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Virginia Medicare plans by county — 2026
133 counties in Virginia are served by 8,297 Medicare plans from 12 carriers in 2026. 2,548 Medicare Advantage plans have a $0 premium. 1,453,743 residents are 65 or older.
| County | Plans | Carriers | $0 premium | Avg. stars | Residents 65+ | Plans vs. prior year |
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| Accomack County | 50 | 7 | 12 | 3.7 | 8,570 | |
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| Albemarle County | 59 | 9 | 19 | 3.8 | 23,469 | |
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| Alexandria city | 65 | 10 | 15 | 3.8 | 20,348 | |
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| Alleghany County | 59 | 9 | 19 | 3.8 | 3,905 | |
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| Amelia County | 73 | 10 | 25 | 3.8 | 2,986 | |
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| Amherst County | 57 | 8 | 18 | 3.7 | 6,859 | |
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| Appomattox County | 60 | 9 | 18 | 3.7 | 3,509 | |
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| Arlington County | 65 | 10 | 16 | 3.8 | 28,123 | |
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| Augusta County | 62 | 9 | 20 | 3.8 | 17,626 | |
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| Bath County | 48 | 8 | 11 | 3.8 | 1,117 | |
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| Bedford County | 60 | 8 | 18 | 3.7 | 18,820 | |
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| Bland County | 65 | 9 | 20 | 3.7 | 1,546 | |
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| Botetourt County | 69 | 9 | 24 | 3.7 | 8,272 | |
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| Bristol city | 52 | 9 | 13 | 3.6 | 3,986 | |
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| Brunswick County | 57 | 8 | 16 | 3.7 | 3,539 | |
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| Buchanan County | 56 | 9 | 14 | 3.6 | 4,633 | |
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| Buckingham County | 55 | 8 | 16 | 3.8 | 3,536 | |
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| Buena Vista city | 56 | 9 | 15 | 3.8 | 1,240 | |
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| Campbell County | 58 | 8 | 18 | 3.7 | 11,771 | |
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| Caroline County | 63 | 10 | 19 | 3.7 | 5,354 | |
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| Carroll County | 56 | 8 | 16 | 3.8 | 7,626 | |
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| Charles City County | 69 | 9 | 25 | 3.8 | 1,782 | |
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| Charlotte County | 61 | 8 | 19 | 3.8 | 2,596 | |
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| Charlottesville city | 56 | 8 | 18 | 3.7 | 6,118 | |
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| Chesapeake city | 76 | 9 | 28 | 3.8 | 36,797 | |
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| Chesterfield County | 78 | 10 | 26 | 3.7 | 60,831 | |
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| Clarke County | 60 | 8 | 17 | 3.7 | 3,503 | |
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| Colonial Heights city | 71 | 10 | 24 | 3.8 | 3,364 | |
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| Covington city | 58 | 8 | 18 | 3.8 | 1,125 | |
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| Craig County | 67 | 9 | 22 | 3.7 | 915 | |
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| Culpeper County | 52 | 9 | 16 | 3.6 | 9,050 | |
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| Cumberland County | 57 | 8 | 17 | 3.7 | 2,312 | |
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| Danville city | 69 | 10 | 23 | 3.8 | 8,914 | |
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| Dickenson County | 56 | 9 | 14 | 3.6 | 3,377 | |
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| Dinwiddie County | 71 | 10 | 25 | 3.7 | 5,415 | |
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| Emporia city | 63 | 10 | 19 | 3.7 | 1,008 | |
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| Essex County | 64 | 10 | 19 | 3.7 | 2,576 | |
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| Fairfax city | 65 | 10 | 17 | 3.8 | 3,518 | |
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| Fairfax County | 61 | 10 | 11 | 4.0 | 171,935 | |
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| Falls Church city | 62 | 11 | 12 | 3.8 | 2,265 | |
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| Fauquier County | 55 | 8 | 14 | 3.6 | 12,803 | |
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| Floyd County | 69 | 9 | 23 | 3.7 | 3,808 | |
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| Fluvanna County | 56 | 8 | 17 | 3.8 | 6,097 | |
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| Franklin city | 66 | 9 | 22 | 3.7 | 1,534 | |
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| Franklin County | 69 | 9 | 24 | 3.7 | 13,565 | |
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| Frederick County | 57 | 8 | 18 | 3.7 | 17,831 | |
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| Fredericksburg city | 59 | 9 | 14 | 3.8 | 3,300 | |
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| Galax city | 61 | 9 | 18 | 3.7 | 1,418 | |
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| Giles County | 63 | 9 | 21 | 3.7 | 3,582 | |
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| Gloucester County | 67 | 9 | 23 | 3.8 | 8,267 | |
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| Goochland County | 81 | 10 | 26 | 3.9 | 6,635 | |
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| Grayson County | 56 | 9 | 14 | 3.6 | 3,975 | |
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| Greene County | 56 | 8 | 17 | 3.8 | 4,127 | |
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| Greensville County | 61 | 9 | 18 | 3.7 | 1,838 | |
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| Halifax County | 68 | 9 | 22 | 3.8 | 8,626 | |
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| Hampton city | 75 | 9 | 28 | 3.8 | 22,962 | |
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| Hanover County | 79 | 10 | 29 | 3.8 | 21,672 | |
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| Harrisonburg city | 42 | 8 | 8 | 3.6 | 5,411 | |
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| Henrico County | 80 | 10 | 29 | 3.8 | 56,918 | |
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| Henry County | 68 | 10 | 23 | 3.8 | 12,433 | |
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| Highland County | 54 | 8 | 16 | 3.7 | 798 | |
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| Hopewell city | 72 | 10 | 27 | 3.8 | 3,464 | |
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| Isle of Wight County | 73 | 9 | 26 | 3.8 | 8,027 | |
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| James City County | 69 | 9 | 25 | 3.8 | 21,862 | |
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| King and Queen County | 62 | 9 | 19 | 3.7 | 1,594 | |
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| King George County | 59 | 8 | 17 | 3.7 | 3,987 | |
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| King William County | 61 | 10 | 20 | 3.7 | 3,129 | |
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| Lancaster County | 54 | 9 | 12 | 3.8 | 4,364 | |
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| Lee County | 56 | 9 | 14 | 3.6 | 5,064 | |
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| Lexington city | 60 | 9 | 19 | 3.8 | 1,273 | |
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| Loudoun County | 66 | 11 | 14 | 4.0 | 46,894 | |
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| Louisa County | 60 | 9 | 18 | 3.7 | 8,404 | |
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| Lunenburg County | 55 | 8 | 16 | 3.8 | 2,793 | |
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| Lynchburg city | 60 | 8 | 19 | 3.7 | 11,391 | |
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| Madison County | 56 | 8 | 15 | 3.8 | 3,259 | |
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| Manassas city | 69 | 11 | 19 | 3.8 | 4,540 | |
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| Manassas Park city | 65 | 9 | 17 | 3.8 | 1,744 | |
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| Martinsville city | 59 | 8 | 19 | 3.8 | 2,285 | |
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| Mathews County | 62 | 9 | 22 | 3.8 | 2,845 | |
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| Mecklenburg County | 56 | 8 | 16 | 3.8 | 8,216 | |
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| Middlesex County | 64 | 9 | 21 | 3.8 | 3,704 | |
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| Montgomery County | 66 | 9 | 24 | 3.7 | 13,958 | |
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| Nelson County | 54 | 8 | 16 | 3.8 | 4,359 | |
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| New Kent County | 63 | 9 | 19 | 3.8 | 4,636 | |
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| Newport News city | 67 | 9 | 25 | 3.7 | 25,916 | |
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| Norfolk city | 74 | 9 | 27 | 3.8 | 30,440 | |
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| Northampton County | 62 | 8 | 20 | 3.7 | 3,542 | |
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| Northumberland County | 55 | 8 | 14 | 3.7 | 4,636 | |
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| Norton city | 55 | 9 | 14 | 3.6 | 761 | |
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| Nottoway County | 61 | 10 | 17 | 3.7 | 2,931 | |
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| Orange County | 54 | 9 | 13 | 3.8 | 7,701 | |
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| Page County | 55 | 8 | 15 | 3.6 | 5,286 | |
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| Patrick County | 63 | 10 | 19 | 3.7 | 4,835 | |
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| Petersburg city | 77 | 9 | 28 | 3.7 | 5,634 | |
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| Pittsylvania County | 66 | 9 | 21 | 3.8 | 14,673 | |
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| Poquoson city | 67 | 9 | 23 | 3.8 | 2,474 | |
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| Portsmouth city | 76 | 9 | 28 | 3.8 | 15,037 | |
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| Powhatan County | 74 | 9 | 25 | 3.7 | 6,257 | |
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| Prince Edward County | 58 | 8 | 18 | 3.7 | 3,765 | |
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| Prince George County | 64 | 9 | 22 | 3.7 | 5,697 | |
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| Prince William County | 65 | 10 | 17 | 3.8 | 55,278 | |
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| Pulaski County | 72 | 10 | 26 | 3.7 | 7,709 | |
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| Radford city | 64 | 8 | 21 | 3.7 | 1,601 | |
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| Rappahannock County | 58 | 8 | 16 | 3.6 | 2,068 | |
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| Richmond city | 81 | 10 | 29 | 3.8 | 32,244 | |
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| Richmond County | 58 | 8 | 16 | 3.7 | 1,895 | |
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| Roanoke city | 70 | 9 | 24 | 3.7 | 17,466 | |
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| Roanoke County | 71 | 9 | 24 | 3.7 | 21,468 | |
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| Rockbridge County | 61 | 9 | 20 | 3.8 | 6,183 | |
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| Rockingham County | 43 | 8 | 13 | 3.6 | 17,185 | |
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| Russell County | 55 | 9 | 14 | 3.6 | 6,033 | |
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| Salem city | 69 | 9 | 23 | 3.7 | 5,016 | |
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| Scott County | 56 | 9 | 14 | 3.7 | 5,431 | |
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| Shenandoah County | 48 | 8 | 12 | 3.7 | 10,081 | |
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| Smyth County | 54 | 9 | 14 | 3.6 | 6,762 | |
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| Southampton County | 65 | 9 | 21 | 3.7 | 3,959 | |
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| Spotsylvania County | 63 | 9 | 15 | 3.8 | 22,222 | |
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| Stafford County | 64 | 9 | 16 | 3.8 | 18,648 | |
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| Staunton city | 60 | 8 | 19 | 3.8 | 5,524 | |
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| Suffolk city | 74 | 9 | 27 | 3.8 | 15,100 | |
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| Surry County | 67 | 9 | 24 | 3.7 | 1,671 | |
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| Sussex County | 63 | 9 | 21 | 3.7 | 2,065 | |
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| Tazewell County | 52 | 8 | 13 | 3.6 | 9,411 | |
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| Virginia Beach city | 76 | 9 | 28 | 3.8 | 72,515 | |
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| Warren County | 54 | 8 | 16 | 3.7 | 7,161 | |
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| Washington County | 57 | 9 | 15 | 3.6 | 13,343 | |
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| Waynesboro city | 59 | 8 | 19 | 3.8 | 4,081 | |
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| Westmoreland County | 57 | 8 | 16 | 3.7 | 5,017 | |
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| Williamsburg city | 68 | 8 | 24 | 3.8 | 2,764 | |
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| Winchester city | 56 | 8 | 17 | 3.7 | 4,671 | |
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| Wise County | 57 | 9 | 15 | 3.6 | 7,046 | |
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| Wythe County | 58 | 9 | 15 | 3.6 | 6,272 | |
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| York County | 70 | 9 | 25 | 3.8 | 12,640 | |
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This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.