Pcp office visits are subject to a $40 copay and the Urgent Care copay is $60. If you miss Open Enrollment and are not eligible for a "Special Enrollment Period" exception, they should be strongly considered since they are very cheap and can provide benefits until the next eligibility period. Anthem HealthKeepers Silver X 6250 -- $6,250 deductible with maximum out-of-pocket expenses of $8,550 and 35% coinsurance. Although these options are still popular, University plans must now contain these required benefits. They are simply "workers" that were previously hired to help with the enrollment process of uninsured consumers. This unpopular charge was removed last year, which created an opportunity for many carriers to offer specialized low-cost plans to healthier prospects. You must be under age 30 to qualify for this type of low-cost plan. NCQA uses HEDIS, to measure plan quality. We are able to forward inquires to licensed health insurance agencies and their agents who are qualified to discuss the health coverage options available in your state. Virginia Premier has exited the state and Optimum Choice is new for 2021. What if I’m self-employed? $25 office visit copay for first three Telehealth office visits, and the Urgent Care copay is $75. Occasionally, part-time workers are offered "Limited Benefit" plans or indemnity policies that don't contain the comprehensive benefits you may need. Once your plan is effective, annual routine physicals, OBGYN visits, Paps, and mammograms may be immediately scheduled. Some benefits have waiting periods. Beginning January 1, 2019, more adults in Virginia will have access to quality low or no-cost health insurance through Virginia’s Medicaid program. $35 pcp office visit copay. Many budget-conscious residents of the state feel the funds should be spent elsewhere. Under-65 plans are available in the areas designated below: CareFirst BlueChoice -- Area 10 Cigna -- Areas 7, 10, and 11 Group Hospitalization And Medical Services -- Area 10 HealthKeepers -- All Areas Kaiser -- Areas 7, 10, and 12 Optima Health Plan -- Areas 2, 4, 7, 9, and 12 Oscar -- Area 7 Piedmont -- Areas 2, 3, 6, and 12. Generic and preferred brand drug copays are $20 and $50 ($60 and $150 mail order). The information above is representative of rates approved by the Virginia Bureau of Insurance (BOI) and supporting data. "Navigators" are not experienced licensed brokers that can compare and recommend the best plans for you. However, there are specific circumstances (triggering events) that will allow you to apply at any time. Piedmont Choice Bronze HSA 6200 -- HSA-eligible plan with $6,900 deductible and maximum out-of-pocket expenses of $6,900 and 35% coinsurance. And other projected expenses would also reduce. var regex = new RegExp("[\\?&]" + name + "=([^]*)"), Urgent Care copay is $50. These policies are cheaper than other Metal plans, but feature much lower benefits. Piedmont Silver 6500 -- $6,500 deductible with maximum out-of-pocket expenses of $8,150 and 30% coinsurance. return results === null ? "" See health coverage choices, ways to save today, how law affects you. First three pcp office visits covered with a $0 copay. Oscar Bronze Classic Next 2 Plan -- $0 deductible with maximum out-of-pocket expenses of $8,550 and 50% coinsurance. Generic drug copay is $3 ($7.50 for mail order). -- Danville 4. -- Lynchburg 7. The maximum reduction is offered when the family Federal Poverty Level is less than 150%. For 2021, both insurers have proposed single-digit percentage rate increases. Agency for Healthcare Research and Quality - An arm of the U.S. Department of Health and Human Services (AHRQ). The District has also permanently extended open enrollment so it will run through January 31 each year. The Department Of Medical Assistant Services administers Medicaid and CHIP, which is also known as FAMIS. The Consumer Services Section, Life and Health Division, assists Virginia consumers in resolving disputes with insurance companies, HMOs, health services plans, and the agents who may sell such insurance programs in Virginia. Virginia Premier Preferred Gold 1700 -- $1,700 deductible with maximum out-of-pocket expenses of $8,150 and 15% coinsurance. National Association of Health Underwriters - A trade association of agents, brokers, and consultants of insurance. They are Platinum, Gold, Silver and Bronze. Find the right type for you below, or explore health insurance plans by state to find coverage options in your area. Optima Health OptimaFit Catastrophic 8550 M -- $8,550 deductible with maximum out-of-pocket expenses of $8,550 and 0% coinsurance. $20 pcp office visit copay. Kaiser KP VA Gold 0/20/Dental -- $0 deductible with maximum out-of-pocket expenses of $6,850 and 35% coinsurance. If you had federal Marketplace health insurance coverage in 2020 and have questions about your 1095-A Proof of Health Insurance form, call the Marketplace at 1 … $55 pcp office visit copay for first three visits. Children may apply for enrollment if they reside in Virginia, are under age 19, are a US Citizen (or legally-residing immigrant), and reside in households that meet the FAMIS income requirements. $70 copay for diagnostic tests. Optima Health OptimaFit Bronze 6250 20% HSA Direct M -- HSA-eligible plan with $6,250 deductible and maximum out-of-pocket expenses of $6,900 and 20% coinsurance. Also, a "Catastrophic" option is available for younger persons (under age 30) and applicants that have special financial needs. This is near the national average for a bronze plan which is $249 a month. Open Enrollment for the Virginia Premier Individual and Family Health Insurance plans begins November 1, 2019 and runs through December 15, 2019. Kaiser KP VA Silver 2500/35 Vision -- $2,500 deductible with maximum out-of-pocket expenses of $8,250 and 35% coinsurance. Cigna Connect 3500 -- $3,500 deductible with maximum out-of-pocket expenses of $8,550 and 40% coinsurance. The deadline for 2018 coverage ended in December of 2017. Pcp office visits are subject to a $25 copay. First three pcp office visits covered at 100%. No individual applying for health coverage through the individual Marketplace will be discouraged from applying for benefits, turned down for coverage, or charged more premium because of health status, medical condition, mental illness claims experience, medical history, genetic information or health disability. Compliant plans are "standardized," and contain very similar core benefits. For more information about Virginia’s Medicaid/FAMIS programs, eligibility requirements, or help with enrollment: Project Connect outreach workers provide free one-on-one applying for Medicaid/FAMIS. Welcome to Virginia Medical Plans’ 2019 Health Insurance Enrollment Guide. -- Blacksburg 2. Generic and preferred brand drug copays are $15 and $50 ($45 and $150 mail order). And yes, $2.5 million dollars was originally spent on them, with the total figure rising for several years. You can also get information about health insurance options available through the Federal Marketplace. $30 and $40 office visit copays after deductible has been met. Develops practical, science-based information for medical practitioners, consumers, and other health care purchasers. Health Insurance Marketplace Open Enrollment Frequently Asked Questions Dates and deadlines for 2021 health insurance. Kaiser KP VA Gold 1500/20/Dental -- $1,500 deductible with maximum out-of-pocket expenses of $6,850 and 30% coinsurance. Virginia Health Insurance Marketplace Plans. Pediatric dental benefits are also required to be included, although coverage is basic. ER copay is $1,150. $30 pcp office visit copay. eHealthInsurance works with Virginia insurance providers that offer health insurance for individuals and families. The reduction in premium is often thousands of dollars each year. Kaiser KP VA Silver 6500/40 Vision -- $6,500 deductible with maximum out-of-pocket expenses of $8,550 and 35% coinsurance. Generic drug copay is $20 ($60 for mail order), and preferred brand and non-generic drug copays are $60 ($180 for mail-order). Family annual income limits are $25,605 for one person, $34,666 for two persons, $43,727 for three persons, and $52,788 for four persons. Just select your category above and get started! First three pcp office visits covered with a $40 copay. 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