• Medicare Advantage Plans in Virginia

    Medicare Advantage, or Medicare Part C are Medicare supplement plans that are sold by private companies with the approval of state and federal regulators and must follow the same guidelines as standard Medicare. Depending on where you live, the options available to you may vary. Clear Spring Health is here to help you find what options are available to you in Virginia.

    Virginia counties may have as many as 48 different Medicare Advantage Plans to choose from. Clear Spring Health makes it easy to find the right plan for you by providing a zip code-based lookup.

    Find VA Plans based on your Zip Code

    Medicare Eligibility

    U.S. citizens are eligible for medicare if they meet the following requirements:

    • People aged 65 and older, or those who have worked 40 quarters (a total of 10 years)
    • People who have been diagnosed with End-Stage Renal Disease (ESRD).
    • People who are eligible for and/or receive Social Security or Railroad Retirement Board disability benefits.
    • You have ALS or “Lou Gehrig’s Disease”.

    Getting Help with Medicare in Virginia

    Whether you’re having difficulty understanding the terms, need a hand with choosing a plan that fits your needs, or just want to find assistance in paying for your Medicare, help is available to you. Below you’ll find local Virginia resources that can help you with most medicare problems.

    VA Medicare Payment Assistance

    Virginia offers a Medicare Savings Program (MSP) for people with limited income that helps them pay some or all of their Medicare premiums. The program operates in three categories of eligibility:

    • Qualified Medicare Beneficiary (QMB)
    • Specified Low-Income Medicare Beneficiary (SLMB)
    • Qualifying Individual (QI-1)

    Each of these eligibility categories lay out their own income requirements, but all plans require that:

    • You’re a working disabled person under 65
    • You lost your premium-free Part A when you went back to work
    • You aren’t getting medical assistance
    • You meet the income and resource limits required by your state

    Need medicare assistance in Virginia? Visit Senior Navigator, a non-profit helping seniors in Virginia.

    If you’re a Medicare recipient or a caregiver and have questions about Medicare Advantage plans (Part C), Medicare Part D, or long-term care insurance, you can contact the VA chapter of Seniors’ Health Information Program (SHIP). SHIP also assists with Medicare billing questions. SHIP counselors are not licensed insurance agents and they do not sell or endorse any medicare plans, products, or companies. Learn more about Virginia SHIP through VICAP.

    Virginia Medicare Advantage Facts

    According to statistics from the Center for Medicare & Medicaid Services (CMS), 1.5 million people in Virginia are enrolled in Medicare. Additionally,

    • Of those 1.5M Medicare beneficiaries, 339,000 are on Medicare Advantage Plans
    • 986,000 people in Virginia use Medicare Advantage prescription drug plans.
    • 30% of Virginians’ prescription drug plans are Medicare Advantage drug plans while 70% are stand alone plans.

    Enrollment is Easy!

    Call 1-877-364-4566 and a trained sales representative will answer any questions and enroll you right over the phone or and complete a simple online application.Enroll Now

    Last Updated on December 16, 2020, 3:28 am CST


    Clear Spring Health, PO Box 278530 Miramar, FL 33027

    ©Copyright Clear Spring Health | All Rights Reserved

    Clear Spring Health has a contract with Medicare to offer PPO, HMO, and PDP Plans. Eon Health has a contract with the Georgia Medicaid program and a contract with the South Carolina Medicaid program. Enrollment in these plans depends on contract renewal.

    To learn more, please call MAPD: (877) 364-4566;   TTY users should call 711. Our office hours are October 1 – March 31, seven days a week, 8:00 a.m. – 8:00 p.m. and from April 1 – September 30, Monday through Friday, 8:00 a.m. – 8:00 p.m. (you may leave a voicemail Saturday, Sunday and Federal Holidays).

    Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.Llame al MAPD: 1-877-364-4566;   (TTY: 711)

    The portal is currently undergoing maintenance to improve user experience,
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