Health insurance in Roanoke 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.

Half the uninsured here sit in the subsidy range

3,986 uninsured people in Roanoke city earn inside the premium tax credit range — 51% of the county's uninsured. That is near the 51% national median. Within that band itself, 11.2% have no coverage.

How many people here have no coverage

9.9% of Roanoke city's 78,381 under-65 residents have no health coverage — 7,786 people. That is above the Virginia rate of 8.1%, and puts Roanoke city in the upper half of the 3,143 counties measured nationally (1,554th).

Who falls under the Medicaid line

2,689 of Roanoke city's uninsured — 35%, 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

1,605 people aged 50 to 64 in Roanoke city have no coverage, a rate of 9.5% — close to the 9.9% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Roanoke city against Virginia

Roanoke city is the smallest of the 20 Virginia counties we publish a page for. Its uninsured rate runs 1.8 points higher than Virginia overall and 2 points more of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds is worse here than across Virginia.

Counties of a similar size

All Virginia counties · How the credit works · Enrollment dates