The numbers behind Medicare in Montgomery County
| Montgomery County | Virginia | |
|---|---|---|
| Residents age 65 and older | 14,290 | 1,498,879 statewide |
| Share of residents age 65+ | 14.5% | 17.2% statewide |
| People with Medicare | 15,575 | 1,764,998 statewide |
| Enrolled in Medicare Advantage | 5,518 | 698,851 statewide |
| Medicare Advantage share | 35.4% | 39.6% statewide |
Data: U.S. Census Bureau (2023 population estimates); CMS, September 2026. Medicare Advantage share is enrollees divided by people with Medicare.
Among Virginia’s 133 counties, Montgomery County comes in 28th for residents age 65 and up (14,290). Older adults make up 14.5% of the population here; the state figure is 17.2%. Another 4,715 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 59% ages 65 to 74, 31% ages 75 to 84 and 10% age 85 and up (Census 2023). Medicare Advantage enrollment in Montgomery County is 35.4% of people with Medicare, 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 Montgomery County
Montgomery County sits in a metro area, which the USDA defines as counties in metro areas of fewer than 250,000 population. That usually means more doctors, more hospitals and more plan choices in the area.
CMS counts 15,656 Medicare beneficiaries in Montgomery County (2023). Their average age is 74, about the same as the Virginia average of 74. About 8% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 9%.
Among people in Original Medicare in Montgomery County, CMS reported about 616 emergency room visits and 211 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 Montgomery County may differ from those in a neighboring county. We are not based in Montgomery County; we help Montgomery County residents by phone or video call.
Hospitals located in Montgomery County
The Centers for Medicare & Medicaid Services (CMS) lists these hospitals in Montgomery County:
- Carilion New River Valley Medical Center — Christiansburg (acute care; nonprofit; emergency services; CMS overall rating 4 of 5)
- Lewisgale Hospital Montgomery — Blacksburg (acute care; for-profit; 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.
Montgomery County: communities and ZIP codes
The largest communities in Montgomery County by 2023 Census population estimates are Blacksburg (45,485), Christiansburg (22,542). Each figure counts only the people living inside the county.
Census ZIP Code Tabulation Areas mostly within Montgomery County number 7: 24060, 24061, 24073, 24087, 24138, 24149, 24162. Your exact ZIP code is what decides which plans you can join.
Questions about Medicare in Montgomery 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 Montgomery County residents
We work with many carriers, which lets us compare more than one option for Montgomery County households, including Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities and Medicare Advantage.
Ready to compare plans in Montgomery 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
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- What Medicare Part D actually costs
- Medicare 101 for families
Montgomery County compared with similar Virginia counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Franklin County | 14,066 | 45.3% | 8% | Metro |
| Washington County | 13,565 | 54.0% | 11% | Metro |
| City of Portsmouth | 15,095 | 52.0% | 13% | Metro |
| Fauquier County | 13,440 | 27.3% | 6% | Metro |
| York County | 13,033 | 26.1% | 3% | 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.