Medicare plays a key role in providing health and financial security to beneficiaries residing in Virginia. With more than 1.5 million Virginia beneficiaries enrolled in Medicare, we’ll cover some very important information below about Medicare in Virginia. We want to help you better understand your options and make the decision-process as seamless as possible once you’re ready to enroll in Medicare or discover different coverage options.
Virginia Medicare Advantage (Part C), Medicare Supplement (Medigap) Insurance and Medicare Prescription Drug Plans (Part D)
For more information on how you can save money on your out-of-pocket costs with a Part C, Part D, or Medigap plan, please click the plans below to learn more. Licensed agents can also answer any of your questions and help you find a plan that fits your needs, lifestyle, and budget by clicking here.
Virginia Medicare Enrollments
Original Medicare Plans (Part A and B)
Medicare Advantage & Other Health Plans
Stand-alone Medicare Part D (Drug Plans)
Total Medicare Beneficiaries in Virginia
Who Qualifies for Medicare in Virginia?
Medicare covers most Virginia residents who are 65 or older, and it also covers disabled Virginia residents. In general, Medicare enrollment in Virginia works the same way as it does in the rest of the country. If you qualify for Original Medicare, also known as Part A and Part B, it will help cover 80% of your health care costs.
When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B. If you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:
- Begins 3 months before the month you turn 65
- Includes the month you turn 65
- Ends 3 months after the month you turn 65
In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll be responsible for paying this penalty for as long as you have Part B, and you could have a gap in your health coverage.
Once you reach Medicare eligibility, you can begin choosing additional coverage options to help pay for the remaining 20% of your medical expenses through Medicare Advantage (Part C), Medigap, and/or a Medicare Prescription Drug (Part D) plan.
Local Medicare Health Plan Resources in Virginia
The Virginia Insurance Counseling and Assistance Program (VICAP) is part of a national network of programs that offers free, unbiased, confidential counseling and assistance for people with Medicare. VICAP counselors can help all Medicare beneficiaries, including those with disabilities and younger than 65, explore options that best meet their needs. Counselors will help you compare the quality of care and services given by health and prescription drug plans available in your area. Programs and topics VICAP counselors can assist seniors with include:
- Original Medicare
- Medicare Part D plans in Virginia
- Medicare Advantage plans in Virginia
- Medigap coverage, including Medicaid supplements
- Commonwealth Coordinated Care Plus (CCC Plus)
- Private and public long-term care insurance
Contact: Call 1-800-552-3402 or email Aginginfo@dars.virginia.gov
The Virginia Drug Card is a statewide prescription assistance program to help cover the costs left unpaid by their Medicare Part D coverage. No personal information is required to sign up for benefits, and all residents are eligible to get pharmacy discounts through this program. The program may also be used instead of your insurance coverage when it offers greater savings than your copay.
Contact: Call 866-413-9778. Online applications may be submitted via the program’s online contact form here.Rappahannock Rapidan Community Services (RRCS) serves the communities of Culpeper, Fauquier, Madison, Orange, and Rappahannock counties with prescription coverage and Medicare assistance for low-income seniors. Options counselors assist persons to understand self-directed and agency supports using a person-centered approach. The individual is made aware of services available in the community that can meet his/her needs.
Contact: Call 540-825-3100. Email inquiries may be sent through the online contact form here.Care Coordination at AASC works with partner agencies in and around the Cedar Bluff area to maximize the benefit coverage and social support seniors get in the community. Care Coordination links older people with appropriate long-term care services so they can maintain their independence. Care coordinators provide outreach, assessment, and care planning. Through this program, individuals learn about and/or receive assistance from AASC and partner organizations.
Contact: Call 1-800-656-2272 or email aasc@aasc.org.The Carilion Medication Assistance Program (MAP) at Pearisburg offers services to low-income seniors in the Pearisburg, Princeton, and Blacksburg areas who need help paying for prescription drugs. The Medication Assistance Program staff works with pharmaceutical companies to provide medications to persons who meet income requirements. They have programs in three areas: Roanoke area, New River Valley, and Giles County.
Contact: Call 540-922-4282
The licensed agents that are partnered with Timefor65 can help you compare the availability, benefits, and costs of Medicare plans in your specific region of Virginia. Our process makes it easier for you to access your Medicare eligibility in Virginia so that you receive personalized, affordable, and easy-to-use coverage options and solutions. Fill out the form or give us a call at (866) 327‑0148 anytime to get a free quote or to ask any questions.