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Best Cheap Health Insurance in Virginia in 2023

Best Cheap Health Insurance in Virginia in 2023

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Consumers 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.

For 2023, the average cost of health insurance in Virginia is $382 a month for a 40-year-old.

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.

Plan tier
Cheapest plan
Out-of-pocket maximum
CatastrophicBlueChoice HMO Young Adult 9100$163$9,100$9,100
BronzeInnovation Health - Aetna Bronze$261$6,000$7,100
SilverSilver S: Aetna$331$800$3,000
GoldGold S: Aetna$352$2,000$8,700
PlatinumKP VA Platinum 0/15/Vision$471$0$4,000

Monthly costs are for a 40-year-old.

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.

Average monthly cost of health insurance in Virginia by plan tier

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. Individuals 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 consumers, 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. Furthermore, they are the only plans eligible for additional 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.

Consumers 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 consumers who are healthier and need less-frequent medical care. In such cases, the lower premiums combined with the lower likelihood 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 purchase 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, short-term policies are not available for purchase 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. Therefore, you should evaluate your health care needs before purchasing one of these policies.

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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:

  • Aetna Life Insurance Co.
  • Anthem HealthKeepers
  • CareFirst BlueChoice
  • CareFirst BlueCross BlueShield
  • Cigna Health and Life Insurance Co.
  • Innovation Health Plan Inc.
  • Kaiser Permanente
  • Optima Health Plan
  • Oscar Insurance Co.
  • Piedmont Community HealthCare HMO Inc.
  • UnitedHealthcare

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.

County name
Cheapest Silver plan
Age 40
Couple, age 40
Couple, age 40 and child
AccomackAnthem HealthKeepers Silver X 5000$463$926$1,203
AlbemarlePiedmont Silver 5800$390$780$1,014
Alexandria CityInnovation Health - Aetna Silver 2 (Telehealth and $0 MinuteClinic Visits at CVS)$358$716$930
AlleghanyAnthem HealthKeepers Silver X 5000$463$926$1,203
AmeliaSilver S: Aetna network of doctors & hospitals + telemedicine + $0 MinuteClinic visits at CVS$331$662$860
Show All Rows

Monthly rates are based on 40-year-old adults and children age 14 or younger.

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.

Family size
Average monthly cost
Individual and child$680
Couple, age 40$851
Family of three (adult couple and a child)$1,106
Family of four (adult couple and two children)$1,360
Family of five (adult couple and three children)$1,615

Sample rates are based on the average cost of a Silver plan in Virginia for 40-year-old adults and children age 14 or younger.

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%.

Metal tier
Change (2022 to 2023)

Monthly rates are based on a 40-year-old adult.

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

Frequently asked questions

Does Virginia have affordable health care coverage?

The average cost for a Silver health plan in Virginia is 24% more affordable than the national average of $560 per month. Virginia's average monthly rate for a Silver plan decreased by 17% between 2022 and 2023.

What is the cheapest type of health insurance in Virginia?

The cheapest type of health insurance in Virginia is Medicaid, which offers free or low-cost coverage depending on family size, income and other factors. If you don't qualify for Medicaid, Catastrophic and Bronze plans are the lowest-cost plans available through the exchange to residents. The cheapest Catastrophic plan costs $163 per month and is available if you are under 30 years old or qualify for a hardship exemption, whereas Bronze plans are available to everyone and cost $336 per month on average. Just keep in mind that Catastrophic plans are not eligible for premium tax credits.

How do I sign up for health insurance in Virginia?

Virginia residents can sign up for health insurance via the federal health insurance exchange at You'll need to create an online account, then you can let the site guide you through the selection process. Virginia offers five plan tiers and three plan types — HMO, EPO or PPO — to help you find the option that fits your needs.

What is the best health insurance in Virginia?

The best health insurance in Virginia depends on your finances and how often you use insurance. Virginia offers plan tiers ranging from Catastrophic to Platinum. If you have ongoing health care needs or costly prescriptions, the best option is usually a higher-tier plan. Although premiums are higher, frequent health care users pay lower deductibles and other out-of-pocket costs with a Gold or Platinum plan, making it a cheaper option.


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.

Editorial Note: The content of this article is based on the author’s opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.


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