Health Care Benefits: Virginia
Federal law and guidance on this subject should be reviewed together with this section.
Author: Patricia A. Morley, Research and Writing Associates
- Virginia chose not to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
- Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
- Small employers in Virginia (two to 50 employees) may purchase basic health insurance coverage for employees. These plans may exclude many of the state-mandated benefits. See Basic Health Insurance Plans.
- Group health plans in Virginia must include certain maternity and newborn/adopted child coverage. See Maternity and Newborn/Adopted Child Coverage.
- Health plans in Virginia must include coverage for mental health and substance abuse treatments and provide mental health and substance abuse parity. There are specific requirements for Autism Spectrum Disorders. See Mental Health and Substance Abuse Coverage.
- Group health plans must provide coverage for specified providers. See Coverage for Specified Providers.
- Health plans that cover mastectomies must also cover reconstructive breast surgery. See Mastectomies and Reconstructive Breast Surgery.
- Certain coverage with regard to children and dependents is mandatory. See Coverage for Children and Dependents.
- Health plans in Virginia must cover certain forms of cancer screening and coverage for new cancer treatments under investigation. See Mandatory Cancer Screenings and Treatment.