CMS Medicare enrollment · April 2026
Virginia Medicare Enrollment
State and county enrollment from CMS, including Original Medicare, Medicare Advantage and Other Health Plans, and Part D coverage.
Informational only. These enrollment counts do not compare plans or provide medical, financial, or enrollment advice.
Virginia enrollment figures
- Total Medicare enrollment
- 1.7M
- Original Medicare
- 1.1M
- MA & Other share
- 39.6%
- Part D coverage
- 74.6%
1,749,433
1,057,127 beneficiaries
CMS combined delivery-system measure
1,304,629 beneficiaries
County enrollment
134 CMS county rows for Virginia. Unavailable values remain marked as not reported rather than estimated.
| County | Total | Original Medicare | MA & Other | MA & Other share | Part D share |
|---|---|---|---|---|---|
| Accomack County | 10,324 | 6,258 | 4,066 | 39.4% | 78% |
| Albemarle County | 25,205 | 19,483 | 5,722 | 22.7% | 79.3% |
| Alexandria City | 21,012 | 14,742 | 6,270 | 29.8% | 66.1% |
| Alleghany County | 4,087 | 2,541 | 1,546 | 37.8% | 83.3% |
| Amelia County | 3,619 | 1,997 | 1,622 | 44.8% | 82.3% |
| Amherst County | 8,593 | 4,842 | 3,751 | 43.7% | 82.8% |
| Appomattox County | 4,486 | 2,613 | 1,873 | 41.8% | 82% |
| Arlington County | 28,353 | 20,028 | 8,325 | 29.4% | 65.6% |
| Augusta County | 19,040 | 12,849 | 6,191 | 32.5% | 81.3% |
| Bath County | 1,426 | 1,046 | 380 | 26.6% | 82.1% |
| Bedford County | 23,088 | 14,301 | 8,787 | 38.1% | 81.8% |
| Bland County | 1,819 | 1,005 | 814 | 44.7% | 81.5% |
| Botetourt County | 9,632 | 5,921 | 3,711 | 38.5% | 81.2% |
| Bristol City | 4,361 | 1,579 | 2,782 | 63.8% | 84.8% |
| Brunswick County | 4,367 | 2,203 | 2,164 | 49.6% | 81.5% |
| Buchanan County | 6,718 | 2,315 | 4,403 | 65.5% | 86.5% |
| Buckingham County | 3,870 | 2,081 | 1,789 | 46.2% | 81% |
| Buena Vista City | 1,616 | 916 | 700 | 43.3% | 80.5% |
| Campbell County | 13,127 | 7,323 | 5,804 | 44.2% | 83.3% |
| Caroline County | 6,973 | 3,946 | 3,027 | 43.4% | 74.9% |
| Carroll County | 8,408 | 5,024 | 3,384 | 40.2% | 81.8% |
| Charles City County | 2,034 | 1,082 | 952 | 46.8% | 79.3% |
| Charlotte County | 3,542 | 1,992 | 1,550 | 43.8% | 81.8% |
| Charlottesville City | 7,591 | 5,329 | 2,262 | 29.8% | 80% |
| Chesapeake City | 47,827 | 28,925 | 18,902 | 39.5% | 66.8% |
| Chesterfield County | 75,927 | 46,641 | 29,286 | 38.6% | 78.9% |
| Clarke County | 4,244 | 2,941 | 1,303 | 30.7% | 74.9% |
| Colonial Heights City | 4,664 | 2,843 | 1,821 | 39% | 73% |
| Covington City | 2,143 | 1,123 | 1,020 | 47.6% | 81.7% |
| Craig County | 1,378 | 789 | 589 | 42.7% | 80.1% |
| Culpeper County | 11,762 | 7,798 | 3,964 | 33.7% | 75.5% |
| Cumberland County | 2,304 | 1,261 | 1,043 | 45.3% | 80.4% |
| Danville City | 12,318 | 5,115 | 7,203 | 58.5% | 86.1% |
| Dickenson County | 4,553 | 1,257 | 3,296 | 72.4% | 84.6% |
| Dinwiddie County | 5,909 | 3,318 | 2,591 | 43.8% | 78.2% |
| Emporia City | 1,285 | 547 | 738 | 57.4% | 83.4% |
| Essex County | 3,395 | 1,963 | 1,432 | 42.2% | 80.7% |
| Fairfax City | 6,018 | 3,881 | 2,137 | 35.5% | 68.8% |
| Fairfax County | 184,801 | 125,949 | 58,852 | 31.8% | 65.4% |
| Falls Church City | 2,872 | 2,018 | 854 | 29.7% | 67.9% |
| Fauquier County | 15,229 | 10,984 | 4,245 | 27.9% | 71.3% |
| Floyd County | 4,544 | 2,753 | 1,791 | 39.4% | 81.8% |
| Fluvanna County | 7,423 | 5,095 | 2,328 | 31.4% | 77.9% |
| Franklin City | 2,651 | 1,374 | 1,277 | 48.2% | 82.8% |
| Franklin County | 16,168 | 8,847 | 7,321 | 45.3% | 83.6% |
| Frederick County | 21,150 | 14,140 | 7,010 | 33.1% | 75.5% |
| Fredericksburg City | 4,959 | 3,111 | 1,848 | 37.3% | 73.1% |
| Galax City | 2,533 | 1,403 | 1,130 | 44.6% | 82.9% |
| Giles County | 4,678 | 2,667 | 2,011 | 43% | 84.2% |
| Gloucester County | 10,643 | 6,975 | 3,668 | 34.5% | 71.9% |
| Goochland County | 8,131 | 5,601 | 2,530 | 31.1% | 82.6% |
| Grayson County | 4,555 | 2,654 | 1,901 | 41.7% | 82.2% |
| Greene County | 4,973 | 3,380 | 1,593 | 32% | 76.5% |
| Greensville County | 2,554 | 1,094 | 1,460 | 57.2% | 83.3% |
| Halifax County | 10,221 | 5,799 | 4,422 | 43.3% | 82.2% |
| Hampton City | 28,339 | 14,491 | 13,848 | 48.9% | 67.8% |
| Hanover County | 26,702 | 17,081 | 9,621 | 36% | 81.6% |
| Harrisonburg City | 7,412 | 4,946 | 2,466 | 33.3% | 82% |
| Henrico County | 67,389 | 39,841 | 27,548 | 40.9% | 81.6% |
| Henry County | 13,755 | 6,274 | 7,481 | 54.4% | 86.5% |
| Highland County | 934 | 655 | 279 | 29.9% | 80.8% |
| Hopewell City | 5,203 | 2,586 | 2,617 | 50.3% | 75.2% |
| Isle Of Wight County | 10,504 | 6,497 | 4,007 | 38.1% | 74% |
| James City County | 26,590 | 18,975 | 7,615 | 28.6% | 71.4% |
| King And Queen County | 1,963 | 1,139 | 824 | 42% | 79.4% |
| King George County | 5,090 | 3,572 | 1,518 | 29.8% | 63.4% |
| King William County | 4,251 | 2,597 | 1,654 | 38.9% | 81.4% |
| Lancaster County | 4,967 | 3,380 | 1,587 | 32% | 79.4% |
| Lee County | 6,311 | 1,855 | 4,456 | 70.6% | 84% |
| Lexington City | 2,178 | 1,439 | 739 | 33.9% | 79.1% |
| Loudoun County | 54,396 | 36,392 | 18,004 | 33.1% | 68.6% |
| Louisa County | 10,272 | 6,362 | 3,910 | 38.1% | 78.6% |
| Lunenburg County | 3,057 | 1,638 | 1,419 | 46.4% | 81.8% |
| Lynchburg City | 17,287 | 9,239 | 8,048 | 46.6% | 82.7% |
| Madison County | 3,810 | 2,548 | 1,262 | 33.1% | 78.4% |
| Manassas City | 5,806 | 3,496 | 2,310 | 39.8% | 71.8% |
| Manassas Park City | 1,281 | 682 | 599 | 46.8% | 68.7% |
| Martinsville City | 5,375 | 2,072 | 3,303 | 61.5% | 86.9% |
| Mathews County | 3,154 | 2,166 | 988 | 31.3% | 78.8% |
| Mecklenburg County | 9,999 | 5,469 | 4,530 | 45.3% | 82.2% |
| Middlesex County | 4,210 | 2,690 | 1,520 | 36.1% | 80.1% |
| Montgomery County | 15,523 | 10,040 | 5,483 | 35.3% | 81.8% |
| Nelson County | 5,475 | 3,616 | 1,859 | 34% | 78.5% |
| New Kent County | 6,991 | 4,583 | 2,408 | 34.4% | 74.5% |
| Newport News City | 32,902 | 16,606 | 16,296 | 49.5% | 70.3% |
| Norfolk City | 38,134 | 19,038 | 19,096 | 50.1% | 71.9% |
| Northampton County | 4,417 | 2,450 | 1,967 | 44.5% | 83.1% |
| Northumberland County | 5,053 | 3,378 | 1,675 | 33.1% | 77.7% |
| Norton City | 1,180 | 389 | 791 | 67% | 84.9% |
| Nottoway County | 3,850 | 2,119 | 1,731 | 45% | 80.9% |
| Orange County | 11,050 | 7,086 | 3,964 | 35.9% | 75.5% |
| Page County | 6,716 | 4,207 | 2,509 | 37.4% | 80.1% |
| Patrick County | 5,680 | 2,991 | 2,689 | 47.3% | 84% |
| Petersburg City | 9,296 | 3,692 | 5,604 | 60.3% | 78.5% |
| Pittsylvania County | 16,216 | 8,212 | 8,004 | 49.4% | 84.8% |
| Poquoson City | 2,973 | 2,220 | 753 | 25.3% | 62.6% |
| Portsmouth City | 19,139 | 9,309 | 9,830 | 51.4% | 73.2% |
| Powhatan County | 7,553 | 5,080 | 2,473 | 32.7% | 80.9% |
| Prince Edward County | 5,393 | 2,890 | 2,503 | 46.4% | 80.8% |
| Prince George County | 6,672 | 4,465 | 2,207 | 33.1% | 67.7% |
| Prince William County | 65,549 | 41,391 | 24,158 | 36.9% | 64% |
| Pulaski County | 9,088 | 4,869 | 4,219 | 46.4% | 82.2% |
| Radford City | 2,691 | 1,551 | 1,140 | 42.4% | 82% |
| Rappahannock County | 2,209 | 1,605 | 604 | 27.3% | 74.9% |
| Richmond City | 35,761 | 16,599 | 19,162 | 53.6% | 83.1% |
| Richmond County | 2,198 | 1,338 | 860 | 39.1% | 81.6% |
| Roanoke City | 22,080 | 10,616 | 11,464 | 51.9% | 81.4% |
| Roanoke County | 25,411 | 15,682 | 9,729 | 38.3% | 82.6% |
| Rockbridge County | 6,232 | 4,106 | 2,126 | 34.1% | 78% |
| Rockingham County | 19,344 | 13,192 | 6,152 | 31.8% | 81.5% |
| Russell County | 7,907 | 2,792 | 5,115 | 64.7% | 86.9% |
| Salem City | 7,179 | 4,330 | 2,849 | 39.7% | 81.3% |
| Scott County | 6,650 | 1,920 | 4,730 | 71.1% | 87.9% |
| Shenandoah County | 11,978 | 7,656 | 4,322 | 36.1% | 78.9% |
| Smyth County | 8,499 | 3,943 | 4,556 | 53.6% | 84.4% |
| Southampton County | 4,210 | 2,540 | 1,670 | 39.7% | 79.5% |
| Spotsylvania County | 27,639 | 17,725 | 9,914 | 35.9% | 68% |
| Stafford County | 23,434 | 16,175 | 7,259 | 31% | 60.2% |
| Staunton City | 7,563 | 4,844 | 2,719 | 36% | 81.9% |
| Suffolk City | 20,714 | 12,110 | 8,604 | 41.5% | 71.3% |
| Surry County | 1,976 | 1,087 | 889 | 45% | 78.5% |
| Sussex County | 2,664 | 1,319 | 1,345 | 50.5% | 80.1% |
| Tazewell County | 11,621 | 5,022 | 6,599 | 56.8% | 82% |
| Unknown | Not reported | Not reported | Not reported | Not reported | Not reported |
| Virginia Beach City | 87,564 | 56,349 | 31,215 | 35.6% | 63.3% |
| Warren County | 9,828 | 6,180 | 3,648 | 37.1% | 75% |
| Washington County | 15,995 | 7,273 | 8,722 | 54.5% | 83.9% |
| Waynesboro City | 6,274 | 3,906 | 2,368 | 37.7% | 81% |
| Westmoreland County | 5,914 | 3,795 | 2,119 | 35.8% | 74.8% |
| Williamsburg City | 2,339 | 1,601 | 738 | 31.6% | 74.2% |
| Winchester City | 5,971 | 3,895 | 2,076 | 34.8% | 77.8% |
| Wise County | 10,608 | 3,203 | 7,405 | 69.8% | 82.4% |
| Wythe County | 8,547 | 4,092 | 4,455 | 52.1% | 83.5% |
| York County | 14,245 | 10,306 | 3,939 | 27.7% | 59.7% |
Source and interpretation
CMS Medicare Monthly Enrollment, April 2026, published 2026-07-23. “MA & Other” retains the official combined CMS field label.
- CMS suppresses some small counts with an asterisk; suppressed values remain null in this snapshot.
- Medicare Advantage and Other Health Plans is the CMS-published combined measure and is not limited to Medicare Advantage alone.
- Enrollment counts describe a reporting month and do not compare plan benefits, provider networks, quality, or personal costs.