October 28, 2018

The landscape for Virginia’s 2019 Individual On-Exchange Marketplace continues to change. The Medical Society of Virginia, in partnership with Benefinder, has developed guidance and solutions to assist individuals through this transition.

What are the major changes?

  • No carrier has exited the exchange or reduced their coverage area
  • Anthem made the decision to re-enter 42 localities – see Coverage Map
  • VA Premier is joining the exchange in the Richmond area – see Coverage Map
  • The open enrollment period did not change – November 1st to December 15th

What are my coverage options?

It is important that you know all of your options. Depending on your situation you may qualify for another
option beside the Individual Marketplace.

  • Individual ACA Marketplace – see the Coverage Map on the back to know which carrier participates in your county. Make sure you contact an Agent to determine if you qualify for a premium subsidy and to find the best available plan.
  • Sole Proprietor Group Health Insurance – a new Virginia law was passed effective July 1 that now allows a sole owner of a business to be eligible for small group health coverage.
  • Small Group Health Insurance “special exemption” – for a special 30 day enrollment period (Nov 15th to Dec 15th) you may be eligible to purchase small group health insurance and be exempt from both the employer contribution as well as participation requirements.

Let us assist you during this time of change

Whether you have questions or need additional guidance, please call Dustin Beekman directly at 804-422-3100 ext. 1006 or email at dbeekman@msvia.org.