The new year brings an important opportunity for Virginia residents to secure their health insurance coverage. The Virginian open enrollment period for 2025 has begun. You can now explore your options through the state’s official health insurance marketplace at Marketplace.Virginia.gov.
Understanding Open Enrollment in Virginia
Open enrollment is the special enrollment period when you can sign up for health insurance or change your current plan. For 2025 coverage, the window opened on November 1st, 2024, and continues through January 15th, 2025.
To ensure that your coverage begins on the first day of the new year, you must complete your enrollment by December 15th. Should you enroll after this deadline, your coverage will begin on February 1st, 2025.
Virginians can receive coverage at Marketplace.Virginia.gov. Those outside the state can visit HealthCare.gov.
Making Healthcare More Affordable
Thanks to the American Rescue Plan Act and the Inflation Reduction Act, healthcare has become increasingly accessible and affordable. These measures build upon the groundwork established by the Affordable Care Act (ACA), which enabled 50 million Americans to get health insurance coverage in the last 14 years.
Many residents in Virginia who were once ineligible may now qualify for premium tax credits to help pay for coverage. In fact, 4 out of 5 applicants who go through the marketplace can get health insurance plans costing only $10 a month or less. This is thanks to the expansion of tax credits through the American Rescue Plan Act and Inflation Reduction Act.
Important Changes for 2025
Even if you already have insurance through HealthCare.gov or the Virginia marketplace, it’s wise to look at your options for 2025.
Each year, insurance plans and their costs can change. You may find a more affordable plan that aligns better with your needs. The marketplace makes it easy to compare plans and understand your options.
Getting Help With Enrollment
You don’t have to navigate the enrollment process alone. Free assistance is available 24/7 through various channels:
- Call the main Healthcare.gov call center (open 24 hours a day, 7 days a week except holidays): 1-800-318-2596
- Contact the Virginia Insurance Marketplace: 1-888-687-1501
- Visit localhelp.healthcare.gov to find trained enrollment navigators in your area
Medicaid and Medicare
Virginia has expanded Medicaid coverage, making more residents eligible for this program. You can check your eligibility at coverva.dmas.virginia.gov.
For seniors aged 65 and older, Medicare enrollment runs until December 7th. Medicare health plans include:
- Part A – Hospital Insurance
- Part B – Medical Insurance
- Part C – Medicare Advantage
- Part D – Drug coverage
You can visit Medicare.gov for more information.
The Inflation Reduction Act has also helped bring improvements to Medicare, especially concerning prescription drug costs. Starting in 2025, out-of-pocket prescription drug costs will be capped at $2,000 annually for Medicare Part D participants. In addition, people on Medicare Part D will see their monthly insulin costs capped at $35.
Going even further, Medicare will now have the power to directly negotiate lower drug prices. Drug companies will receive penalties for raising drug prices faster than inflation.
Protecting Yourself When Enrolling for Health Coverage
Remember, legitimate Affordable Care Act (Obamacare) policies are only available through official government websites. Be cautious of policies offered through other sources, as they may not provide the full benefits and consumer protections guaranteed by the ACA.
Don’t wait until the last minute to secure your healthcare coverage for 2025. Visit Virginia’s insurance marketplace to explore your options and find a plan that fits your needs and budget.
Need Help With Social Security Disability Benefits?
While you’re reviewing your healthcare options, you may have questions about Social Security Disability benefits. O’Neil and Bowman Disability Group helps people navigate the complex world of disability claims. Contact our experienced team today for professional guidance and support with your disability application. We’re here to help ensure you receive financial support so you can get the healthcare you need and deserve.