Virginia · FIPS 51173
Smyth County, VA — ACA coverage
Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Smyth County, Virginia. Updated 2026-06-08.
No cost, no obligation. Brokers are paid by the carrier and can compare plans side-by-side for your situation.
Request a broker →Smyth County coverage highlights
Enrollee count is an estimate derived by evenly distributing the state's CMS plan-select total across counties; actual county enrollment varies with population.
How the Smyth County estimate is calculated
Methodology: ACA Beacon does not have county-level enrollment dashboards for every U.S. county. To give you a directional sense of marketplace activity in Smyth County, we take the most recent state-wide Open Enrollment Period (OEP) plan-selection total reported by CMSi (or the state-based marketplace) and divide it evenly by the number of counties in Virginia.
Formula used here: 388,856 total state signupsi ÷ 133 Virginia countiesi = ~2,924 estimated enrollees for Smyth County.
Uncertainty & limitations: Counties vary widely in population, income, and insurer participation. Urban counties typically enroll far more residents than rural ones. This number is a simple average, not a forecast or official CMS county report. Use it as a rough indicator of statewide penetration, not a precise local count.
Last updated 2026-06-08. Data source: CMS OEP state-level plan-selection reports.
ACA marketplace in Smyth County
Residents of Smyth County shop and enroll in ACA marketplace plans at www.marketplace.virginia.gov/. Plans are rated by county, so available carriers and prices in Smyth may differ from elsewhere in Virginia.
Carriers currently selling in Virginia include: Anthem HealthKeepers (Anthem BCBS Virginia), CareFirst BlueCross BlueShield, Sentara Health Plans, Kaiser Permanente, UnitedHealthcare, Aetna, Cigna, Oscar Health. The final 2027 carrier list for Smyth County is confirmed when Virginia filings are finalized before Nov 1, 2026.
Premium tax credit eligibility
For 2027, premium tax credits cap a benchmark Silver plan at 2.15%–10.22% of household income. The enhanced subsidies expired, so households above 400% FPL get no credit.
Cost-sharing reduction (CSR) Silver plans further reduce deductibles for households under 250% FPL.
Use our free subsidy calculator or see the full Virginia subsidy & income tables.
Medicaid & CHIP in Smyth County
Smyth County residents may qualify for Medicaid up to 138% of the Federal Poverty Level under Virginia's adopted ACA Medicaid expansion.
FAMIS covers children up to 205% FPL; pregnancy Medicaid covers up to 205% FPL. Apply year-round at coverva.dmas.virginia.gov · 1-855-242-8282.
Open Enrollment & SEP
2027 Open Enrollment in Virginia: November 1, 2026 – January 29, 2027. Missed it? You may still enroll within 60 days of a qualifying life event (job loss, marriage, birth, move, income change). See Virginia OEP & SEP details.
Other Virginia counties
Sources
- Virginia marketplace(opens in a new tab)
- HealthCare.gov subsidies(opens in a new tab)
- KFF Medicaid expansion tracker(opens in a new tab)
- U.S. Census county FIPS reference(opens in a new tab)
- CMS CHIP & Medicaid(opens in a new tab)
- CMS OEP state-level plan-selection reports(opens in a new tab)
- CMS 2026 Star Ratings(opens in a new tab)
The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.