πŸ“ Virginia Residents

Private Health Insurance in Virginia, Built Around Your Life

Virginia’s Marketplace premiums are up about 20% for 2026, two carriers left, and the state now runs its own exchange. Whether you’re a federal contractor between gigs, a military family moving off TRICARE, a tech or cybersecurity pro, a small business owner, an early retiree, or a family comparing plans β€” a private off-exchange PPO gives you a broad network, year-round enrollment, and pricing that doesn’t ride on subsidies.

Health Insurance in Virginia

β˜…β˜…β˜…β˜…β˜…  Β·  LICENSED IN Virginia (License #1542650)  Β·  NPN 21702538  Β·  PRIVATE PPO OFF-EXCHANGE

Thyrza de Oliveira - health insurance agent in Virginia

Meet Your Virginia Insurance Specialist

Hey, I’m Thyrza, a licensed Virginia health insurance agent and the founder of Find Coverage. I work with Virginians right across the Commonwealth: federal contractors and consultants in Northern Virginia, military families and veterans around Hampton Roads, Norfolk, and Quantico, tech and cybersecurity professionals along the Dulles corridor, small business owners and families in Richmond, and early retirees, watermen, and self-employed folks from the Shenandoah Valley to Virginia Beach.

Send me your situation, whether you’re leaving an employer plan, separating from the military, between contracts, or retiring before 65 β€” and I’ll come back to you within 24 hours with options that actually fit. Plain English, no pressure, no lead-sharing.

A personalized quote based on your real life

Virginia License #1542650 Β· NPN 21702538

Why Private Health Insurance Works for Virginians

Virginia’s economy runs on the federal government, the military, and contracting, which means a lot of Virginians don’t have a steady employer plan to count on. For them, and for anyone over the subsidy cutoff, a private off-exchange PPO is often the steadier deal.

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Premiums Up ~20% for 2026

Virginia’s Bureau of Insurance approved average Marketplace rate increases of roughly 20% for 2026. With the enhanced subsidies gone, many households see an even bigger jump in what they actually pay. Off-exchange pricing doesn’t ride on subsidies at all.

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Two Carriers Left the Marketplace

Aetna and its affiliate Innovation Health exited Virginia’s individual market at the end of 2025, dropping the marketplace from ten insurers to eight. If your plan was with a departing carrier, you need a new one β€” and a private off-exchange PPO sits outside that churn.

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Income That Doesn’t Fit a W-2

Contractors, consultants, self-employed Virginians, and military spouses who work remotely all have income that moves around. The Marketplace makes you estimate it up front and reconciles at tax time β€” a bad guess means a surprise bill in April. Private PPOs skip the reconciliation game entirely.

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Virginia Hospital Access

The major Virginia systems β€” Sentara Health, Inova, VCU Health, Bon Secours, Carilion Clinic, UVA Health β€” are in-network with most private PPO plans. Marketplace HMOs in Virginia often carry a narrower hospital list. I verify your hospital against the specific plan we choose.

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HSA-Eligible If You’re Healthy

For healthier business owners, contractors, and families who can absorb a higher deductible, an HSA-compatible plan plus a maxed HSA contribution is a real tax-advantaged way to save while keeping solid coverage.

Virginia Runs on Transitions β€” and Every One Is a Coverage Moment

Virginia’s economy is built on the federal government, the armed forces, and contracting. That means Virginians are constantly between things β€” contracts end, service members separate, careers shift, people retire early. Each of those is a moment when you need coverage that doesn’t depend on an employer.

Three of the most common situations I help Virginians through:

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Between Federal Contracts

When a contract ends or you move from a W-2 role to independent consulting, your employer coverage goes with it. A private off-exchange PPO enrolls year-round, starts fast, and doesn’t tie you to a subsidy estimate β€” useful when your next contract date isn’t set.

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Separating from the Military

When you leave active-duty service, TRICARE coverage continues only for a limited transition period β€” then you and your family need a civilian plan. Leaving service is a qualifying life event, so you don’t have to wait for open enrollment. I’ll help you and your family land on the right plan.

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Retiring Before 65

Retired early, or planning to? You have a gap to cover until Medicare. COBRA is usually the most expensive way to bridge it. A private off-exchange PPO is often the steadier bridge β€” broad networks, year-round enrollment, and pricing built around your situation.

Whatever’s changing β€” a contract, a discharge, a job, a retirement date β€” send me your situation and your timeline, and I’ll have a comparison back to you within 24 hours. Virginia’s Insurance Marketplace and private PPO, side by side.

How “Building Your Coverage” Works

This isn’t a one-size-fits-all marketplace plan. You build it with a licensed Virginia agent who knows the carriers, networks, and trade-offs.

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We Look at Your Real Life

Where you live, where you travel, your income shape, your family, your doctors. No income guesswork.

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We Pick a Private PPO Core

Nationwide network. No narrow HMO restrictions. You keep your doctors.

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We Layer In What You Need

Dental, vision, accident, critical illness β€” only what makes sense for you.

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No April Surprises

You stay out of the subsidy reconciliation game. No surprise tax bills next April.

Virginia Health Insurance FAQ

Virginia’s Insurance Marketplace (marketplace.virginia.gov) is Virginia’s own state-based health insurance exchange. Virginia moved off the federal HealthCare.gov site, so this is now where you shop for and enroll in on-exchange ACA plans. Subsidies work the same way. Private off-exchange PPO plans are separate β€” they aren’t sold through the state exchange at all, which is part of why a lot of people never see them.

Aetna and its affiliate Innovation Health exited Virginia’s individual market at the end of 2025. If your plan was with either, it won’t continue. You can choose a different on-exchange plan through Virginia’s Insurance Marketplace, or a private off-exchange PPO, which generally offers a broader network and isn’t tied to the carriers that left. Send me the plan you’re losing and I’ll compare your options.

Two things stack on top of each other. First, Virginia’s Bureau of Insurance approved average premium increases of roughly 20% for 2026 β€” driven by rising hospital and pharmacy costs and medical inflation. Second, the enhanced ACA subsidies that lowered net premiums since 2021 expired at the end of 2025, so many households see a much bigger jump in what they actually pay than the 20% sticker increase alone suggests.

When you separate from active-duty service, TRICARE coverage continues only for a limited transition period, after which you and your family need civilian coverage. Leaving service is a qualifying life event, so you have a special enrollment window and don’t have to wait for open enrollment. Depending on your situation, the right fit might be an employer plan, an ACA plan through Virginia’s Insurance Marketplace, or a private off-exchange PPO β€” I’ll walk you and your family through the comparison. (Note: military retirees generally keep TRICARE; this applies to those separating from service.)

This is one of the most common situations I help with in Virginia. When a contract ends, your employer coverage usually ends with it, and your next start date may be uncertain. A private off-exchange PPO enrolls year-round and often starts the next business day, so you’re not uninsured in the gap β€” and because it’s priced directly to you, there’s no subsidy income-estimate to reconcile if your contract income is unpredictable.

Often, yes. COBRA charges you 100% of the premium plus a 2% administrative fee, with no employer contribution β€” what was a modest payroll deduction can become a four-figure monthly bill. Private off-exchange PPO plans are priced directly to you without that markup, and for many people they come in lower. It depends on your age, household, and the network you want, so the right move is to compare your specific numbers.

For sole owners or 1-2 employees, owner-only private PPO coverage plus a separate strategy for any employees is usually cleanest. For 2-50 employees, small group health plans, ICHRA (Individual Coverage HRA), and QSEHRA give you tax-advantaged ways to fund coverage without taking on full group-plan administration. We’ll walk through what fits your payroll and team size.

You have three main paths to bridge the gap: COBRA (keep your old plan, but you pay the full premium β€” usually the most expensive); an ACA plan through Virginia’s Insurance Marketplace (good if your retirement income qualifies for subsidies); or a private off-exchange PPO (often the best fit if your income is over the subsidy cutoff or you want a broad network). We’ll map your bridge to 65 around your income and your doctors.

Most private off-exchange PPO plans include the major Virginia systems β€” Sentara Health, Inova, VCU Health, Bon Secours, Carilion Clinic, and UVA Health β€” in their networks. Marketplace HMO plans often carry a narrower hospital list. Network status varies by carrier and plan, so once we pick a plan I’ll verify your preferred hospital and doctors are in-network before you enroll.

ACA Marketplace plans must cover pre-existing conditions with no medical underwriting. Some private off-exchange plans use underwriting β€” meaning your application can be declined or rated up based on health history. I’ll explain clearly which plans apply underwriting and which don’t, so you can choose what works for your situation.