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Population: 7,642,884
(Source: U.S. Census Bureau)
Uninsured: 981,000
(Source: U.S. Census Bureau)
Health Benefits Direct is a licensed insurance broker for Virginia health insurance policies. Click here to view our registration with the Virginia Office of Insurance (We're listed as HBDC). |
Virginia has the 13th highest number of uninsured in the U.S.
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Health Insurance News in Virginia
Buying Individual Insurance Policies in Virginia
State regulation of individual health insurance differs greatly from state to state. For you, this means certain conditions or providers covered in one state may not be covered in another.
Each state has its own health insurance mandates. Those mandates require that insurance companies and health plans cover, or offer coverage for, certain conditions, benefits, providers and patient populations.
Here is a list of mandated and non-mandated conditions, covered persons and providers in Virginia:
(Source: Health Insurance Mandates in the States 2008¹, Council for Affordable Health Insurance. Last updated Jan 2008.)
| Mandated (Covered) Conditions |
Non-Mandated Conditions |
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- Alcoholism
- Bone Marrow Transplants
- Breast Reconstruction
- Cancer Medications
- Cervical cancer/HPV Screening
- Cleft Palate
- Clinical Trials
- Colorectal Cancer Screening
- Congenital Bleeding Disorders
- Contraceptives
- Dental Anesthesia
- Diabetic Supplies
- Drug Abuse Treatment
- Emergency Services
- Hospice Care
- Mammogram
- Mastectomy
- Mastectomy Stay
- Maternity
- Maternity Stay
- Mental Health General
- Mental Health Parity
- Minimum Hysterectomy Stay
- Morbid Obesity Treatment
- Newborn Hearing Screening
- Off-Label Drug Use
- Prostate Cancer Screening
- TMJ Disorders
- Well-Child Care
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- Alzheimer's
- Ambulatory Surgery
- Ambulance Services
- Anti-Psychotic Drugs
- Autism
- Birthing Centers/Midwives
- Blood Lead Poisoning
- Blood Products
- Bone Mass Measurements
- Chemotherapy
- Chlamydia
- Diabetes Self Management
- Early Intervention Services
- Habilitative Services
- Hair Prostheses
- Hearing Aid
- Home Health Care
- HPV Vaccine
- In Vitro Fertilization
- Kidney Disease
- Long Term Care
- Lyme Disease
- Minimum Testicular Cancer Stays
- Neurodevelopment Therapy
- Newborn Sickle-Cell Testing
- Orthotics/Prosthetics
- Ostomy Related Supplies
- Other Infertility Services
- Ovarian Cancer Screening
- PKU/Formula
- Port-wine Stain Elimination
- Prescription Drugs
- Psychotic Drugs
- Rehabilitation Services
- Second Surgical Opinion
- Smoking Cessation
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| Mandated Covered Persons |
Non-Mandated Covered Persons |
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- Adopted Children
- Continuation/Dependents
- Continuation/Employees
- Conversion to Non-Group
- Dependent Students
- Handicapped Dependents
- Newborns
- Domestic Partners
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- Grandchildren
- Non-Custodial Children
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| Mandated (Included) Providers |
Non-Mandated Providers |
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- Acupuncturists
- Chiropodist
- Chiropractors
- Dentists
- Marriage Therapists
- Nurse Midwives
- Opticians
- Optometrists
- Osteopaths
- Pharmacists
- Physical Therapists
- Podiatrists
- Professional Counselors
- Psychiatric Nurse
- Psychologists
- Public or Other Facilities
- Social Workers
- Speech or Hearing Therapists
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- Denturists
- Dieticians
- First Nurse Assistant
- Lay Midwives
- Licensed Health Professional
- Massage Therapists
- Naturopaths
- Nurse Anesthetists
- Nurse Practitioners
- Nurses
- Occupational Therapists
- Oral Surgeons
- Pain Management Specialist
- Pastoral Counselor
- Physician Assistants
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Although health insurance coverage for a particular condition or provider may not be mandated in your state, insurance carriers may still provide coverage for the condition or provider. Please keep in mind that major medical health insurance plans are subject to health underwriting and that mandates do not necessarily guarantee coverage. If you're not sure whether you could receive coverage, one call to Health Benefits Direct can help you determine if you're eligible to buy an individual health insurance policy in Virginia.
Health Benefits Direct provides free health insurance quotes on affordable health insurance plans for Virginia residents. We work with highly rated insurance carriers to deliver quality health insurance plans to families and individuals across Virginia.
¹Authors: Victoria Craig Bunce & JP Wieske
Please note that information contained on this page can change at any time. Consequently, while we seek to present as up-to-date information as possible, Health Benefits Direct in no way warrants the accuracy of the information.
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