Virginia operates its own state-based marketplace, often referred to as Virginia's Insurance Marketplace, rather than using HealthCare.gov. Residents shop for plans and apply for subsidies directly through the state exchange.
Virginia expanded Medicaid under the ACA, so adults earning up to 138% of the federal poverty level generally qualify for coverage through the state's Medicaid program instead of needing a subsidized marketplace plan.
Virginia's marketplace transitioned from the federal platform to its own state-run exchange in recent years, so returning shoppers should expect a different enrollment experience than they may remember from HealthCare.gov. Comparing plan networks across Northern Virginia, the Richmond area, and more rural parts of the state is worthwhile, since provider access and premiums can vary by region.