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VA

Virginia Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to Virginia residents.

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Virginia Dental Coverage

Moderate

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

  1. VCU dental school in Richmond offers quality low-cost care
  2. Virginia SHIP (1-800-552-3402) for plan guidance
  3. Competitive MA markets in Northern VA (DC suburbs), Richmond, and Virginia Beach
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Virginia Vision Coverage

Moderate

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

  1. DBVI: 804-371-3140 for vision rehabilitation
  2. UVA Eye Center offers specialized care
  3. Virginia SHIP: 1-800-552-3402
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Virginia Hearing Aids Coverage

Limited

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

  1. VDDHH: 1-800-552-7917 for resources
  2. VATS: 1-800-552-5019 for assistive technology
  3. Virginia SHIP: 1-800-552-3402
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Virginia Nursing Home Coverage

Not Covered

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

  1. PACE programs in Richmond, Roanoke, and Northern VA
  2. Commonwealth Coordinated Care Plus supports home-based alternatives
  3. SHIP: 1-800-552-3402
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๐Ÿ“Š Live CMS Data Virginia Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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1,688,634
Total Medicare Beneficiaries (2024)
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643,577
Enrolled in Medicare Advantage (2024) 38.1% of total
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1,045,057
Original Medicare (Parts A & B) Only
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218,692
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
112
Plans available in Virginia
Average Monthly Premium (2025)
$11.4
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. UnitedHealth
  2. Anthem HealthKeepers
  3. Aetna
Free SHIP Counseling
Virginia SHIP
1-800-552-3402
Free, unbiased Medicare help

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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.

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1-800-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 โ†’

Medicare 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.

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Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Virginia.

Care Compare โ†’