Roanoke County Medicare at a glance
| Roanoke County | Virginia | |
|---|---|---|
| Residents age 65 and older | 21,875 | 1,498,879 statewide |
| Share of residents age 65+ | 22.5% | 17.2% statewide |
| People with Medicare | 26,047 | 1,764,998 statewide |
| Enrolled in Medicare Advantage | 9,757 | 698,851 statewide |
| Medicare Advantage share | 37.5% | 39.6% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
With roughly 21,875 residents age 65 and older, Roanoke County is 17th among 133 Virginia counties for older residents. That group is 22.5% of its population, compared with 17.2% across Virginia. Another 6,735 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 56% ages 65 to 74, 34% ages 75 to 84 and 10% age 85 and up (Census 2023). Medicare Advantage enrollment in Roanoke County is 37.5% of people with Medicare, close to the Virginia average of 39.6%. Averages cannot choose a plan for you. Medicare Advantage and Original Medicare with a Medigap plan each suit different people, depending on doctors, medicines and how you prefer to handle costs, and we compare both at your ZIP code.
Who has Medicare in Roanoke County
Roanoke County is a metro county; the U.S. Department of Agriculture describes it as: counties in metro areas of 250,000 to 1 million population. Metro counties usually have more hospitals and more insurers competing for Medicare members, so there can be more plans to compare.
CMS counts 26,102 Medicare beneficiaries in Roanoke County (2023). Their average age is 75, 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 Roanoke County, CMS reported about 516 emergency room visits and 197 inpatient hospital stays per 1,000 beneficiaries in 2023, which is lower than the state average for emergency visits (589) and close to 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 Roanoke County may differ from those in a neighboring county. We are not based in Roanoke County; we help Roanoke County residents by phone or video call.
Hospitals and doctors near Roanoke County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Roanoke 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.
Roanoke County: communities and ZIP codes
The largest communities in Roanoke County by 2023 Census population estimates are Vinton (8,046). Each figure counts only the people living inside the county.
ZIP codes that fall mostly inside Roanoke County include 24014, 24018, 24019, 24020, 24059, 24153. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Roanoke 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.
- Social Security: Medicare to enroll or check status.
- 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.
- Virginia Bureau of Insurance: Virginia’s insurance regulator, including agent license lookup.
Coverage we offer Roanoke County residents
As an independent agency we are not tied to one insurer, so for Roanoke County residents we can compare group health insurance, life insurance, final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance and ICHRA.
Ready to compare plans in Roanoke County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonPlain-English Medicare answers
- How to read your Medicare Annual Notice of Change
- Does Medicare cover dental, vision and hearing?
- Why a Medicare Advantage plan drops a doctor or drug
- Medicare Parts A, B, C and D explained
Roanoke County compared with similar Virginia counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Hanover County | 22,514 | 36.3% | 4% | Metro |
| James City County | 22,517 | 30.4% | 3% | Metro |
| City of Alexandria | 20,937 | 29.9% | 8% | Metro |
| City of Hampton | 23,421 | 49.1% | 9% | Metro |
| Spotsylvania County | 23,454 | 35.6% | 7% | Metro |
| Stafford County | 19,491 | 31.1% | 6% | Metro |
See every Virginia county in our Virginia directory or go to our Virginia Medicare hub.