1,620,000
Total Medicare beneficiaries
43%
On Medicare Advantage
57%
On Original Medicare
$202.90
Standard Part B premium (2026)
Medicare Enrollment by County in Virginia
The 15 most-populous counties by Medicare beneficiaries. Click any column heading to sort. Medicare Advantage percentage is the share of each county’s beneficiaries enrolled in an MA or other health plan.
| Fairfax County | 183,846 | 37.6% |
| Virginia Beach City | 88,025 | 36.4% |
| Chesterfield County | 75,873 | 41.1% |
| Henrico County | 68,117 | 43.8% |
| Prince William County | 64,516 | 40.3% |
| Loudoun County | 52,827 | 39.3% |
| Chesapeake City | 47,976 | 40.6% |
| Norfolk City | 38,296 | 52.7% |
| Richmond City | 36,661 | 57.9% |
| Newport News City | 33,488 | 51.4% |
| Hampton City | 28,875 | 50.5% |
| Arlington County | 28,576 | 35.6% |
| Spotsylvania County | 27,196 | 38.0% |
| James City County | 26,794 | 29.7% |
| Hanover County | 26,619 | 38.6% |
Key Findings: Medicare in Virginia
- 1Virginia has about 1.62 million Medicare beneficiaries.
- 2Only 43% of Virginia beneficiaries are on Medicare Advantage — below the national average of about 54%, and the lowest Medicare Advantage penetration among the states HealthPlan Connect serves.
- 3Affluent Northern Virginia jurisdictions skew toward Original Medicare, where Medigap is more common — Arlington (35.6%), Fairfax (37.6%), and Loudoun (39.3%).
- 4The independent cities show the opposite pattern, with the state’s highest MA rates: Richmond City (57.9%), Norfolk City (52.7%), and Newport News City (51.4%).
- 5Fairfax County alone has about 184,000 Medicare beneficiaries — more than twice any other county or city in the state.
How Virginia Compares to National Averages
Medicare Advantage penetration
Virginia is at 43%, 11 points below the national average of about 54%.
Plans available
Nationally, the average beneficiary can choose from about 32 Medicare Advantage prescription-drug plans for 2026. The exact number available depends on your county.
Medicare Supplement (Medigap)
Nationally, about 41.9% of Original Medicare beneficiaries carry a Medigap policy (AHIP, 2023). State-by-state Medigap rates are not published in an open dataset, so this figure is national. In Virginia, 57% of beneficiaries are in Original Medicare and therefore eligible to buy Medigap.
Find the Best Medicare Plan in Your Virginia County
The right plan depends on where you live. Get a free, personalized review of the Medicare options available in your Virginia county from a licensed advisor.
Get My Free Medicare ReviewMethodology & Sources
Enrollment and county data: Centers for Medicare & Medicaid Services, Medicare Monthly Enrollment, 2024 (data.cms.gov). Figures are 2024 annual counts. Medicare Advantage percentage = (beneficiaries in Medicare Advantage & Other Health Plans ÷ total beneficiaries) × 100. The county table shows the 15 most-populous counties of 133 total.
Part B premium: CMS, 2026 Medicare Parts A & B Premiums and Deductibles. The standard premium is set federally and is the same in every state; higher-income beneficiaries pay an income-related adjustment (IRMAA).
Plan counts and Medigap: KFF, Medicare Advantage 2026 Spotlight (CMS Landscape files); AHIP, The State of Medicare Supplement Coverage, 2023. These are reported as national figures only.
Limitations: Medicare Supplement (Medigap) enrollment and per-county plan counts are not available in an open dataset at the state or county level, so they are not shown per county. Percentages are rounded. Last updated 2026-06-11.
This page is for educational purposes. HealthPlan Connect is not affiliated with or endorsed by CMS or any government agency. Contact a licensed advisor for current plan options in your area.