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Private Health Insurance vs. Obamacare in Virginia: An Honest Comparison
We sell both, so we have no reason to spin this. Here's the honest comparison for Virginia.
Where Obamacare (Virginia's Insurance Marketplace) is better
Guaranteed acceptance regardless of health. Subsidies for qualifying incomes — the biggest discount available anywhere. Full coverage of pre-existing conditions with no exclusions. Medicaid is expanded (since 2019) in Virginia. These are not small advantages; for a lot of people they're decisive.
Where private plans are better
Price, for healthy people above the subsidy line — often 30–50% less. National PPO networks on Cigna, Aetna and PHCS PPO versus local HMOs. Year-round enrollment. Month-to-month flexibility.
Where private plans are worse
Underwriting: you can be declined or have a condition excluded. No subsidies, ever. Some plans have caps on specific services — read the summary of benefits. Virginia runs its own state-based marketplace, Virginia's Insurance Marketplace, and Northern Virginia's contractor and consulting workforce is one of the largest self-employed groups on the East Coast.
The rule we use
Subsidy → Obamacare. No subsidy + healthy → private, after we check your doctors are in the network. No subsidy + serious condition → Obamacare at full price, and we'll help you find the best one. Virginia has no state individual mandate.
Want both numbers for your situation? Check your options.