People seeking health insurance in the state of Virginia can find affordable options by looking at the plans offered on the health insurance marketplace. Overall, the companies offering the cheapest Silver health insurance plans for most people are Anthem HealthKeepers and Piedmont Community HealthCare HMO Inc. These two providers offer the most affordable Silver plans in almost half of Virginia's counties and independent cities.

Choosing the right provider is the first step to getting the best deal on health insurance. For example, in most of the counties where Aetna operates, its Silver 2 plan is the cheapest Silver plan available in the county.

Cheapest health insurance by plan tier

We compared Virginia health plans by plan tier to help you find the best health insurance rates for your chosen level of coverage. No insurer offers coverage in every Virginia county, so the plans listed below may not be available where you live. But we recommend using these as a starting point to compare health care costs across tiers.

Within a given tier of coverage, your actual health insurance costs will depend on your age and income. In general, those who are older will pay more for a health insurance plan, and those who have low to moderate incomes will qualify for premium tax credits, which reduce the monthly cost of health insurance.

As you can see below, a 60-year-old in Virginia would pay more than twice the price for a Silver plan as a 40-year-old.

Finding your best health insurance coverage in Virginia

The overall best cheap health insurance plan for you in Virginia will depend on your level of coverage and health status. People who expect to have a lot of medical costs may pay less overall if they choose a health plan with higher premiums — such as a Gold policy — and lower out-of-pocket costs. This is especially true if you select a Silver plan and you qualify for cost-sharing reductions, which further reduce your copays, coinsurance and deductibles.

Start by browsing Silver plans

For all but the healthiest people, we suggest you begin your search by looking at Silver plans. When compared to Bronze health plans, a Silver plan will generally cost more each month, but the plans come with substantially lower costs for medical care. They are the only plans eligible for subsidies for cost-sharing reductions. If your income is less than 250% of the federal poverty level, your copays, coinsurance and deductibles will be more affordable.

People with recurring medical bills will see the benefits of lower out-of-pocket expenses immediately. The cheaper out-of-pocket maximums and deductibles will limit the risk of large payments should you need urgent medical care. Silver plans are generally the best health insurance plans, as they strike a good balance between what you pay for premiums versus out-of-pocket costs.

Cheap Bronze plans are best for the healthy

While Bronze plans have lower premiums, this is only part of the cost of health care. Bronze plans will typically have much higher deductibles and out-of-pocket costs, so if you need treatment, your total costs will increase. Bronze plans will generally be cheaper overall options for people who are healthier and need medical care less often. In such cases, the lower premiums combined with the lower chance of out-of-pocket expenses make these health insurance plans best for young, healthy applicants.

Gold or Platinum plans are best for those who need costly medical care

The highest-tier plans, Gold and Platinum, are also the most expensive health insurance plans. However, for those who need ongoing or costly health care, it can be worth it to pay the high monthly rates in order to get the better benefits these plans offer. With these plans, you'll generally have lower out-of-pocket costs for medical treatments. However, for those with moderate health care needs, a Silver plan may be more cost-effective.

Short-term health insurance in Virginia

Virginia residents can buy short-term health coverage directly through insurers. However, Virginia state regulations regarding short-term policies are stricter when compared to federal laws.

Based on changes made in 2021, initial coverage from a short-term plan is limited to three months, and the total length of coverage including renewals cannot exceed six months. Plus, you can't buy short-term policies during the Affordable Care Act (ACA) open enrollment period.

A short-term policy can be a good option if you do not have employer-sponsored coverage or qualify for Medicaid, or if you’ve missed open enrollment. However, a short-term plan is not required to cover the essential health benefits such as maternity care, mental health services or prescription drugs. You should evaluate your health care needs before buying one of these policies.

Best cheap health insurance companies in Virginia

Currently, 11 health insurance companies offer ACA-compliant plans in Virginia. The companies offering plans in Virginia are:

Kaiser Permanente is the best-rated health insurance company, but it is only available in the D.C metro and Richmond areas.

Anthem HealthKeepers is the most widely available provider, available in 129 of Virginia's 133 counties and independent cities. Optima Health Plan is the next most available plan, available in 36% of the state.

Cheapest health insurance plan by county

To help with your search, the following table outlines which insurer offers the cheapest Silver plan in each county and independent city in Virginia.

For shoppers with incomes under 400% of the federal poverty level, metal-tier plans purchased through the exchanges will be eligible for premium assistance through tax subsidies. The prices listed here are before any subsidies are applied. Those who qualify for a subsidy will have lower monthly insurance costs.

This county-by-county table shows how much of an impact location can have on how much you pay for health insurance. For example, a resident of Staunton can get a Silver insurance plan for $390 per month. In Richmond County, the cheapest option is $463 per month, and residents in Roanoke pay $397 per month for their cheapest plan.

Average cost of health insurance by family size in Virginia

The size of your family, as well as the age of each person insured by the policy, will directly impact the cost of a health insurance plan. Children ages 14 and under typically have a flat cost of coverage, but those 15 and older will face increasing premiums based on their age.

For instance, if you get married and add your 40-year-old spouse to your Silver health insurance plan, your premiums will increase by an average of $425 per month in Virginia. But if you add your 12-year-old child to a policy, the average increase in monthly premiums will be $255. So a family of five (with three children under 15) would pay $509 more per month for a Silver health plan, on average, than a family of three, assuming two adults are covered.

Health insurance rate changes in Virginia

In Virginia, the average cost of health insurance for 2023 is about 14% cheaper than for 2022, based on the average cost of Bronze through Platinum tiers. The largest decrease was for the cost of Silver and Gold plans, which are 17% cheaper. The cost for Platinum plans decreased the least, at 10%.

This is the third consecutive year that the average cost of health insurance in Virginia has decreased.

Frequently asked questions

Methodology

The health insurance rates and plan information used in this analysis were sourced from the Centers for Medicare & Medicaid Services (CMS) website. In our analysis, ValuePenguin determined the average rates by plan tier, age, family size and region by referencing cost data from the CMS public use files (PUFs). Plans and providers for which county-level data was included in the CMS Crosswalk file were used in our analysis; those excluded from this data set may not appear.