Virginia Medicare Coverage Guide
Find dental, vision, hearing aid, and nursing home Medicare benefits available to Virginia residents.
Virginia Dental Coverage
Virginia Medicaid covers dental for dual-eligible beneficiaries. Virginia Commonwealth University and University of Virginia dental programs serve the population.
Available Programs
- Virginia Medicaid Dental
- Medicare Advantage dental plans
- VCU School of Dentistry (Richmond)
- VCOM dental programs
Typical Out-of-Pocket Cost
$400โ$1,800/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Virginia Residents
- VCU dental school in Richmond offers quality low-cost care
- Virginia SHIP (1-800-552-3402) for plan guidance
- Competitive MA markets in Northern VA (DC suburbs), Richmond, and Virginia Beach
Virginia Vision Coverage
Virginia Medicaid covers vision for dual-eligible members. Northern VA has highly competitive MA market.
Available Programs
- Virginia Medicaid vision
- Medicare Advantage vision
- Virginia Department for the Blind and Vision Impaired
Typical Out-of-Pocket Cost
$150โ$400/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Virginia Residents
- DBVI: 804-371-3140 for vision rehabilitation
- UVA Eye Center offers specialized care
- Virginia SHIP: 1-800-552-3402
Virginia Hearing Aids Coverage
Virginia MA plans offer hearing benefits. Virginia has good audiology resources in Northern VA and Richmond metro areas.
Available Programs
- Medicare Advantage hearing plans
- Virginia Department for the Deaf and Hard of Hearing
- Virginia Assistive Technology System
Typical Out-of-Pocket Cost
$1,000โ$7,000 per pair
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Virginia Residents
- VDDHH: 1-800-552-7917 for resources
- VATS: 1-800-552-5019 for assistive technology
- Virginia SHIP: 1-800-552-3402
Virginia Nursing Home Coverage
Medicare Part A covers SNF. Virginia Medicaid covers long-term care. Virginia has many nursing facilities and PACE programs.
Available Programs
- Medicare Part A SNF
- Virginia Medicaid LTC
- PACE Virginia (multiple sites)
- Virginia SHIP (1-800-552-3402)
Typical Out-of-Pocket Cost
$250โ$340/day semi-private
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Virginia Residents
- PACE programs in Richmond, Roanoke, and Northern VA
- Commonwealth Coordinated Care Plus supports home-based alternatives
- SHIP: 1-800-552-3402
๐ Live CMS Data Virginia Medicare Snapshot
Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ public data from data.cms.gov
- UnitedHealth
- Anthem HealthKeepers
- Aetna
Get Free Help in Virginia
SHIP Counseling
Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.
Find Virginia SHIP โ1-800-MEDICARE
Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.
Medicare.gov โMedicare Plan Finder
Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Virginia by ZIP code.
Compare Plans โNursing Home Compare
Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Virginia.
Care Compare โ