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Medicaid health plans in Virginia

The same health plans are available in every county.

Plans are listed alphabetically. Plainly does not rank plans.

Aetna Better Health of Virginia, Inc.

Aetna Better Health of Virginia

More about this plan

Member services: 1-800-279-1878

No rating available. See NCQA ratings

  • Yearly eye exam and glasses or contacts allowance

    One eye exam and up to 250 dollars for glasses or contacts per year.

  • Free rides beyond medical trips

    30 free round trip rides per year, on top of rides Medicaid already covers for medical visits.

  • Meals after a hospital stay

    14 meals delivered after a hospital stay.

  • Free smartphone and data

    A free smartphone with unlimited minutes, texts, data, and a 10 GB hotspot.

geography is statewide: DMAS's own Cardinal Care Managed Care Contract (SFY 2026, July 1, 2025 to June 30, 2026) states plainly that every contracted health plan must operate statewide, and DMAS's regional map (Southwest, Roanoke/Alleghany, Western/Charlottesville, Northern/Winchester, Central, Tidewater) governs only staggered open enrollment scheduling, not which plans serve which counties, per DMAS's own member-facing Cardinal Care Managed Care page ("Open enrollment is based on your region and only once a year"). enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans (the full 5 plan roster) are quote-gate verified against a captured snapshot of DMAS's own 2025 to 2026 Cardinal Care Consumer Decision Support Tool PDF, published August 2025, which lists all five current Cardinal Care MCOs with their member phone numbers and websites in one MCO Contact Information table and separately tells members "Visit the Virginia Department of Medical Assistance Services online at: www.dmas.virginia.gov and Virginia's Medicaid Managed Care online at: www.virginiamanagedcare.com" and "You can also call the Managed Care HelpLine at 1-800-643-2273." A corroborating (non-required) fact cites the CCMC Contract's own binding language, "The Contractor must operate statewide," as independent confirmation that geography:statewide is not just an absence of found regional variation but DMAS's actual contractual structure. enrollment.choice_window_days (90) is quote-gate verified against a captured snapshot of DMAS's own member-facing Cardinal Care Managed Care page. IMPORTANT PENDING ITEM: enrollment.portal_url points to virginiamanagedcare.com, Virginia's real and DMAS-endorsed managed care enrollment website (named directly by DMAS's own tier one Consumer Decision Support Tool PDF, quoted above), operated under contract for DMAS rather than hosted on a .gov or state .us domain. This host is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist, so seed/plans/VA.json's enrollment.portal_url is expected to fail check:plans' host allowlist check (assertion d) until Kian adds virginiamanagedcare.com to that list; an entry was appended to the broker-hosts-pending.md scratchpad file documenting the same DMAS evidence quoted above. virginiamanagedcare.com is also not on src/lib/source-monitor/allowlist.ts's separate SSRF-guard host allowlist, so pnpm plans:fetch-snapshots cannot capture a snapshot of the broker site itself; that is why the portal_url and portal_name facts are quote-gated against the DMAS Consumer Decision Support Tool PDF instead, which names the broker site directly in DMAS's own text, the same pattern already used for South Carolina (scchoices.com) and Oklahoma (mysoonercare.org). formulary_url for every plan points to the statewide Common Core Formulary maintained at virginiamedicaidpharmacyservices.com, confirmed as the Preferred Drug List / Common Core Formulary location by DMAS's own published pharmacy bulletins; this URL is not cited by a quote-gated fact (formulary_url is not on the frozen spec's required field_paths list) and could not be captured as a snapshot itself because the page renders its content client side and returned only a generic "Provider Portal" shell to this tool's plain fetcher, so a human should spot check it directly. Per plan member phone numbers all match the DMAS Consumer Decision Support Tool PDF exactly and are additionally corroborated informally against each plan's own live member services page, except Aetna Better Health of Virginia's own site, which returned HTTP 403 to both a plain fetch and this tool's own fetcher (the same block FL.json documented for Aetna's Florida site), so Aetna's extra_benefits and provider_directory_url are drawn from DMAS's own 2023 Cardinal Care Health Plan Comparison Chart PDF (coverva.dmas.virginia.gov) and from search engine indexed snippets of Aetna's own pages rather than a direct fetch; a human should re-confirm those directly on Aetna's site. Anthem HealthKeepers Plus's and UnitedHealthcare Community Plan's extra_benefits are drawn from that same 2023 DMAS comparison chart, which predates the 2025 Humana/Molina transition but still describes the same two unchanged carriers and phone numbers as the 2025 to 2026 Consumer Decision Support Tool, so it was treated as current for those two plans only; a human should still spot check current dollar amounts on each plan's own site since the chart is dated May 2023. Sentara Community Plan's extra_benefits are drawn live from Sentara Health Plans' own added benefits page (sentarahealthplans.com), not the 2023 chart, because Sentara's Medicaid business was still branded Optima Health at that time. Humana Healthy Horizons in Virginia's extra_benefits are drawn live from Humana's own 2026 value added benefits page, the newest of the five plans in Cardinal Care (effective July 1, 2025, replacing Molina Healthcare). NCQA ratings stay null for all five plans; rating_source_url points at the NCQA report card search for Virginia. Provider directory URLs beyond Aetna's were independently checked live on each plan's own site. Every field above not described as quote-gated is prototype-caliber data from state and plan websites, not yet independently fact-cited beyond the sources listed, so the state as a whole stays unverified, the same standing as TX.json and CA.json today.

HealthKeepers, Inc.

Anthem HealthKeepers Plus

More about this plan

Member services: 1-800-901-0020

No rating available. See NCQA ratings

  • Yearly eye exam and glasses or contacts allowance

    One eye exam and up to 150 dollars for glasses or contacts per year.

  • Rides to the grocery store or food bank

    12 rides per household per year to a grocery store or food bank.

  • Meals after a hospital stay

    14 meals delivered after a hospital stay.

  • Free cellphone service

    A free Safelink cellphone benefit.

geography is statewide: DMAS's own Cardinal Care Managed Care Contract (SFY 2026, July 1, 2025 to June 30, 2026) states plainly that every contracted health plan must operate statewide, and DMAS's regional map (Southwest, Roanoke/Alleghany, Western/Charlottesville, Northern/Winchester, Central, Tidewater) governs only staggered open enrollment scheduling, not which plans serve which counties, per DMAS's own member-facing Cardinal Care Managed Care page ("Open enrollment is based on your region and only once a year"). enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans (the full 5 plan roster) are quote-gate verified against a captured snapshot of DMAS's own 2025 to 2026 Cardinal Care Consumer Decision Support Tool PDF, published August 2025, which lists all five current Cardinal Care MCOs with their member phone numbers and websites in one MCO Contact Information table and separately tells members "Visit the Virginia Department of Medical Assistance Services online at: www.dmas.virginia.gov and Virginia's Medicaid Managed Care online at: www.virginiamanagedcare.com" and "You can also call the Managed Care HelpLine at 1-800-643-2273." A corroborating (non-required) fact cites the CCMC Contract's own binding language, "The Contractor must operate statewide," as independent confirmation that geography:statewide is not just an absence of found regional variation but DMAS's actual contractual structure. enrollment.choice_window_days (90) is quote-gate verified against a captured snapshot of DMAS's own member-facing Cardinal Care Managed Care page. IMPORTANT PENDING ITEM: enrollment.portal_url points to virginiamanagedcare.com, Virginia's real and DMAS-endorsed managed care enrollment website (named directly by DMAS's own tier one Consumer Decision Support Tool PDF, quoted above), operated under contract for DMAS rather than hosted on a .gov or state .us domain. This host is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist, so seed/plans/VA.json's enrollment.portal_url is expected to fail check:plans' host allowlist check (assertion d) until Kian adds virginiamanagedcare.com to that list; an entry was appended to the broker-hosts-pending.md scratchpad file documenting the same DMAS evidence quoted above. virginiamanagedcare.com is also not on src/lib/source-monitor/allowlist.ts's separate SSRF-guard host allowlist, so pnpm plans:fetch-snapshots cannot capture a snapshot of the broker site itself; that is why the portal_url and portal_name facts are quote-gated against the DMAS Consumer Decision Support Tool PDF instead, which names the broker site directly in DMAS's own text, the same pattern already used for South Carolina (scchoices.com) and Oklahoma (mysoonercare.org). formulary_url for every plan points to the statewide Common Core Formulary maintained at virginiamedicaidpharmacyservices.com, confirmed as the Preferred Drug List / Common Core Formulary location by DMAS's own published pharmacy bulletins; this URL is not cited by a quote-gated fact (formulary_url is not on the frozen spec's required field_paths list) and could not be captured as a snapshot itself because the page renders its content client side and returned only a generic "Provider Portal" shell to this tool's plain fetcher, so a human should spot check it directly. Per plan member phone numbers all match the DMAS Consumer Decision Support Tool PDF exactly and are additionally corroborated informally against each plan's own live member services page, except Aetna Better Health of Virginia's own site, which returned HTTP 403 to both a plain fetch and this tool's own fetcher (the same block FL.json documented for Aetna's Florida site), so Aetna's extra_benefits and provider_directory_url are drawn from DMAS's own 2023 Cardinal Care Health Plan Comparison Chart PDF (coverva.dmas.virginia.gov) and from search engine indexed snippets of Aetna's own pages rather than a direct fetch; a human should re-confirm those directly on Aetna's site. Anthem HealthKeepers Plus's and UnitedHealthcare Community Plan's extra_benefits are drawn from that same 2023 DMAS comparison chart, which predates the 2025 Humana/Molina transition but still describes the same two unchanged carriers and phone numbers as the 2025 to 2026 Consumer Decision Support Tool, so it was treated as current for those two plans only; a human should still spot check current dollar amounts on each plan's own site since the chart is dated May 2023. Sentara Community Plan's extra_benefits are drawn live from Sentara Health Plans' own added benefits page (sentarahealthplans.com), not the 2023 chart, because Sentara's Medicaid business was still branded Optima Health at that time. Humana Healthy Horizons in Virginia's extra_benefits are drawn live from Humana's own 2026 value added benefits page, the newest of the five plans in Cardinal Care (effective July 1, 2025, replacing Molina Healthcare). NCQA ratings stay null for all five plans; rating_source_url points at the NCQA report card search for Virginia. Provider directory URLs beyond Aetna's were independently checked live on each plan's own site. Every field above not described as quote-gated is prototype-caliber data from state and plan websites, not yet independently fact-cited beyond the sources listed, so the state as a whole stays unverified, the same standing as TX.json and CA.json today.

Humana Wisconsin Health Organization Insurance Corporation

Humana Healthy Horizons in Virginia

More about this plan

Member services: 1-844-881-4482

No rating available. See NCQA ratings

  • Over the counter pharmacy allowance

    Up to 65 dollars per quarter per household to buy over the counter items like feminine products and first aid supplies that do not need a prescription.

  • Non medical transportation

    30 round trips per year of non medical transportation up to 30 miles, for places like support groups, WIC and SNAP appointments, and food banks.

  • Disaster preparedness meals

    14 shelf stable meals up to twice a year when the Governor declares a disaster in the member's county.

  • Hearing aid coverage

    For members 21 and older, one hearing exam per year, one hearing aid per ear every 3 years, and 60 batteries a year.

geography is statewide: DMAS's own Cardinal Care Managed Care Contract (SFY 2026, July 1, 2025 to June 30, 2026) states plainly that every contracted health plan must operate statewide, and DMAS's regional map (Southwest, Roanoke/Alleghany, Western/Charlottesville, Northern/Winchester, Central, Tidewater) governs only staggered open enrollment scheduling, not which plans serve which counties, per DMAS's own member-facing Cardinal Care Managed Care page ("Open enrollment is based on your region and only once a year"). enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans (the full 5 plan roster) are quote-gate verified against a captured snapshot of DMAS's own 2025 to 2026 Cardinal Care Consumer Decision Support Tool PDF, published August 2025, which lists all five current Cardinal Care MCOs with their member phone numbers and websites in one MCO Contact Information table and separately tells members "Visit the Virginia Department of Medical Assistance Services online at: www.dmas.virginia.gov and Virginia's Medicaid Managed Care online at: www.virginiamanagedcare.com" and "You can also call the Managed Care HelpLine at 1-800-643-2273." A corroborating (non-required) fact cites the CCMC Contract's own binding language, "The Contractor must operate statewide," as independent confirmation that geography:statewide is not just an absence of found regional variation but DMAS's actual contractual structure. enrollment.choice_window_days (90) is quote-gate verified against a captured snapshot of DMAS's own member-facing Cardinal Care Managed Care page. IMPORTANT PENDING ITEM: enrollment.portal_url points to virginiamanagedcare.com, Virginia's real and DMAS-endorsed managed care enrollment website (named directly by DMAS's own tier one Consumer Decision Support Tool PDF, quoted above), operated under contract for DMAS rather than hosted on a .gov or state .us domain. This host is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist, so seed/plans/VA.json's enrollment.portal_url is expected to fail check:plans' host allowlist check (assertion d) until Kian adds virginiamanagedcare.com to that list; an entry was appended to the broker-hosts-pending.md scratchpad file documenting the same DMAS evidence quoted above. virginiamanagedcare.com is also not on src/lib/source-monitor/allowlist.ts's separate SSRF-guard host allowlist, so pnpm plans:fetch-snapshots cannot capture a snapshot of the broker site itself; that is why the portal_url and portal_name facts are quote-gated against the DMAS Consumer Decision Support Tool PDF instead, which names the broker site directly in DMAS's own text, the same pattern already used for South Carolina (scchoices.com) and Oklahoma (mysoonercare.org). formulary_url for every plan points to the statewide Common Core Formulary maintained at virginiamedicaidpharmacyservices.com, confirmed as the Preferred Drug List / Common Core Formulary location by DMAS's own published pharmacy bulletins; this URL is not cited by a quote-gated fact (formulary_url is not on the frozen spec's required field_paths list) and could not be captured as a snapshot itself because the page renders its content client side and returned only a generic "Provider Portal" shell to this tool's plain fetcher, so a human should spot check it directly. Per plan member phone numbers all match the DMAS Consumer Decision Support Tool PDF exactly and are additionally corroborated informally against each plan's own live member services page, except Aetna Better Health of Virginia's own site, which returned HTTP 403 to both a plain fetch and this tool's own fetcher (the same block FL.json documented for Aetna's Florida site), so Aetna's extra_benefits and provider_directory_url are drawn from DMAS's own 2023 Cardinal Care Health Plan Comparison Chart PDF (coverva.dmas.virginia.gov) and from search engine indexed snippets of Aetna's own pages rather than a direct fetch; a human should re-confirm those directly on Aetna's site. Anthem HealthKeepers Plus's and UnitedHealthcare Community Plan's extra_benefits are drawn from that same 2023 DMAS comparison chart, which predates the 2025 Humana/Molina transition but still describes the same two unchanged carriers and phone numbers as the 2025 to 2026 Consumer Decision Support Tool, so it was treated as current for those two plans only; a human should still spot check current dollar amounts on each plan's own site since the chart is dated May 2023. Sentara Community Plan's extra_benefits are drawn live from Sentara Health Plans' own added benefits page (sentarahealthplans.com), not the 2023 chart, because Sentara's Medicaid business was still branded Optima Health at that time. Humana Healthy Horizons in Virginia's extra_benefits are drawn live from Humana's own 2026 value added benefits page, the newest of the five plans in Cardinal Care (effective July 1, 2025, replacing Molina Healthcare). NCQA ratings stay null for all five plans; rating_source_url points at the NCQA report card search for Virginia. Provider directory URLs beyond Aetna's were independently checked live on each plan's own site. Every field above not described as quote-gated is prototype-caliber data from state and plan websites, not yet independently fact-cited beyond the sources listed, so the state as a whole stays unverified, the same standing as TX.json and CA.json today.

Sentara Health Plans, Inc.

Sentara Community Plan

More about this plan

Member services: 1-800-881-2166

No rating available. See NCQA ratings

  • Yearly eye exam and frames allowance

    One eye exam a year and up to 100 dollars for frames each year for adults.

  • Rides beyond medical trips

    24 round trip rides per year for non medical transportation.

  • Meals after a hospital stay

    Up to 56 meals delivered to a member's home after a hospital stay.

  • Hearing aid coverage

    For members 21 and older, one hearing exam and fitting, and up to 2000 dollars toward hearing aids every 12 months.

geography is statewide: DMAS's own Cardinal Care Managed Care Contract (SFY 2026, July 1, 2025 to June 30, 2026) states plainly that every contracted health plan must operate statewide, and DMAS's regional map (Southwest, Roanoke/Alleghany, Western/Charlottesville, Northern/Winchester, Central, Tidewater) governs only staggered open enrollment scheduling, not which plans serve which counties, per DMAS's own member-facing Cardinal Care Managed Care page ("Open enrollment is based on your region and only once a year"). enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans (the full 5 plan roster) are quote-gate verified against a captured snapshot of DMAS's own 2025 to 2026 Cardinal Care Consumer Decision Support Tool PDF, published August 2025, which lists all five current Cardinal Care MCOs with their member phone numbers and websites in one MCO Contact Information table and separately tells members "Visit the Virginia Department of Medical Assistance Services online at: www.dmas.virginia.gov and Virginia's Medicaid Managed Care online at: www.virginiamanagedcare.com" and "You can also call the Managed Care HelpLine at 1-800-643-2273." A corroborating (non-required) fact cites the CCMC Contract's own binding language, "The Contractor must operate statewide," as independent confirmation that geography:statewide is not just an absence of found regional variation but DMAS's actual contractual structure. enrollment.choice_window_days (90) is quote-gate verified against a captured snapshot of DMAS's own member-facing Cardinal Care Managed Care page. IMPORTANT PENDING ITEM: enrollment.portal_url points to virginiamanagedcare.com, Virginia's real and DMAS-endorsed managed care enrollment website (named directly by DMAS's own tier one Consumer Decision Support Tool PDF, quoted above), operated under contract for DMAS rather than hosted on a .gov or state .us domain. This host is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist, so seed/plans/VA.json's enrollment.portal_url is expected to fail check:plans' host allowlist check (assertion d) until Kian adds virginiamanagedcare.com to that list; an entry was appended to the broker-hosts-pending.md scratchpad file documenting the same DMAS evidence quoted above. virginiamanagedcare.com is also not on src/lib/source-monitor/allowlist.ts's separate SSRF-guard host allowlist, so pnpm plans:fetch-snapshots cannot capture a snapshot of the broker site itself; that is why the portal_url and portal_name facts are quote-gated against the DMAS Consumer Decision Support Tool PDF instead, which names the broker site directly in DMAS's own text, the same pattern already used for South Carolina (scchoices.com) and Oklahoma (mysoonercare.org). formulary_url for every plan points to the statewide Common Core Formulary maintained at virginiamedicaidpharmacyservices.com, confirmed as the Preferred Drug List / Common Core Formulary location by DMAS's own published pharmacy bulletins; this URL is not cited by a quote-gated fact (formulary_url is not on the frozen spec's required field_paths list) and could not be captured as a snapshot itself because the page renders its content client side and returned only a generic "Provider Portal" shell to this tool's plain fetcher, so a human should spot check it directly. Per plan member phone numbers all match the DMAS Consumer Decision Support Tool PDF exactly and are additionally corroborated informally against each plan's own live member services page, except Aetna Better Health of Virginia's own site, which returned HTTP 403 to both a plain fetch and this tool's own fetcher (the same block FL.json documented for Aetna's Florida site), so Aetna's extra_benefits and provider_directory_url are drawn from DMAS's own 2023 Cardinal Care Health Plan Comparison Chart PDF (coverva.dmas.virginia.gov) and from search engine indexed snippets of Aetna's own pages rather than a direct fetch; a human should re-confirm those directly on Aetna's site. Anthem HealthKeepers Plus's and UnitedHealthcare Community Plan's extra_benefits are drawn from that same 2023 DMAS comparison chart, which predates the 2025 Humana/Molina transition but still describes the same two unchanged carriers and phone numbers as the 2025 to 2026 Consumer Decision Support Tool, so it was treated as current for those two plans only; a human should still spot check current dollar amounts on each plan's own site since the chart is dated May 2023. Sentara Community Plan's extra_benefits are drawn live from Sentara Health Plans' own added benefits page (sentarahealthplans.com), not the 2023 chart, because Sentara's Medicaid business was still branded Optima Health at that time. Humana Healthy Horizons in Virginia's extra_benefits are drawn live from Humana's own 2026 value added benefits page, the newest of the five plans in Cardinal Care (effective July 1, 2025, replacing Molina Healthcare). NCQA ratings stay null for all five plans; rating_source_url points at the NCQA report card search for Virginia. Provider directory URLs beyond Aetna's were independently checked live on each plan's own site. Every field above not described as quote-gated is prototype-caliber data from state and plan websites, not yet independently fact-cited beyond the sources listed, so the state as a whole stays unverified, the same standing as TX.json and CA.json today.

UnitedHealthcare of the Mid-Atlantic, Inc.

UnitedHealthcare Community Plan

More about this plan

Member services: 1-844-752-9434

No rating available. See NCQA ratings

  • Yearly eye exam and glasses

    One eye exam per year and new glasses every two years.

  • Rides to places beyond medical visits

    12 free round trip rides per year to places like a place of worship, grocery store, DMV, DSS office, or library.

  • Meals after a hospital stay

    14 meals delivered to a member's home after a hospital stay.

  • Free fitness membership

    Free membership through One Pass for members 18 and older, giving access to more than 300 fitness locations in Virginia.

geography is statewide: DMAS's own Cardinal Care Managed Care Contract (SFY 2026, July 1, 2025 to June 30, 2026) states plainly that every contracted health plan must operate statewide, and DMAS's regional map (Southwest, Roanoke/Alleghany, Western/Charlottesville, Northern/Winchester, Central, Tidewater) governs only staggered open enrollment scheduling, not which plans serve which counties, per DMAS's own member-facing Cardinal Care Managed Care page ("Open enrollment is based on your region and only once a year"). enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans (the full 5 plan roster) are quote-gate verified against a captured snapshot of DMAS's own 2025 to 2026 Cardinal Care Consumer Decision Support Tool PDF, published August 2025, which lists all five current Cardinal Care MCOs with their member phone numbers and websites in one MCO Contact Information table and separately tells members "Visit the Virginia Department of Medical Assistance Services online at: www.dmas.virginia.gov and Virginia's Medicaid Managed Care online at: www.virginiamanagedcare.com" and "You can also call the Managed Care HelpLine at 1-800-643-2273." A corroborating (non-required) fact cites the CCMC Contract's own binding language, "The Contractor must operate statewide," as independent confirmation that geography:statewide is not just an absence of found regional variation but DMAS's actual contractual structure. enrollment.choice_window_days (90) is quote-gate verified against a captured snapshot of DMAS's own member-facing Cardinal Care Managed Care page. IMPORTANT PENDING ITEM: enrollment.portal_url points to virginiamanagedcare.com, Virginia's real and DMAS-endorsed managed care enrollment website (named directly by DMAS's own tier one Consumer Decision Support Tool PDF, quoted above), operated under contract for DMAS rather than hosted on a .gov or state .us domain. This host is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist, so seed/plans/VA.json's enrollment.portal_url is expected to fail check:plans' host allowlist check (assertion d) until Kian adds virginiamanagedcare.com to that list; an entry was appended to the broker-hosts-pending.md scratchpad file documenting the same DMAS evidence quoted above. virginiamanagedcare.com is also not on src/lib/source-monitor/allowlist.ts's separate SSRF-guard host allowlist, so pnpm plans:fetch-snapshots cannot capture a snapshot of the broker site itself; that is why the portal_url and portal_name facts are quote-gated against the DMAS Consumer Decision Support Tool PDF instead, which names the broker site directly in DMAS's own text, the same pattern already used for South Carolina (scchoices.com) and Oklahoma (mysoonercare.org). formulary_url for every plan points to the statewide Common Core Formulary maintained at virginiamedicaidpharmacyservices.com, confirmed as the Preferred Drug List / Common Core Formulary location by DMAS's own published pharmacy bulletins; this URL is not cited by a quote-gated fact (formulary_url is not on the frozen spec's required field_paths list) and could not be captured as a snapshot itself because the page renders its content client side and returned only a generic "Provider Portal" shell to this tool's plain fetcher, so a human should spot check it directly. Per plan member phone numbers all match the DMAS Consumer Decision Support Tool PDF exactly and are additionally corroborated informally against each plan's own live member services page, except Aetna Better Health of Virginia's own site, which returned HTTP 403 to both a plain fetch and this tool's own fetcher (the same block FL.json documented for Aetna's Florida site), so Aetna's extra_benefits and provider_directory_url are drawn from DMAS's own 2023 Cardinal Care Health Plan Comparison Chart PDF (coverva.dmas.virginia.gov) and from search engine indexed snippets of Aetna's own pages rather than a direct fetch; a human should re-confirm those directly on Aetna's site. Anthem HealthKeepers Plus's and UnitedHealthcare Community Plan's extra_benefits are drawn from that same 2023 DMAS comparison chart, which predates the 2025 Humana/Molina transition but still describes the same two unchanged carriers and phone numbers as the 2025 to 2026 Consumer Decision Support Tool, so it was treated as current for those two plans only; a human should still spot check current dollar amounts on each plan's own site since the chart is dated May 2023. Sentara Community Plan's extra_benefits are drawn live from Sentara Health Plans' own added benefits page (sentarahealthplans.com), not the 2023 chart, because Sentara's Medicaid business was still branded Optima Health at that time. Humana Healthy Horizons in Virginia's extra_benefits are drawn live from Humana's own 2026 value added benefits page, the newest of the five plans in Cardinal Care (effective July 1, 2025, replacing Molina Healthcare). NCQA ratings stay null for all five plans; rating_source_url points at the NCQA report card search for Virginia. Provider directory URLs beyond Aetna's were independently checked live on each plan's own site. Every field above not described as quote-gated is prototype-caliber data from state and plan websites, not yet independently fact-cited beyond the sources listed, so the state as a whole stays unverified, the same standing as TX.json and CA.json today.

How to enroll

Source: Virginia Department of Medical Assistance Services, retrieved 2026-07-17

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Last verified 2026-07-17