Medicare in Virginia by county

Most people with Medicare

Across Virginia, 1,759,388 people had Medicare in July 2026, 40% of them in Medicare Advantage or another Medicare health plan. The counties with the most:

1. Fairfax County 186,282 with Medicare · 32% in Medicare Advantage · 20 Advantage plans with drug coverage
2. Virginia Beach city 88,184 with Medicare · 36% in Medicare Advantage · 33 Advantage plans with drug coverage
3. Chesterfield County 76,579 with Medicare · 39% in Medicare Advantage · 30 Advantage plans with drug coverage
4. Henrico County 67,779 with Medicare · 41% in Medicare Advantage · 33 Advantage plans with drug coverage
5. Prince William County 66,139 with Medicare · 37% in Medicare Advantage · 25 Advantage plans with drug coverage
6. Loudoun County 55,030 with Medicare · 33% in Medicare Advantage · 21 Advantage plans with drug coverage
7. Chesapeake city 48,155 with Medicare · 40% in Medicare Advantage · 33 Advantage plans with drug coverage
8. Norfolk city 38,221 with Medicare · 50% in Medicare Advantage · 31 Advantage plans with drug coverage
9. Richmond city 35,915 with Medicare · 53% in Medicare Advantage · 34 Advantage plans with drug coverage
10. Newport News city 33,048 with Medicare · 49% in Medicare Advantage · 25 Advantage plans with drug coverage

All 133 counties, A to Z

• Accomack County10,324 with Medicare · 40% in Medicare Advantage · 13 Advantage plans with drug coverage
• Albemarle County25,434 with Medicare · 23% in Medicare Advantage · 19 Advantage plans with drug coverage
• Alexandria city21,177 with Medicare · 30% in Medicare Advantage · 23 Advantage plans with drug coverage
• Alleghany County4,103 with Medicare · 38% in Medicare Advantage · 22 Advantage plans with drug coverage
• Amelia County3,645 with Medicare · 45% in Medicare Advantage · 26 Advantage plans with drug coverage
• Amherst County8,634 with Medicare · 44% in Medicare Advantage · 18 Advantage plans with drug coverage
• Appomattox County4,500 with Medicare · 41% in Medicare Advantage · 15 Advantage plans with drug coverage
• Arlington County28,454 with Medicare · 30% in Medicare Advantage · 27 Advantage plans with drug coverage
• Augusta County19,224 with Medicare · 33% in Medicare Advantage · 23 Advantage plans with drug coverage
• Bath County1,436 with Medicare · 27% in Medicare Advantage · 13 Advantage plans with drug coverage
• Bedford County23,197 with Medicare · 38% in Medicare Advantage · 17 Advantage plans with drug coverage
• Bland County1,819 with Medicare · 45% in Medicare Advantage · 21 Advantage plans with drug coverage
• Botetourt County9,675 with Medicare · 38% in Medicare Advantage · 32 Advantage plans with drug coverage
• Bristol city4,356 with Medicare · 64% in Medicare Advantage · 17 Advantage plans with drug coverage
• Brunswick County4,377 with Medicare · 50% in Medicare Advantage · 20 Advantage plans with drug coverage
• Buchanan County6,862 with Medicare · 65% in Medicare Advantage · 19 Advantage plans with drug coverage
• Buckingham County3,907 with Medicare · 46% in Medicare Advantage · 16 Advantage plans with drug coverage
• Buena Vista city1,605 with Medicare · 44% in Medicare Advantage · 18 Advantage plans with drug coverage
• Campbell County13,194 with Medicare · 44% in Medicare Advantage · 15 Advantage plans with drug coverage
• Caroline County7,025 with Medicare · 43% in Medicare Advantage · 21 Advantage plans with drug coverage
• Carroll County8,433 with Medicare · 40% in Medicare Advantage · 19 Advantage plans with drug coverage
• Charles City County2,037 with Medicare · 47% in Medicare Advantage · 29 Advantage plans with drug coverage
• Charlotte County3,565 with Medicare · 44% in Medicare Advantage · 23 Advantage plans with drug coverage
• Charlottesville city7,589 with Medicare · 30% in Medicare Advantage · 20 Advantage plans with drug coverage
• Chesapeake city48,155 with Medicare · 40% in Medicare Advantage · 33 Advantage plans with drug coverage
• Chesterfield County76,579 with Medicare · 39% in Medicare Advantage · 30 Advantage plans with drug coverage
• Clarke County4,245 with Medicare · 31% in Medicare Advantage · 22 Advantage plans with drug coverage
• Colonial Heights city4,671 with Medicare · 39% in Medicare Advantage · 25 Advantage plans with drug coverage
• Covington city2,139 with Medicare · 48% in Medicare Advantage · 22 Advantage plans with drug coverage
• Craig County1,381 with Medicare · 43% in Medicare Advantage · 24 Advantage plans with drug coverage
• Culpeper County11,771 with Medicare · 33% in Medicare Advantage · 16 Advantage plans with drug coverage
• Cumberland County2,339 with Medicare · 45% in Medicare Advantage · 21 Advantage plans with drug coverage
• Danville city12,284 with Medicare · 59% in Medicare Advantage · 27 Advantage plans with drug coverage
• Dickenson County4,541 with Medicare · 73% in Medicare Advantage · 20 Advantage plans with drug coverage
• Dinwiddie County5,941 with Medicare · 44% in Medicare Advantage · 22 Advantage plans with drug coverage
• Emporia city1,301 with Medicare · 58% in Medicare Advantage · 21 Advantage plans with drug coverage
• Essex County3,426 with Medicare · 42% in Medicare Advantage · 19 Advantage plans with drug coverage
• Fairfax city6,029 with Medicare · 36% in Medicare Advantage · 27 Advantage plans with drug coverage
• Fairfax County186,282 with Medicare · 32% in Medicare Advantage · 20 Advantage plans with drug coverage
• Falls Church city2,855 with Medicare · 30% in Medicare Advantage · 23 Advantage plans with drug coverage
• Fauquier County15,389 with Medicare · 28% in Medicare Advantage · 16 Advantage plans with drug coverage
• Floyd County4,546 with Medicare · 40% in Medicare Advantage · 30 Advantage plans with drug coverage
• Fluvanna County7,438 with Medicare · 32% in Medicare Advantage · 15 Advantage plans with drug coverage
• Franklin city2,638 with Medicare · 48% in Medicare Advantage · 24 Advantage plans with drug coverage
• Franklin County16,248 with Medicare · 45% in Medicare Advantage · 32 Advantage plans with drug coverage
• Frederick County21,384 with Medicare · 33% in Medicare Advantage · 21 Advantage plans with drug coverage
• Fredericksburg city4,982 with Medicare · 37% in Medicare Advantage · 21 Advantage plans with drug coverage
• Galax city2,513 with Medicare · 44% in Medicare Advantage · 18 Advantage plans with drug coverage
• Giles County4,708 with Medicare · 43% in Medicare Advantage · 21 Advantage plans with drug coverage
• Gloucester County10,688 with Medicare · 35% in Medicare Advantage · 24 Advantage plans with drug coverage
• Goochland County8,253 with Medicare · 31% in Medicare Advantage · 29 Advantage plans with drug coverage
• Grayson County4,566 with Medicare · 42% in Medicare Advantage · 20 Advantage plans with drug coverage
• Greene County5,012 with Medicare · 32% in Medicare Advantage · 19 Advantage plans with drug coverage
• Greensville County2,553 with Medicare · 57% in Medicare Advantage · 21 Advantage plans with drug coverage
• Halifax County10,258 with Medicare · 43% in Medicare Advantage · 28 Advantage plans with drug coverage
• Hampton city28,444 with Medicare · 49% in Medicare Advantage · 32 Advantage plans with drug coverage
• Hanover County26,938 with Medicare · 36% in Medicare Advantage · 28 Advantage plans with drug coverage
• Harrisonburg city7,372 with Medicare · 33% in Medicare Advantage · 8 Advantage plans with drug coverage
• Henrico County67,779 with Medicare · 41% in Medicare Advantage · 33 Advantage plans with drug coverage
• Henry County13,872 with Medicare · 54% in Medicare Advantage · 26 Advantage plans with drug coverage
• Highland County927 with Medicare · 30% in Medicare Advantage · 14 Advantage plans with drug coverage
• Hopewell city5,216 with Medicare · 51% in Medicare Advantage · 28 Advantage plans with drug coverage
• Isle of Wight County10,632 with Medicare · 38% in Medicare Advantage · 29 Advantage plans with drug coverage
• James City County26,605 with Medicare · 29% in Medicare Advantage · 29 Advantage plans with drug coverage
• King and Queen County1,979 with Medicare · 42% in Medicare Advantage · 23 Advantage plans with drug coverage
• King George County5,150 with Medicare · 30% in Medicare Advantage · 20 Advantage plans with drug coverage
• King William County4,291 with Medicare · 39% in Medicare Advantage · 16 Advantage plans with drug coverage
• Lancaster County5,001 with Medicare · 32% in Medicare Advantage · 12 Advantage plans with drug coverage
• Lee County6,313 with Medicare · 71% in Medicare Advantage · 20 Advantage plans with drug coverage
• Lexington city2,172 with Medicare · 34% in Medicare Advantage · 23 Advantage plans with drug coverage
• Loudoun County55,030 with Medicare · 33% in Medicare Advantage · 21 Advantage plans with drug coverage
• Louisa County10,347 with Medicare · 38% in Medicare Advantage · 20 Advantage plans with drug coverage
• Lunenburg County3,059 with Medicare · 47% in Medicare Advantage · 20 Advantage plans with drug coverage
• Lynchburg city17,254 with Medicare · 47% in Medicare Advantage · 17 Advantage plans with drug coverage
• Madison County3,832 with Medicare · 33% in Medicare Advantage · 18 Advantage plans with drug coverage
• Manassas city5,812 with Medicare · 40% in Medicare Advantage · 29 Advantage plans with drug coverage
• Manassas Park city1,391 with Medicare · 46% in Medicare Advantage · 23 Advantage plans with drug coverage
• Martinsville city5,348 with Medicare · 62% in Medicare Advantage · 16 Advantage plans with drug coverage
• Mathews County3,169 with Medicare · 31% in Medicare Advantage · 20 Advantage plans with drug coverage
• Mecklenburg County10,008 with Medicare · 45% in Medicare Advantage · 18 Advantage plans with drug coverage
• Middlesex County4,190 with Medicare · 36% in Medicare Advantage · 24 Advantage plans with drug coverage
• Montgomery County15,641 with Medicare · 35% in Medicare Advantage · 28 Advantage plans with drug coverage
• Nelson County5,498 with Medicare · 34% in Medicare Advantage · 18 Advantage plans with drug coverage
• New Kent County7,069 with Medicare · 34% in Medicare Advantage · 19 Advantage plans with drug coverage
• Newport News city33,048 with Medicare · 49% in Medicare Advantage · 25 Advantage plans with drug coverage
• Norfolk city38,221 with Medicare · 50% in Medicare Advantage · 31 Advantage plans with drug coverage
• Northampton County4,438 with Medicare · 44% in Medicare Advantage · 24 Advantage plans with drug coverage
• Northumberland County5,054 with Medicare · 33% in Medicare Advantage · 12 Advantage plans with drug coverage
• Norton city1,172 with Medicare · 67% in Medicare Advantage · 19 Advantage plans with drug coverage
• Nottoway County3,858 with Medicare · 45% in Medicare Advantage · 18 Advantage plans with drug coverage
• Orange County11,051 with Medicare · 36% in Medicare Advantage · 13 Advantage plans with drug coverage
• Page County6,753 with Medicare · 37% in Medicare Advantage · 17 Advantage plans with drug coverage
• Patrick County5,698 with Medicare · 48% in Medicare Advantage · 21 Advantage plans with drug coverage
• Petersburg city9,260 with Medicare · 60% in Medicare Advantage · 33 Advantage plans with drug coverage
• Pittsylvania County16,272 with Medicare · 49% in Medicare Advantage · 25 Advantage plans with drug coverage
• Poquoson city2,986 with Medicare · 25% in Medicare Advantage · 24 Advantage plans with drug coverage
• Portsmouth city19,233 with Medicare · 51% in Medicare Advantage · 33 Advantage plans with drug coverage
• Powhatan County7,636 with Medicare · 32% in Medicare Advantage · 31 Advantage plans with drug coverage
• Prince Edward County5,419 with Medicare · 46% in Medicare Advantage · 17 Advantage plans with drug coverage
• Prince George County6,698 with Medicare · 33% in Medicare Advantage · 25 Advantage plans with drug coverage
• Prince William County66,139 with Medicare · 37% in Medicare Advantage · 25 Advantage plans with drug coverage
• Pulaski County9,132 with Medicare · 46% in Medicare Advantage · 32 Advantage plans with drug coverage
• Radford city2,688 with Medicare · 43% in Medicare Advantage · 26 Advantage plans with drug coverage
• Rappahannock County2,231 with Medicare · 27% in Medicare Advantage · 21 Advantage plans with drug coverage
• Richmond city35,915 with Medicare · 53% in Medicare Advantage · 34 Advantage plans with drug coverage
• Richmond County2,218 with Medicare · 39% in Medicare Advantage · 15 Advantage plans with drug coverage
• Roanoke city22,101 with Medicare · 52% in Medicare Advantage · 29 Advantage plans with drug coverage
• Roanoke County25,514 with Medicare · 38% in Medicare Advantage · 30 Advantage plans with drug coverage
• Rockbridge County6,280 with Medicare · 34% in Medicare Advantage · 24 Advantage plans with drug coverage
• Rockingham County19,446 with Medicare · 32% in Medicare Advantage · 15 Advantage plans with drug coverage
• Russell County7,841 with Medicare · 65% in Medicare Advantage · 19 Advantage plans with drug coverage
• Salem city7,133 with Medicare · 40% in Medicare Advantage · 29 Advantage plans with drug coverage
• Scott County6,680 with Medicare · 71% in Medicare Advantage · 19 Advantage plans with drug coverage
• Shenandoah County11,983 with Medicare · 36% in Medicare Advantage · 8 Advantage plans with drug coverage
• Smyth County8,480 with Medicare · 54% in Medicare Advantage · 19 Advantage plans with drug coverage
• Southampton County4,213 with Medicare · 40% in Medicare Advantage · 27 Advantage plans with drug coverage
• Spotsylvania County28,043 with Medicare · 36% in Medicare Advantage · 24 Advantage plans with drug coverage
• Stafford County23,624 with Medicare · 31% in Medicare Advantage · 20 Advantage plans with drug coverage
• Staunton city7,561 with Medicare · 36% in Medicare Advantage · 22 Advantage plans with drug coverage
• Suffolk city20,952 with Medicare · 42% in Medicare Advantage · 32 Advantage plans with drug coverage
• Surry County1,987 with Medicare · 45% in Medicare Advantage · 29 Advantage plans with drug coverage
• Sussex County2,683 with Medicare · 51% in Medicare Advantage · 26 Advantage plans with drug coverage
• Tazewell County11,551 with Medicare · 57% in Medicare Advantage · 17 Advantage plans with drug coverage
• Virginia Beach city88,184 with Medicare · 36% in Medicare Advantage · 33 Advantage plans with drug coverage
• Warren County9,904 with Medicare · 37% in Medicare Advantage · 18 Advantage plans with drug coverage
• Washington County15,975 with Medicare · 54% in Medicare Advantage · 21 Advantage plans with drug coverage
• Waynesboro city6,254 with Medicare · 38% in Medicare Advantage · 21 Advantage plans with drug coverage
• Westmoreland County5,937 with Medicare · 36% in Medicare Advantage · 16 Advantage plans with drug coverage
• Williamsburg city2,359 with Medicare · 31% in Medicare Advantage · 30 Advantage plans with drug coverage
• Winchester city5,979 with Medicare · 35% in Medicare Advantage · 17 Advantage plans with drug coverage
• Wise County10,575 with Medicare · 70% in Medicare Advantage · 21 Advantage plans with drug coverage
• Wythe County8,548 with Medicare · 52% in Medicare Advantage · 22 Advantage plans with drug coverage
• York County14,454 with Medicare · 28% in Medicare Advantage · 30 Advantage plans with drug coverage

Sources: CMS Medicare Monthly Enrollment, July 2026, and the CMS 2027 plan landscape. Medicare Advantage here includes other Medicare health plans, such as cost plans and PACE. Before you meet any agent, check their Virginia license.

Keep reading

• How to find a good Medicare agent near youWhere to look for a local Medicare agent, how to narrow the list to one or two, and the five-minute checks to do before you share anything.
• Medicare Open Enrollment checklist: what to check before December 7A step-by-step checklist for the October 15 to December 7, 2026 Open Enrollment Period: what to read in your plan's letter, what's changing for 2027, what you can switch, and what happens if you do nothing.
• Moving to another state with Medicare: what changes and what to doOriginal Medicare moves with you; most Medicare Advantage and drug plans don't. What happens to each kind of coverage when you move, your window to switch, and why your agent must be licensed in your new state.