Virginia Marketplace Health Insurance: 2026 Plans and In-Network Doctors

7 insurers sell 83 medical plans through Virginia's Insurance Marketplace in Virginia for 2026, and 36 dental plans are also available. Anthem Blue Cross and Blue Shield offers the most, 15 plans. Oscar Health has the largest network, with 24,219 Virginia doctors, practices and hospitals. Individual deductibles run from $0 to $10,600, and 3 insurers offer $0-deductible plans.

7 insurers 83 medical plans Deductibles $0 to $10,600 28,698 doctors and facilities in a network

Source: CMS Marketplace plan files for plan year 2026 and insurer provider directories. Updated November 8, 2026.

NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.

Are your doctors in these plans?

Add up to 3 doctors and every plan below shows whether they are in network.

All 83 plans

Monthly premiums are not shown: they depend on your age, county, household size and income. Virginia's Insurance Marketplace lists them for your household.

Deductible: what you pay for covered care before the plan starts to pay. Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
Kaiser Permanente

KP VA Standard Platinum 0 Ded/Vision

PlatinumHMO
Deductible$0$0 family
Out-of-pocket max$5,200$10,400 family
Having a baby$1,370CMS example
Plan ID 95185VA0530010Sold in 20 Virginia countiesNo coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
UnitedHealthcare

UHC Gold Copay Focus

GoldHMO
Deductible$0$0 family
Out-of-pocket max$7,000$14,000 family
Having a baby$2,960CMS example
Plan ID 24251VA0060042Sold in 44 Virginia counties45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Copay Focus+

GoldHMO
Deductible$0$0 family
Out-of-pocket max$7,000$14,000 family
Having a baby$2,960CMS example
Dental + Vision
Plan ID 24251VA0070006Sold in 44 Virginia counties45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Kaiser Permanente

KP VA Gold 0 Ded/500 RxDed/Vision

GoldHMO
Deductible$0$0 family
Out-of-pocket max$9,200$18,400 family
Having a baby$3,070CMS example
Plan ID 95185VA0530001Sold in 20 Virginia counties35% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
UnitedHealthcare

UHC Silver Copay Focus

SilverHMO
Deductible$0$0 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,360CMS example
Plan ID 24251VA0060040Sold in 44 Virginia counties30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Cigna Healthcare

Connect Bronze 0/4900 Indiv Medical/Rx Deductible

Expanded BronzeEPOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$7,860CMS example
Plan ID 41921VA0020073Sold in 39 Virginia counties50% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Deductible$750$1,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$4,320CMS example
Plan ID 41921VA0020018Sold in 39 Virginia counties30% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Deductible$950$1,900 family
Out-of-pocket max$10,000$20,000 family
Having a baby$4,110CMS example
Plan ID 41921VA0020079Sold in 39 Virginia counties25% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Sentara Health Plans

Sentara M Gold 1000 Ded

GoldHMO
Deductible$1,000$2,000 family
Out-of-pocket max$9,950$19,900 family
Having a baby$3,310CMS example
Plan ID 20507VA1410015Sold statewide20% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Gold X DED 1050

GoldHMO
Deductible$1,050$3,150 family
Out-of-pocket max$10,150$20,300 family
Having a baby$4,620CMS example
Plan ID 88380VA0990043Sold in 129 Virginia counties30% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Gold X DED 1250 Tiered PCP

GoldHMO
Deductible$1,250$3,750 family
Out-of-pocket max$8,150$16,300 family
Having a baby$4,120CMS example
Plan ID 88380VA0990056Sold in 46 Virginia counties25% coinsuranceReferral needed for specialists
Network: Pathway X Tiered PCP & Hospital and Pharmacy Advantage Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Gold X DED 1450

GoldHMO
Deductible$1,450$4,350 family
Out-of-pocket max$8,500$17,000 family
Having a baby$3,720CMS example
Plan ID 88380VA0990033Sold in 129 Virginia counties20% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Deductible$1,800$3,600 family
Out-of-pocket max$10,500$21,000 family
Having a baby$4,070CMS example
Plan ID 41921VA0020062Sold in 39 Virginia counties20% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Kaiser Permanente

KP VA Gold 2000 Ded/Vision

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$7,300$14,600 family
Having a baby$3,970CMS example
Plan ID 95185VA0530015Sold in 20 Virginia counties30% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
UnitedHealthcare

UHC Gold Advantage

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$7,800$15,600 family
Having a baby$3,760CMS example
Plan ID 24251VA0060045Sold in 44 Virginia counties20% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Advantage+

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$7,800$15,600 family
Having a baby$3,760CMS example
Dental + Vision
Plan ID 24251VA0070002Sold in 44 Virginia counties20% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Gold X DED 2000 Standard

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,670CMS example
Plan ID 88380VA0990047Sold in 129 Virginia counties25% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
CareFirst BlueCross BlueShield

BlueChoice HMO Standard Gold 2000 Med Ded 25 Dent Ded

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$3,970CMS example
Plan ID 10207VA0380017Sold in 7 Virginia counties25% coinsuranceNo referral needed
Network: BlueChoice HMO
Details
Cigna Healthcare

Connect Gold CMS Standard

GoldEPO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,670CMS example
Plan ID 41921VA0020069Sold in 39 Virginia counties25% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Oscar Health

Gold Classic Standard

GoldEPO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,320CMS example
Plan ID 25922VA0010053Sold in 25 Virginia counties25% coinsuranceNo referral needed
Network: Individual Virginia
Details
Kaiser Permanente

KP VA Standard Gold 2000 Ded/Vision

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$3,670CMS example
Plan ID 95185VA0530014Sold in 20 Virginia counties25% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Sentara Health Plans

Sentara Standard M Gold 2000 Ded

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,610CMS example
Plan ID 20507VA1410068Sold statewide25% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
UnitedHealthcare

UHC Gold Standard

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,360CMS example
Plan ID 24251VA0060020Sold in 44 Virginia counties25% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Sentara Health Plans

Sentara M Gold 2200 Ded

GoldHMO
Deductible$2,200$4,400 family
Out-of-pocket max$7,500$15,000 family
Having a baby$4,310CMS example
Plan ID 20507VA1410066Sold statewide20% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Silver X DED 2450

SilverHMO
Deductible$2,450$4,900 family
Out-of-pocket max$10,600$21,200 family
Having a baby$5,520CMS example
Plan ID 88380VA0990035Sold in 129 Virginia counties30% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Kaiser Permanente

KP VA Gold Virtual Forward 2500 Ded

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$5,525$11,050 family
Having a baby$2,860CMS example
Plan ID 95185VA0530019Sold in 20 Virginia countiesNo coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Deductible$2,500$5,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$4,570CMS example
Plan ID 41921VA0020056Sold in 39 Virginia counties20% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Deductible$2,750$5,500 family
Out-of-pocket max$9,000$18,000 family
Having a baby$4,820CMS example
Plan ID 41921VA0020078Sold in 39 Virginia counties20% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Silver X DED 3200

SilverHMO
Deductible$3,200$6,400 family
Out-of-pocket max$10,150$20,300 family
Having a baby$6,570CMS example
Plan ID 88380VA0990040Sold in 129 Virginia counties35% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Deductible$3,250$6,500 family
Out-of-pocket max$9,200$18,400 family
Having a baby$7,920CMS example
Plan ID 41921VA0020064Sold in 39 Virginia counties50% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Sentara Health Plans

Sentara M Gold 3500 Ded

GoldHMO
Deductible$3,500$7,000 family
Out-of-pocket max$6,450$12,900 family
Having a baby$6,210CMS example
Plan ID 20507VA1410074Sold statewide30% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Silver X DED 3700 Tiered PCP

SilverHMO
Deductible$3,700$7,400 family
Out-of-pocket max$10,150$20,300 family
Having a baby$5,970CMS example
Plan ID 88380VA0990054Sold in 46 Virginia counties25% coinsuranceReferral needed for specialists
Network: Pathway X Tiered PCP & Hospital and Pharmacy Advantage Network
Details
Kaiser Permanente

KP VA Silver Virtual Forward 4000 Ded

SilverHMO
Deductible$4,000$8,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$5,370CMS example
Plan ID 95185VA0530020Sold in 20 Virginia counties30% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Silver X DED 4300

SilverHMO
Deductible$4,300$8,600 family
Out-of-pocket max$8,550$17,100 family
Having a baby$6,070CMS example
Plan ID 88380VA0990036Sold in 129 Virginia counties20% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Sentara Health Plans

Sentara M Silver 4400 Ded

SilverHMO
Deductible$4,400$8,800 family
Out-of-pocket max$9,650$19,300 family
Having a baby$6,410CMS example
Plan ID 20507VA1410025Sold statewide25% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Kaiser Permanente

KP VA Silver 4500 Ded/Vision

SilverHMO
Deductible$4,500$9,000 family
Out-of-pocket max$8,300$16,600 family
Having a baby$5,970CMS example
Plan ID 95185VA0530013Sold in 20 Virginia counties35% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Deductible$4,750$9,500 family
Out-of-pocket max$8,200$16,400 family
Having a baby$8,710CMS example
Plan ID 41921VA0020080Sold in 39 Virginia counties50% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
UnitedHealthcare

UHC Silver Value

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$7,760CMS example
Plan ID 24251VA0060044Sold in 44 Virginia counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Value+

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$7,760CMS example
Dental + Vision
Plan ID 24251VA0070004Sold in 44 Virginia counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Cigna Healthcare

Connect Bronze 5000 Indiv Med Deductible

Expanded BronzeEPOHSA
Deductible$5,000$10,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,860CMS example
Plan ID 41921VA0020081Sold in 39 Virginia counties50% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Bronze X DED 5500

Expanded BronzeHMOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,060CMS example
Plan ID 88380VA0990018Sold in 129 Virginia counties35% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Bronze X DED 5800

Expanded BronzeHMOHSA
Deductible$5,800$11,600 family
Out-of-pocket max$10,600$21,200 family
Having a baby$7,870CMS example
Plan ID 88380VA0990037Sold in 129 Virginia counties30% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Bronze X DED 5900 HSA

Expanded BronzeHMOHSA
Deductible$5,900$11,800 family
Out-of-pocket max$8,450$16,900 family
Having a baby$8,260CMS example
Plan ID 88380VA0990020Sold in 129 Virginia counties35% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Silver X DED 6000 Standard

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,670CMS example
Plan ID 88380VA0990046Sold in 129 Virginia counties40% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Cigna Healthcare

Connect Silver CMS Standard

SilverEPO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,670CMS example
Plan ID 41921VA0020070Sold in 39 Virginia counties40% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Kaiser Permanente

KP VA Standard Silver 6000 Ded/Vision

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$7,070CMS example
Plan ID 95185VA0530016Sold in 20 Virginia counties40% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Sentara Health Plans

Sentara Standard M Silver 6000 Ded

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,610CMS example
Plan ID 20507VA1410069Sold statewide40% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Oscar Health

Silver Classic Standard

SilverEPO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,120CMS example
Plan ID 25922VA0010052Sold in 25 Virginia counties40% coinsuranceNo referral needed
Network: Individual Virginia
Details
UnitedHealthcare

UHC Silver Standard

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,160CMS example
Plan ID 24251VA0060038Sold in 44 Virginia counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Sentara Health Plans

Sentara M Bronze 6250 Ded HSA

Expanded BronzeHMOHSA
Deductible$6,250$12,500 family
Out-of-pocket max$8,500$17,000 family
Having a baby$8,150CMS example
Plan ID 20507VA1410008Sold statewide30% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Deductible$6,500$13,000 family
Out-of-pocket max$8,100$16,200 family
Having a baby$8,970CMS example
Plan ID 41921VA0020030Sold in 39 Virginia counties40% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Sentara Health Plans

Sentara M Silver 6500 Ded

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$8,950$17,900 family
Having a baby$8,310CMS example
Plan ID 20507VA1410026Sold statewide30% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Kaiser Permanente

KP VA Bronze 6500 Ded/Vision

Expanded BronzeHMOHSA
Deductible$6,500$13,000 family
Out-of-pocket max$9,200$18,400 family
Having a baby$7,270CMS example
Plan ID 95185VA0530006Sold in 20 Virginia counties35% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Cigna Healthcare

Connect Bronze 6500 Indiv Med Deductible

Expanded BronzeEPOHSA
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$9,560CMS example
Plan ID 41921VA0020012Sold in 39 Virginia counties50% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Kaiser Permanente

KP VA Bronze 7100 Ded/HSA/Vision

Expanded BronzeHMOHSA
Deductible$7,100$14,200 family
Out-of-pocket max$7,100$14,200 family
Having a baby$7,160CMS example
Plan ID 95185VA0530018Sold in 20 Virginia countiesNo coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Sentara Health Plans

Sentara M Bronze 7200 Ded

Expanded BronzeHMOHSA
Deductible$7,200$14,400 family
Out-of-pocket max$10,600$21,200 family
Having a baby$9,310CMS example
Plan ID 20507VA1410019Sold statewide40% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Kaiser Permanente

KP VA Bronze 7500 Ded

BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$9,200$18,400 family
Having a baby$7,960CMS example
Plan ID 95185VA0530017Sold in 20 Virginia counties40% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Bronze X DED 7500 Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,060CMS example
Plan ID 88380VA0990044Sold in 129 Virginia counties50% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
CareFirst BlueCross BlueShield

BlueChoice HMO Standard Bronze 7500 Med Ded 25 Dent Ded

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,570CMS example
Plan ID 10207VA0380019Sold in 7 Virginia counties50% coinsuranceNo referral needed
Network: BlueChoice HMO
Details
Oscar Health

Bronze Classic Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,320CMS example
Plan ID 25922VA0010050Sold in 25 Virginia counties50% coinsuranceNo referral needed
Network: Individual Virginia
Details
Cigna Healthcare

Connect Bronze CMS Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,070CMS example
Plan ID 41921VA0020072Sold in 39 Virginia counties50% coinsuranceNo referral needed
Network: Virginia Connect Network
Details
Kaiser Permanente

KP VA Standard Bronze 7500 Ded/Vision

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,070CMS example
Plan ID 95185VA0530024Sold in 20 Virginia counties50% coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Sentara Health Plans

Sentara Standard M Bronze 7500 Ded

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,000CMS example
Plan ID 20507VA1410070Sold statewide50% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
UnitedHealthcare

UHC Bronze Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,360CMS example
Plan ID 24251VA0060032Sold in 44 Virginia counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Value

Expanded BronzeHMOHSA
Deductible$7,600$15,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,960CMS example
Plan ID 24251VA0060043Sold in 44 Virginia counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Value+

Expanded BronzeHMOHSA
Deductible$7,600$15,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,960CMS example
Dental + Vision
Plan ID 24251VA0070003Sold in 44 Virginia counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Sentara Health Plans

Sentara M Bronze 8400 Ded

Expanded BronzeHMOHSA
Deductible$8,400$16,800 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,310CMS example
Plan ID 20507VA1410072Sold statewide45% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Bronze X DED 8700

BronzeHMOHSA
Deductible$8,700$17,400 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,360CMS example
Plan ID 88380VA0990031Sold in 129 Virginia counties40% coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Oscar Health

Bronze Simple

Expanded BronzeEPOHSA
Deductible$9,000$18,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$9,900CMS example
Plan ID 25922VA0010055Sold in 25 Virginia counties40% coinsuranceNo referral needed
Network: Individual Virginia
Details
Sentara Health Plans

Sentara M Bronze 9800 Ded

BronzeHMOHSA
Deductible$9,800$19,600 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,600CMS example
Plan ID 20507VA1410073Sold statewide50% coinsuranceNo referral needed
Network: Sentara Individual & Family Health Plans
Details
Anthem Blue Cross and Blue Shield

Anthem HealthKeepers Catastrophic X

CatastrophicHMOHSA
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,660CMS example
Plan ID 88380VA0990015Sold in 129 Virginia countiesNo coinsuranceNo referral needed
Network: Pathway X Tiered Hospital and Pharmacy Advantage Network
Details
Kaiser Permanente

KP VA Catastrophic 10600 Ded/Vision

CatastrophicHMOHSA
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,560CMS example
Plan ID 95185VA0530009Sold in 20 Virginia countiesNo coinsuranceReferral needed for specialists
Network: Kaiser Foundation Health Plan of Mid Atlantic States Incorporated Signature
Details
Oscar Health

Secure

CatastrophicEPOHSA
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,600CMS example
Plan ID 25922VA0010011Sold in 25 Virginia countiesNo coinsuranceNo referral needed
Network: Individual Virginia
Details
UnitedHealthcare

UHC Bronze Essential

BronzeHMOHSA
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,660CMS example
Plan ID 24251VA0060019Sold in 44 Virginia countiesNo coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details

Insurers selling Virginia Marketplace plans

Select an insurer to see only its plans.

InsurerPlansDeductiblesOut-of-pocket maxDoctors in networkDirectory updatedAction
Anthem Blue Cross and Blue Shield 15 $1,050 to $10,600 $8,150 to $10,600 Not published n/a See plans
Cigna Healthcare 14 $0 to $7,500 $8,100 to $10,600 Not published n/a See plans
Kaiser Permanente 13 $0 to $10,600 $5,200 to $10,600 Not published n/a See plans
UnitedHealthcare 13 $0 to $10,600 $7,000 to $10,600 934 Oct 15, 2026 See plans
Sentara Health Plans 12 $1,000 to $9,800 $6,450 to $10,600 Not published n/a See plans
CareFirst BlueCross BlueShield 11 $1,750 to $10,600 $6,850 to $10,600 Not published n/a See plans
Oscar Health 5 $2,000 to $10,600 $8,200 to $10,600 24,219 Nov 5, 2026 See plans

Dental-only insurers

6 insurers sell stand-alone dental plans in Virginia but no medical plans.

InsurerDental plansDentists in network
Dominion National12841
DentaQuest4538
EMI Health41,031
Guardian4Not published
Delta Dental3Not published
Humana33,906

Where the in-network doctors are

Doctors and facilities in Virginia listed by at least one Marketplace insurer, by city and by primary specialty.

Top cities

Richmond4,111
Charlottesville2,189
Fairfax1,605
Falls Church1,169
Virginia Beach1,138
Alexandria1,072
Roanoke663
Midlothian624
Fredericksburg603
Arlington594
Manassas582
Norfolk582

Top specialties

Dentist4,136
Counselor4,068
Nurse Practitioner3,467
Social Worker2,795
Internal Medicine1,655
Pharmacy1,404
Optometrist1,174
Physician Assistant972
Family Medicine682
Nurse Anesthetist, Certified Registered679
Psychiatry & Neurology622
Pediatrics601

Questions about Virginia Marketplace plans

Which insurers sell Marketplace plans in Virginia?
7 insurers sell medical plans for 2026: Anthem Blue Cross and Blue Shield, Cigna Healthcare, Kaiser Permanente, UnitedHealthcare, Sentara Health Plans, CareFirst BlueCross BlueShield, and Oscar Health. 6 more insurers sell dental plans only.
When can I enroll in a Virginia Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Nov 1, 2026 to Jan 29, 2027 on Virginia's Insurance Marketplace. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Which insurer has the most doctors in Virginia?
Oscar Health lists 24,219 Virginia doctors, practices and hospitals, 21,045 of them accepting new patients. Directories can be out of date, so call the office to confirm before you enroll.
What is the lowest deductible on a Virginia Marketplace plan?
6 plans have a $0 individual deductible. Deductibles run from $0 to $10,600. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
These are Virginia's 2026 plans, the latest available. Virginia's 2027 plan details are not public yet, so prices, benefits and doctors may be different for 2027. Check Virginia's Insurance Marketplace before you enroll. The doctor lists already include doctors that insurers list for 2027. This page will be updated when the 2027 details come out.
Are all Virginia plans sold in every county?
No. 71 plans are sold only in some counties, and 12 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on Virginia's Insurance Marketplace. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.

About this data

NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on Virginia's Insurance Marketplace.

SourceWhat it provides hereSource date
CMS public use files for Virginia's Insurance MarketplacePlans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is soldPlan year 2026
Insurer provider directoriesWhich doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in Virginia are counted.Updated November 8, 2026
NPPES NPI registryProvider names, practice addresses and primary specialtiesMatched November 8, 2026
  • Only individual-market plans sold on Virginia's Insurance Marketplace are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
  • Doctors listed for 2026 or 2027 plans are counted, because insurer directories already list 2027 networks and most plan IDs carry over.
  • Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
  • Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.