Health insurance in Alexandria city, Virginia

Reviewed September 4, 2026 · 2024 Census data

Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.

How many here a premium tax credit would reach

5,057 uninsured people in Alexandria city earn inside the premium tax credit range — 45% of the county's uninsured. That is near the 51% national median. Within that band itself, 14.2% have no coverage.

How many people here have no coverage

8.2% of Alexandria city's 136,925 under-65 residents have no health coverage — 11,206 people. That is close to the Virginia rate of 8.1%, and puts Alexandria city in the lower half of the 3,143 counties measured nationally (2,105th).

Who falls under the Medicaid line

3,146 of Alexandria city's uninsured — 28%, close to the 31% typical nationally — earn under $22,025 a year, which in Virginia is Medicaid territory rather than marketplace territory.

The years before Medicare

1,682 people aged 50 to 64 in Alexandria city have no coverage, a rate of 6.2% — close to the 8.2% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Alexandria city against Virginia

Alexandria city is the 13th largest of the 20 Virginia counties we publish. Its uninsured rate tracks the state almost exactly and 4 points fewer of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds matches the Virginia picture.

Counties of a similar size

All Virginia counties · How the credit works · Enrollment dates