The numbers behind Medicare in Botetourt County
| Botetourt County | Virginia | |
|---|---|---|
| Residents age 65 and older | 8,392 | 1,498,879 statewide |
| Share of residents age 65+ | 24.6% | 17.2% statewide |
| People with Medicare | 9,737 | 1,764,998 statewide |
| Enrolled in Medicare Advantage | 3,718 | 698,851 statewide |
| Medicare Advantage share | 38.2% | 39.6% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
With roughly 8,392 residents age 65 and older, Botetourt County is 45th among 133 Virginia counties for older residents. That group is 24.6% of its population, compared with 17.2% across Virginia. Another 2,748 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). Among residents 65 and older, 57% are 65 to 74, 32% are 75 to 84 and 10% are 85 or older (Census 2023 estimates). About 38.2% of people with Medicare in Botetourt County are enrolled in a Medicare Advantage plan. That is close to the Virginia average of 39.6%. A county average does not tell you which kind of plan fits you. Whether Medicare Advantage or Original Medicare with a Medigap plan is the better fit depends on your doctors, your prescriptions and how you want to handle costs, so we compare both for your ZIP code.
Who has Medicare in Botetourt County
Botetourt County sits in a metro area, which the USDA defines as counties in metro areas of 250,000 to 1 million population. That usually means more doctors, more hospitals and more plan choices in the area.
CMS counts 9,733 Medicare beneficiaries in Botetourt County (2023). Their average age is 74, about the same as the Virginia average of 74. About 6% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 9%.
Among people in Original Medicare in Botetourt County, CMS reported about 461 emergency room visits and 172 inpatient hospital stays per 1,000 beneficiaries in 2023, which is lower than the state average for emergency visits (589) and lower than it for hospital stays (206). About 8% received home health care. These figures describe how people use care under Original Medicare; they do not show what any plan covers or costs.
Sources: CMS Medicare Geographic Variation, 2023; USDA Rural-Urban Continuum Codes, 2023.
Insurers choose which counties to serve each year, which means the Medicare Advantage and Part D plans you can pick in Botetourt County can be different from the ones offered next door. We are not based in Botetourt County; we help Botetourt County residents by phone or video call.
Hospitals and doctors near Botetourt County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Botetourt County. Residents often use hospitals in neighboring counties, which matters for Medicare Advantage because a plan’s network may include or leave out the hospital you use. We check your hospitals and doctors before you enroll.
Communities and ZIP codes in Botetourt County
The largest communities in Botetourt County by 2023 Census population estimates are Buchanan (1,210), Fincastle (766), Troutville (468). Each figure counts only the people living inside the county.
We look up plans by ZIP code. In Botetourt County, that means areas such as 24066, 24077, 24083, 24085, 24090, 24175, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Botetourt County?
Reach out to us: fill out our short form or call (571) 354-0146, and a licensed agent will compare the plans available to you, check your doctors and drugs, and stay with you each year at renewal. For general Medicare information, the federal helpline is 1-800-MEDICARE (1-800-633-4227).
Medicare resources from official sources
- Medicare Plan Finder on Medicare.gov, searchable by ZIP code.
- Virginia’s Insurance Marketplace, Virginia’s own health insurance exchange, if you are not yet on Medicare.
- Medicare Care Compare for hospitals and doctors.
- Social Security: Medicare to enroll or check status.
- Virginia Bureau of Insurance: Virginia’s insurance regulator, including agent license lookup.
Coverage we offer Botetourt County residents
Here is what we can help Botetourt County residents with, drawing on plans from many insurers: Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities, Medicare Advantage and Medicare Supplement (Medigap).
Let’s check your Botetourt County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonPlain-English Medicare answers
- Why a Medicare Advantage plan drops a doctor or drug
- Can I change my Medicare plan after December 7?
- What happens if you do nothing during open enrollment?
- Medicare Parts A, B, C and D explained
Botetourt County compared with similar Virginia counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Isle of Wight County | 8,322 | 37.9% | 6% | Metro |
| Gloucester County | 8,755 | 34.6% | 7% | Metro |
| Pulaski County | 7,990 | 45.6% | 13% | Metro |
| Warren County | 7,355 | 40.4% | 9% | Metro |
| Culpeper County | 9,479 | 32.8% | 9% | Metro |
| Goochland County | 7,155 | 27.0% | 4% | Metro |
See every Virginia county in our Virginia directory or go to our Virginia Medicare hub.