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Health insurance in Richmond city, Virginia

8,817 people here have no coverage and earn in the range a premium tax credit is built for — 49% of everyone uninsured in the county.

Reviewed September 4, 2026 · 2024 Census data

8,817Uninsured, subsidy range 138–400% of poverty
9.8%Uninsured, under 65 18,172 people
7.7%Uninsured, 50 to 64 2,718 people
185,873Under-65 residents 306th of 3,143

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

Of the 18,172 people without coverage in Richmond city, 8,817 — 49% — earn inside the premium tax credit range. That is near the 51% national median. Within that band itself, 12.3% have no coverage.

How many people here have no coverage

9.8% of Richmond city's 185,873 under-65 residents have no health coverage — 18,172 people. That is above the Virginia rate of 8.1%, and puts Richmond city in the lower half of the 3,143 counties measured nationally (1,588th).

Who falls under the Medicaid line

6,207 of Richmond city's uninsured — 34%, 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

2,718 people aged 50 to 64 in Richmond city have no coverage, a rate of 7.7% — close to the 9.8% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Richmond city against Virginia

Richmond city is the 9th largest of the 20 Virginia counties we publish. Its uninsured rate runs 1.7 points higher than Virginia overall and its subsidy-band share matches the state. Coverage among 50 to 64 year olds matches the Virginia picture.

Richmond cityVirginia National median
Uninsured, under 659.8% 8.1%9.8%
Uninsured in the subsidy band8,817 283,998
Subsidy band as a share of uninsured49% 50% 51%
At or below 138% of poverty34% 26% 31%
Uninsured, 50 to 647.7% 6.8% 8.1%

Counties of a similar size

CountyUninsured In the subsidy bandShare
Norfolk city9.2%8,34251%
Arlington County5.5%4,80942%
Chesapeake city6.3%6,83051%
Stafford County6.3%4,37547%

What a plan actually costs in Richmond city

These figures say how many people here a credit would reach. What it would be worth to you depends on your age, household and income — a licensed agent can work that out on the call.

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