Virginia’s health safety net — organizations that provide care to the Commonwealth’s uninsured and medically underserved — is being stretched as never before.

  • In 2016, Virginia’s free clinics served 53,932 low-income uninsured patients.
  • Almost a third (32%) of community health center patients in Virginian were uninsured in 2016.
  • To help address these challenges, VHCF made 18 grants totaling $4.9 million in FY17, helping to pay for 29 health providers who treated 11,000 uninsured Virginians.

Virginia Demographics:

For detailed demographic information on Virginia’s uninsured, there is no better resource than the Virginia Health Care Foundation’s latest Profile of the Uninsured completed in March 2018. This in-depth analysis of the state’s uninsured provides data on income, employment status, race, ethnicity, age and citizenship, as well as providing a snapshot of where, in the state, the highest concentration of uninsured Virginians live.  Key findings of the report include:

  • 10.3% of Virginians under age 65 are without medical insurance – equaling 718,000 uninsured Virginians.
  • 12.4% of Virginians ages 19 to 64 years of age had no health insurance — 621,000 non-elderly adult Virginians.
  • More than 75% of all uninsured Virginians are part of working families (79.5%) — more than half (51.4%) with at least one full time worker.
  • Uninsured Virginians under age 65 represent every population in Virginia: 44.8% are white non-Hispanic, 19.6% are African American/Black, 26.0% are Hispanic, 5.7% are Asian/Pacific Islander and 3.8% identify themselves as “other” or as a member of multiple racial groups.
  • There are 504,000 uninsured Virginians ages 19 – 64 years old, with household income under 200% FPL.

In addition to VHCF’s Profile of the Uninsured, other resources on the state of health coverage in Virginia include:

Virginia Statistics:

The 2012 Virginia Health Equity Report draws attention to health inequities among Virginians of varying socioeconomic, racial/ethnic, and urban/rural backgrounds. It recommends various inter-sectoral strategies and collaboration, for promoting health equity in Virginia. It provides a foundation on which partners and stakeholders can develop new plans/strategies and also receive/provide education on the Social Determinants of Health (SDOH), with the goal of shaping policy and decision-making that promotes health equity in Virginia.

Virginia Performs provides data on a number of health-related (and other) measures, including Virginia health insurance statistics.  The Virginia Performs website offers comparisons of health insurance statistics between regions within Virginia and against neighboring states.

Healthcare for All Virginians is focused on ensuring access to affordable quality health care in Virginia. Its Resources page includes facts about closing the Coverage Gap in Virginia.

Dying for Coverage:  The Deadly Consequences of Being Uninsured, a 2012 report by Families USA, estimated that:

  • As many as 11 working-age Virginians die each week because they lack health insurance — most from diseases that could have been treated easily if caught early.
  • Between 2005 and 2010, an estimated 2,700 Virginians ages 25 – 64 died because they did not have health insurance.
  • Three out of five uninsured adults (60%) under the age of 65 reporting having problems with medical bills or medical debt.
  • Uninsured adults (nationwide) are at least 25% more likely to die prematurely than adults with private health insurance.

Virginia Health Insurance Facts

  • Virginia is one of the 10 wealthiest states in the country, yet fails to provide adequate support for those who cannot access or afford health coverage. Despite its high per-capita income, Virginia is among the top 10 states with the highest number of uninsured (Kaiser Family Foundation).
  • Virginia ranks 47th in per-capita Medicaid expenditures, with some of the most restrictive eligibility standards for state sponsored health insurance for low-income children, pregnant women and very low income parents or caretakers, the elderly and adults with disabilities (DMAS Medicaid-at-a-Glance 2017).
  • Virginia ranks 43rd in income eligibility for parents in Medicaid and 45th in eligibility for children’s coverage. A working parent must earn less than $8,700 a year to be eligible for coverage through Medicaid in Virginia (Kaiser Family Foundation).
  • Virginia is in last place – tied for with South Carolina, South Dakota, Tennessee, Texas, Utah and Wyoming – for income eligibility criteria for adults (elderly, disabled) (Kaiser Family Foundation).
  • Only 62% of Virginians have employer-sponsored health insurance (Kaiser Family Foundation).

National Data Resources

The Center for Budget and Policy Priorities The Center for Budget and Policy Priorities is one of the nation’s premier policy organizations working at the federal and state levels on fiscal policy and public programs that affect low- and moderate-income families and individuals.

Families USA Families USA is a national nonprofit, non-partisan organization dedicated to the achievement of high-quality, affordable health care for all Americans.

Health Insurance for Entrepreneurs: A buyer’s guide for self-employed and small business owners.

Kaiser Commission on Medicaid and the Uninsured The Kaiser Commission on Medicaid and the Uninsured provides information and analysis on health care coverage and access for the low-income population, with a special focus on Medicaid’s role and coverage of the uninsured. The Commission’s work is conducted by the Henry J. Kaiser Family Foundation staff under the guidance of a bipartisan group of national leaders and experts in health care and public policy.