Health Plan Options

Health Plan Options

The Marketplace offers health plans that cover essential health benefits including doctor visits, emergency room visits, hospitalization, mental health care, and prescriptions. Some plans offer additional coverage like dental and vision. Standalone dental plans are also available. 

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Choose The Plan That Is Right For You
Health plan pays
You pay

Lowest monthly premium

Highest costs when you use healthcare services.

Bronze plan deductibles — the amount of healthcare costs you pay yourself before your insurance plan starts to pay — can be thousands of dollars a year.

Good choice if: You want a low-cost way to protect yourself from worst-case medical scenarios, like a serious illness or injury. Your monthly premium will be low, but you’ll have to pay for most routine care yourself.

Moderate monthly premium

Moderate costs when you use healthcare services.

Silver deductibles — the costs you pay yourself before your plan pays anything — are usually lower than those of Bronze plans.

IMPORTANT: If you qualify for cost-sharing reductions you must pick a Silver plan to access these savings. You can save hundreds or even thousands of dollars per year depending on how much care you use.

Good choice if: You qualify for cost-sharing reductions— or, if not, you’re willing to pay a slightly higher monthly premium than Bronze to have more of your routine care covered.

Higher monthly premium

Lower costs when you use healthcare services

Gold plan deductibles are usually low.

Good choice if: You’re willing to pay more each month to have more costs covered when you use healthcare services. If you use a lot of care, a Gold plan could be a good value.

Highest monthly premium

Lowest costs when you use healthcare services.

Deductibles are very low, meaning your plan starts paying its share for covered services earlier than other plan categories.

Good choice if: You usually use a lot of care and are willing to pay a higher monthly premium, knowing nearly all other costs will be covered.

A Marketplace by Virginia, for Virginians

Gloria, of Hampton, recently retired early and needed affordable health coverage that allowed her to keep the same doctors. With the help of a Virginia certified agent, Gloria was able to find a plan that fit her needs and budget.

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Virginia Medicaid/FAMIS

The Marketplace will also check eligibility for low-cost or no-cost health coverage programs through Virginia Medicaid or Family Access to Medical Insurance Security (FAMIS is Virginia’s health insurance program for children). For additional information about Medicaid coverage in Virginia, you can visit Cover Virginia or call 1-833-522-5582.

Cover Virginia

Recently Lose Medicaid Coverage? Find a Low-Cost Alternative

Get help finding a low-cost health insurance plan that fits your needs. 

Learn More

Helpful Resources:

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Habla en persona o virtualmente con un asistente certificado del Mercado de Salud cerca de ti para obtener información sobre los planes de seguro médico disponibles y para saber a cuáles calificas. Los asistentes brindan asistencia de inscripción gratuita e imparcial.

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Ponte en contacto con los representantes del servicio de atención al cliente del Mercado de Salud si necesitas ayuda para inscribirte en un plan de seguro médico, actualizar tu información personal o si tienes alguna pregunta.

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Ya sea que estés buscando un seguro médico individual, familiar o para empleados de pequeños negocios, un agente puede ofrecerte recomendaciones de planes personalizados y ayudarte a inscribirte.

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