coverage is offered for up to 18 months for employees and 36 months for families.

Within 45 days of losing the coverage, the employer who provides the work health insurance shall provide enrollment details for a COBRA plan.

Low-Income Health Insurance In Virginia

Children from low-income families, adults, pregnant women, people with certain disabilities, and parents who meet certain income limits are all eligible for DMAS’ systematic program. Every state must adhere to the Federal Medicaid regulations on who is eligible for coverage, but each state is free to alter the income and asset eligibility standards in a fair manner.

In Virginia, behavioral health services, nursing homes, and medical care are all covered by Medicaid. As a substitute for institutionalization, home- and community-based “Waivers” offer long-term care services. To create an account visit benefitsapplication.com.

Reporting Health Insurance Fraud In Virginia

Attorney General Miyares attaches utmost attention to combat Medicaid fraud. While the majority of Medicaid healthcare providers in the Commonwealth give their patients outstanding treatment, a select handful prey on the most defenseless residents the elderly and disabled, children, and the poor. Visit Medicaid-fraud to report Medicaid fraud.

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