Medicare in City of Roanoke by the numbers
| City of Roanoke | Virginia | |
|---|---|---|
| Residents age 65 and older | 17,699 | 1,498,879 statewide |
| Share of residents age 65+ | 18.2% | 17.2% statewide |
| People with Medicare | 21,721 | 1,764,998 statewide |
| Enrolled in Medicare Advantage | 11,506 | 698,851 statewide |
| Medicare Advantage share | 53.0% | 39.6% statewide |
Figures come from the Census Bureau and CMS (September 2026).
With roughly 17,699 residents age 65 and older, City of Roanoke is 24th among 133 Virginia counties for older residents. That group is 18.2% of its population, compared with 17.2% across Virginia. Another 6,087 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). By age, the 65-and-older group splits 58% ages 65 to 74, 30% ages 75 to 84 and 12% age 85 and up (Census 2023). Medicare Advantage enrollment in City of Roanoke is 53.0% of people with Medicare, higher than 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 City of Roanoke
City of Roanoke 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 22,594 Medicare beneficiaries in City of Roanoke (2023). Their average age is 73, about the same as the Virginia average of 74. About 15% are “dual eligible,” meaning they have both Medicare and Medicaid, higher than the state figure of 9%. Where many people have both, special plans for dual-eligible members can matter; see our Medicaid and dual eligible guide, since availability varies by plan and area.
Among people in Original Medicare in City of Roanoke, CMS reported about 644 emergency room visits and 237 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (589) and higher than it for hospital stays (206). About 9% 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.
Medicare Advantage and Part D plan availability and provider networks are set county by county, so the plans open to you in City of Roanoke may differ from those in a neighboring county. We are not based in City of Roanoke; we help City of Roanoke residents by phone or video call.
Hospitals located in City of Roanoke
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in City of Roanoke:
- Carilion Medical Center — Roanoke (acute care; nonprofit; emergency services; CMS overall rating 3 of 5)
A hospital being in the county does not mean every plan covers it. Medicare Advantage networks differ by plan, so we check the hospitals and doctors you actually use before you enroll. Ratings are CMS Care Compare overall hospital star ratings; they describe the hospital, not whether a plan covers it. Source: CMS Hospital General Information.
Communities and ZIP codes in City of Roanoke
People in City of Roanoke live in communities such as Roanoke (97,171) (2023 population estimates, counting only the part of each community that lies inside the county).
We look up plans by ZIP code. In City of Roanoke, that means areas such as 24011, 24013, 24015, 24016, 24017, 24022, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in City of Roanoke?
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.
- Medicare.gov: Medigap on how Medicare Supplement works.
- Virginia’s Insurance Marketplace, Virginia’s own health insurance exchange, if you are not yet on Medicare.
- Medicare Care Compare for hospitals and doctors.
- Virginia Bureau of Insurance: Virginia’s insurance regulator, including agent license lookup.
Coverage we offer City of Roanoke residents
Here is what we can help City of Roanoke 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).
Ready to compare plans in City of Roanoke?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonPlain-English Medicare answers
- Medicare Parts A, B, C and D explained
- What happens if you do nothing during open enrollment?
- Can I change my Medicare plan after December 7?
- Why a Medicare Advantage plan drops a doctor or drug
City of Roanoke compared with similar Virginia counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Rockingham County | 17,765 | 30.2% | 7% | Metro |
| Augusta County | 18,167 | 30.3% | 6% | Metro |
| Frederick County | 18,557 | 31.9% | 6% | Metro |
| Bedford County | 19,470 | 37.3% | 6% | Metro |
| Stafford County | 19,491 | 31.1% | 6% | Metro |
| City of Suffolk | 15,699 | 41.8% | 8% | Metro |
See every Virginia county in our Virginia directory or go to our Virginia Medicare hub.