What Is a PPO (Preferred Provider Organization)?
PPO plans let you see any doctor or specialist without a referral, both in-network and out-of-network (though out-of-network costs more). PPOs are the most flexible plan type and are a common choice for people with multiple doctors or established specialist care.
Best for: people with established specialist relationships, frequent travelers, or anyone who values the flexibility to see any provider without referrals.
Watch out for: PPOs have higher premiums than HMOs or EPOs. Out-of-network care on a PPO still costs significantly more than in-network care — always try to use in-network providers.
PPO Plans Available in Virginia
The following carriers offer PPO health insurance plans in Virginia for 2026: Anthem HealthKeepers, Optima Health (Sentara), CareFirst BCBS, Aetna, Cigna, Oscar Health.
The dominant carrier in most Virginia counties is Anthem HealthKeepers.
Virginia expanded Medicaid in 2019. Northern Virginia is also served by CareFirst BCBS and Kaiser Permanente in addition to Virginia-based plans.
Plan availability and premium amounts vary by ZIP code and county. Rural counties often have fewer
carrier options than major metro areas. Always compare all plans available in your specific ZIP code
rather than shopping by carrier name alone.
How to Compare PPO Plans in Virginia
When comparing PPO plans in Virginia, look at:
- Network: Confirm your doctors and preferred hospitals are in the plan’s network
- Deductible: How much you pay before insurance starts covering costs
- Out-of-pocket maximum: The most you’ll pay in a plan year
- Premium: Your monthly cost after any applicable ACA subsidies
- Drug formulary: Whether your prescription medications are covered at a preferred tier
An independent broker compares all Virginia marketplace plans in your ZIP code without charging fees.