Medicare in Accomack County by the numbers
| Accomack County | Virginia | |
|---|---|---|
| Residents age 65 and older | 8,894 | 1,498,879 statewide |
| Share of residents age 65+ | 26.8% | 17.2% statewide |
| People with Medicare | 10,356 | 1,764,998 statewide |
| Enrolled in Medicare Advantage | 4,074 | 698,851 statewide |
| Medicare Advantage share | 39.3% | 39.6% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
Among Virginia’s 133 counties, Accomack County comes in 39th for residents age 65 and up (8,894). Older adults make up 26.8% of the population here; the state figure is 17.2%. About 2,633 more people are 60 to 64 and are heading toward Medicare; our turning 65 guide explains their first steps. Census 2023 estimates show 60% of the 65-plus population is under 75, 31% is 75 to 84 and 9% is 85 or older. Medicare Advantage enrollment in Accomack County is 39.3% of people with Medicare, close to the Virginia average of 39.6%. What most people do in a county is less important than what fits you. We weigh Medicare Advantage against Original Medicare with Medigap using your doctors, your drugs and your budget.
Who has Medicare in Accomack County
Accomack County is a rural county (USDA: urban population of fewer than 5,000, not adjacent to a metro area). Plan choices can be narrower than in a city, and we focus on networks that include the doctors and hospital you actually use.
CMS counts 10,320 Medicare beneficiaries in Accomack County (2023). Their average age is 73, about the same as the Virginia average of 74. About 13% 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 Accomack County, CMS reported about 655 emergency room visits and 186 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to 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 Accomack County may differ from those in a neighboring county. We are not based in Accomack County; we help Accomack County residents by phone or video call.
Hospitals located in Accomack County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Accomack County:
- Riverside Shore Memorial Hospital — Onancock (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.
Where people live in Accomack County
Census Bureau 2023 estimates put the biggest communities in Accomack County at Chincoteague (3,271), Onancock (1,157), Parksley (809), Onley (534), Accomac (512), Belle Haven (461), counting only the part of each community inside the county.
ZIP codes that fall mostly inside Accomack County include 23301, 23302, 23303, 23306, 23308, 23336, 23337, 23356, 23357, 23358, 23359, 23389, 23395, 23401 and 19 more. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Accomack 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 Accomack County residents
We work with many carriers, which lets us compare more than one option for Accomack County households, including final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance and life insurance.
Ready to compare plans in Accomack County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonRead next
- Medicare Advantage vs. Medigap: how to choose
- Medicare Parts A, B, C and D explained
- What Medicare Part D actually costs
- Can I change my Medicare plan after December 7?
Accomack County compared with similar Virginia counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Louisa County | 8,844 | 37.9% | 8% | Rural |
| Russell County | 6,161 | 66.3% | 18% | Rural |
| Caroline County | 5,673 | 42.5% | 9% | Rural |
| Page County | 5,426 | 37.3% | 12% | Rural |
| Westmoreland County | 5,335 | 35.5% | 10% | Rural |
| Lee County | 5,149 | 69.9% | 26% | Rural |
See every Virginia county in our Virginia directory or go to our Virginia Medicare hub.