Thousands of Local Families Are Struggling With Healthcare Costs. This Report Reveals Why.
A federal law drew a line through the U.S. Virgin Islands. On one side there is help. On the other side there is nothing to buy at any price. Most people on St. Croix were never told which side they were standing on.
The Virgin Islands is facing not only a healthcare access problem, but a household budget crisis.
For many families, going to the doctor costs far more than the visit. There is the time away from work, the ride there, the tests, the prescriptions and the chance of an emergency room bill later. When those costs stack up, even pain that will not go away may not be enough to make an appointment happen.
In 2023, about one in six Virgin Islands adults told federal surveyors they had needed to see a doctor during the previous twelve months but could not because of cost. More than one in five said they had no personal doctor.11
Those numbers are not about individual choices. They point to a money barrier, shaped by what local families earn and by what kind of coverage they can get at all.
Part OneNo More Individual Insurance
On December 31, 2025, the last company selling individual health insurance in the U.S. Virgin Islands closed its book of business here. In early December it had 43 active policies covering 63 people, in a territory of about 87,000.110
The company had asked for a 7.5 percent rate increase. The local regulator approved 4 percent, saying the company had not shown the loss figures to justify more. The company said 4 percent was not enough to stay in business. It also blamed its small number of customers and a $1.25 million capital rule. So it left.1
If you live on St. Croix, do not get a plan through a job, and do not qualify for Medicaid, there is currently no health insurance policy you can buy.
Not a good one. Not a bad one. Not an expensive one. None. There is no healthcare.gov for the Virgin Islands, and as of this writing there is no private company selling to individuals here either.123
This is not new. It is just quiet. Insurance regulators reported the same basic problem in 2013. Virgin Islands residents were “unable to purchase individual health insurance for any price.”6
Thirteen years later, that sentence is true again.
Part TwoWhere Medicaid Coverage Ends
Every place in America draws an income line for Medicaid. In the states, crossing that line leads somewhere else. It leads to a marketplace where the federal government helps you pay for a plan.
In the Virgin Islands there is no marketplace. Here, the line is not a step. It is a cliff.
And the cliff sits low. The territory’s own Medicaid office lists the cutoff for a single person at $15,654 a year, or about $1,305 a month.7 Work full time at $8 an hour and you clear roughly $16,640. That is enough to put you over the line. It is not enough to buy you anything, because there is nothing here to buy.
For scale, the federal poverty line for one person in 2026 is $15,960. In a state that expanded Medicaid, the same person keeps coverage up to about $22,000, and above that can get federal help to buy a plan.829 The paycheck is the same. The help is not.
The same paycheck, two different locations
Drag the slider to a yearly income for a single adult. The panels show what that person can get where you live, and what the same person can get in most U.S. states, where Medicaid expanded.
That is about $8.65 an hour at 40 hours a week.
Below about $22,000 a year, a single adult keeps Medicaid.
Over the Medicaid line, with no marketplace and no carrier selling to individuals.
The size of that cliff showed up in 2024. When the pandemic protections ended, 16,480 Virgin Islanders came off the Medicaid rolls in about a month. That is 19 percent of everyone who lives here. Enrollment fell by 44 percent. The government had planned for around 9,000. The real number was nearly double.9
Almost one in five people in the territory lost their health coverage in a single month. Most of them had nowhere to go next, because there was nothing to buy.
Based on V.I. Legislature testimony, July 20249How the territory was left behind
When the Affordable Care Act passed in 2010, it gave each territory a choice. Build your own marketplace, or take money for Medicaid instead. Congress set aside $1 billion for all five territories. Puerto Rico got $925 million of it. The other four split the remaining $75 million.3
The Virgin Islands did the math. To run a real marketplace and help people pay their premiums the way a state does, it worked out that it would need about $251.5 million over six years. It was offered about $25 million.6 So the territory took the money as Medicaid dollars instead. Federal records show the award was made “in lieu of establishing a health marketplace.”4
Then came a second blow. In 2014, federal insurance officials wrote to the territories to explain something. The big consumer protections in the health law use the law’s own meaning of the word state, and the territories do not count under it. So those rules do not apply here.5
- Guaranteed coverage. A company does not have to sell you a plan.
- Community rating. A company can charge you more because of your health history.
- A single risk pool. Healthy and sick people do not have to be priced together.
- Essential health benefits. A plan does not have to cover a standard set of care.
- Rate review and spending rules. Less oversight of what companies charge and keep.
Source: letter from the federal Center for Consumer Information and Insurance Oversight to territorial insurance commissioners, July 16, 2014.5
A small, fragile market was left without the rules holding it up everywhere else. Of course it collapsed.
Part ThreeWhat the Gap Costs This Island
A gap in a statute does not stay on paper. It shows up in the community. St. Croix has been a federally designated Medically Underserved Area since 1995. It is also a designated shortage area for primary care and for mental health care.12
Gov. Juan F. Luis Hospital carries the lowest possible overall rating from federal regulators, one star out of five.13 In December 2025, the hospital’s own medical staff formally notified federal officials about conditions inside. Their letter used four words that traveled across the island: “We are rationing care.”14
The warning signs show up in household health too. In 2023, 16.6 percent of Virgin Islands adults said they had been told they have diabetes. Another 38.1 percent said they have high blood pressure.11 In a Caribbean study that included Virgin Islanders, more than a third of the people with high blood pressure did not know they had it.15
Four questions the government asks everywhere, and how the Virgin Islands answers them
Share of adults answering yes, in percent. Hover or tap a column for the full question and its margin of error.
A study of nearly 3,000 Caribbean adults over 40, including people right here in the U.S. Virgin Islands, found that 57.9 percent had high blood pressure. Of those, 36.8 percent did not know it.15
Nationally, about 4 in 10 adults with high blood pressure are unaware of it,20 and roughly 1 in 4 people with diabetes have never been diagnosed.21
High blood pressure has no symptoms. It does not hurt. That is the entire problem with it.
Why the usual alternatives still fail
Families in this gap have usually tried every door already. There is no marketplace plan to buy. The Medicaid line is low. The yearly health fair helps, but it comes once. Government clinic hours run in the morning, when many people are at work.25 Frederiksted Health Care uses a sliding scale and turns nobody away, and it already carries about 10,000 patients across roughly 45,000 visits a year.24
Even when the visit itself is free, getting to it can cost a workday or a ride you have to pay for. For a line cook, a housekeeper, a landscaper, a mechanic, a home health aide or a driver, going to the doctor does not cost a copay. It costs a shift.
The cost of care isn’t always the bill. Care may be free or offered on a sliding scale, but getting there can still cost you a workday, transportation, time, or another missed appointment.
What a visit really costsAverage weekly pay here runs about $501 below the national average.26 A lost shift is not a small thing when the light bill is waiting. So people wait. And waiting is what turns a cheap problem into an expensive one.
Part FourWhat Actually Changes the Outcome
The research does not say the thing that matters most is an insurance card. It says the thing that matters most is having one regular place that knows you. Those are not the same thing.
That Caribbean study went looking for what made the difference in whether a person knew. The strongest thing anyone could change was not income. It was not education. It was having a usual place to go for care. People with a regular place had 5.66 times the odds of knowing they had high blood pressure.15
National researchers found the same pattern in emergency room use. They looked at uninsured people only, and split them in two. Those with no usual place of care got 24.1 percent of their outpatient visits in an emergency room. Those with a usual place of care: 8.8 percent.16
Same insurance status. Same wallet. About a third of the emergency room use. The only difference was having a regular place to turn before a problem became an emergency.
Having a regular clinic beats having a card
Percent of patients who got most of their care in an emergency room as opposed to a local clinic. Read down the groups: the insurance changes, and the gap barely does.
None of this makes insurance unimportant. Coverage still decides what a family can afford when the tests and the specialists and the hospital bills arrive. But a dependable first door changes when a problem gets found, and where the ordinary care happens.
- In a study of 4.5 million people in Norway, people who kept the same primary care doctor for more than 15 years had 25 percent lower odds of dying than people who had kept theirs for one year. Their odds of an emergency hospital admission were 28 percent lower.17
- A review of 22 studies across nine countries found that 18 of them showed lower death rates with greater continuity of care.18
- Across 3,142 U.S. counties, every 10 additional primary care doctors per 100,000 people was linked to about 51.5 more days of life expectancy.19
Part FiveWhat Is Happening on Wednesdays
Which brings us to a clinic local families have trusted for more than 40 years.
Its founder, Dr. Arakere Prasad, came to St. Croix in 1982 and opened his family practice in 1988. Before that he worked in the emergency room and as a pediatrician at Gov. Juan F. Luis Hospital. He is board certified in emergency medicine and in internal medicine. Readers of the Virgin Islands Daily News later voted him Best Physician on St. Croix, and voted his staff Best Medical Customer Service Team.27
The practice has a laboratory in the building and a pharmacy next door.27 That matters more than it sounds. It means somebody can get tested and walk out with what they need, without driving across the island three times.
Every Wednesday, the practice runs a free clinic for low income, uninsured residents of St. Croix. It operates from noon to 3 p.m., by appointment, with capacity limited by how many people the staff can see that afternoon.
Free care for uninsured St. Croix residents, one day a week, from noon to 3 p.m., by appointment.
- Blood pressure check. The screening federal authorities rate at their highest grade for all adults 18 and over.22
- Blood sugar and cholesterol testing in the building’s own lab, the screening recommended for adults 35 to 70 who carry extra weight.23
- A real sit down with a provider. Not a pamphlet. A conversation, and a written plan you take home.
- A pharmacy next door for anything you are prescribed.
- No insurance card. No bill for the visit.
Spots each Wednesday are limited by how many people the staff can see in an afternoon. Visits are by appointment, so confirming eligibility ahead of time is how you get one of them.
This does not fix the law. One practice on one island cannot undo a word written into a federal statute. What it can do is take the one thing the research is clearest about, a regular place that knows you, and hand it to the people the law skipped.
60 seconds is all it takes to know if you qualify. A few questions about your household and your coverage, and you will know whether Wednesday is for you.
SEE IF I PRE-QUALIFYPart SixTwo Wednesdays From Now
Nothing in this report is going to change the law this year. The word state is still going to mean what it means. The marketplace is not coming tomorrow. The rebuilt hospital is years out.
So the real question left is a small one, and it is yours. There is a version of the next two years where you keep doing what you have been doing. You feel fine most days. The thing in your chest or your foot or your head comes and goes. Then one afternoon it stops being something you can handle, and you find out what has been going on while nobody was looking.
There is another version where you go on a Wednesday, on a break or a swapped shift. Someone puts a cuff on your arm. Someone draws a little blood. Maybe everything is fine, and you go back to work with a weight off you. Maybe it is not fine, and you find out now, while there is still time to make a plan.
A former resident wrote this online in the spring:
You roll the dice and sometimes you lose.28
Former VI Resident, Public Forum, April 2026He was writing about his own family. The line still holds for thousands of people here. You have been forced to gamble with your health because the system left you no better option. Lawmakers drew a line and left you standing on the wrong side of it.
Wednesday is a door. It does not ask what the line says.
Find out in 60 seconds whether Wednesday is for you.
A short set of questions about your household and your coverage. No insurance card needed. No bill for the visit.
SEE IF I PRE-QUALIFYFor low income, uninsured residents of St. Croix. Spots each Wednesday are limited by clinic capacity. Checking eligibility does not obligate you to anything.
Sources and further reading
Every numbered claim in this report links here. Where sources disagree, or where a figure is contested, we have said so in the text. Government figures, survey data, and peer reviewed research are listed with their publication details so you can check them yourself.
- V.I. loses only option for individual health insurance; company sought hire [sic] rate. Suzanne Carlson, The Virgin Islands Daily News, January 26, 2026. Reports that Optimum Global Insurance Company stopped selling individual health insurance in the U.S.V.I. effective December 31, 2025. As of December 5, 2025, it had 43 active policies covering 63 people. It had asked for a 7.5% rate increase; the Lieutenant Governor approved 4%. The company said 4% was not enough to sustain its operations, and also cited its small book of business and a $1.25 million capital requirement. Read the report
- Health Insurance for Individuals Remains a Dream Deferred. The St. Thomas Source, August 26, 2022. Documents the absence of any individual health insurance market in the U.S. Virgin Islands and the reasons cited by regulators and insurers.stthomassource.com
- Affordable Care Act §1323, codified at 42 U.S.C. §18043 (“Territories”). Statutory text establishing that a territory electing to establish an Exchange is treated as a State, appropriating $1 billion for 2014–2019 with $925,000,000 allocated to Puerto Rico, and providing that a territory not establishing an Exchange instead receives an increase in its Medicaid allotment under Section 1108 of the Social Security Act. Read the statute
- United States Virgin Islands. Centers for Medicare & Medicaid Services, Medicaid.gov state overview. Records $24.9 million awarded to the U.S. Virgin Islands “in lieu of establishing a health marketplace.” Note: portions of this page are dated, with its eligibility table marked as of April 2017.medicaid.gov
- Letter to territorial insurance commissioners. Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services, July 16, 2014. Concludes that new Public Health Service Act provisions enacted in Title I of the ACA “do not apply to the territories,” specifically naming guaranteed availability, community rating, single risk pool, rate review, medical loss ratio, and essential health benefits.Read the letter (PDF)
- U.S. Territories discussion paper. National Association of Insurance Commissioners, October 7, 2013. States that the sole insurer in the U.S.V.I. individual market ceased issuing new policies, “leaving residents of the territory unable to purchase individual health insurance for any price,” and records the territory’s calculation that it required $251.5 million in exchange subsidies over six years against roughly $25 million allocated.Read the paper (PDF)
- Office of Medicaid. U.S. Virgin Islands Department of Human Services. Lists a categorically eligible income limit of $15,654 for a family of one. The page carries no date, but the figure matches the standard in effect since April 1, 2017, which Medicaid.gov lists as $1,305 a month. The territory’s Medicaid director gave the same $15,654 figure in 2019 testimony to Congress.dhs.vi.gov
- HHS Poverty Guidelines. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. 2026 guidelines, published January 15, 2026: $15,960 for one person and $33,000 for four in the 48 contiguous states and Washington, D.C. The Medicaid expansion limit is 133 percent of this line plus a 5 point income disregard, or 138 percent in practice. For one person that is about $22,025.aspe.hhs.gov
- Mass Medicaid Terminations in USVI Leaves 16,480 Without Healthcare; Lawmakers Fear Health Crisis. VI Consortium, July 3, 2024. Reports testimony that enrollment fell to 21,463 after 16,480 residents, about 19 percent of the territory’s population, were removed in roughly one month following the end of pandemic era protections, against a government projection of about 9,000.viconsortium.com
- 2020 Island Areas Censuses, U.S. Virgin Islands. U.S. Census Bureau, Demographic Profile Summary File, table DP3 (income and poverty items reference calendar year 2019). Territory population 87,146; St. Croix population 41,004; St. Croix median household income $39,445; 7,693 St. Croix residents without health insurance (19.6%); 3,262 employed St. Croix adults aged 19–64 without coverage (23.8% of the employed).census.gov
- Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, U.S. Virgin Islands. Centers for Disease Control and Prevention, dataset dttw-5yxu, 2023 survey year. Uninsured 17.5% (95% CI 14.3–20.7); could not see a doctor in the past 12 months due to cost 17.2% (95% CI 14.2–20.2); no personal doctor or health care provider 21.4%; diagnosed diabetes 16.6%; diagnosed high blood pressure 38.1%. Crude, self reported prevalence, not age adjusted.data.cdc.gov
- Health Professional Shortage Areas and Medically Underserved Areas, St. Croix. Health Resources and Services Administration Data Warehouse. St. Croix is a designated High Needs Geographic HPSA for primary care (score 16), dental (18), and mental health (18, population to provider ratio 6,998:1), and has been a designated Medically Underserved Area continuously since March 30, 1995 (Index of Medical Underservice 43.70).data.hrsa.gov
- Hospital General Information. Centers for Medicare & Medicaid Services Provider Data Catalog, dataset xubh-q36u. Gov. Juan F. Luis Hospital & Medical Center (CCN 480002) holds a CMS Overall Star Rating of 1 out of 5. Emergency department timeliness measures are reported as Not Available for this facility.data.cms.gov
- Healthcare Workers Sound Alarm Over Conditions at Juan F. Luis Hospital. VI Consortium, December 14, 2025. Reports the hospital’s Medical Executive Committee formally notifying CMS of adverse conditions, and quotes a staff letter stating “We are rationing care.”viconsortium.com
- Oladele CR, Miller MI, Adams OP, Maharaj RG, Nazario CM, Nunez M, Nunez-Smith M, Desai M. Sociodemographic correlates of hypertension prevalence, awareness, and control in the Eastern Caribbean. The Lancet Regional Health — Americas. 2025;43:101012. Cross sectional analysis of 2,932 adults aged 40+ in Barbados, Puerto Rico, Trinidad & Tobago, and the U.S. Virgin Islands (ECHORN Cohort Study). Hypertension prevalence 57.9%; 36.8% of those affected were unaware. Having a usual source of health care was associated with an odds ratio of 5.66 (95% CI 3.8–8.4) for awareness. View study
- Liaw W, Petterson S, Rabin DL, Bazemore A. The Impact of Insurance and a Usual Source of Care on Emergency Department Use in the United States. International Journal of Family Medicine. 2014;2014:842847. Analysis of Medical Expenditure Panel Survey data. Among uninsured respondents without a usual source of care, 24.1% had half or more of their ambulatory visits in an emergency department, versus 8.8% of uninsured respondents who had a usual source of care. View study
- Sandvik H, Hetlevik Ø, Blinkenberg J, Hunskår S. Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out-of-hours care: a registry-based observational study in Norway. British Journal of General Practice. 2022;72(715):e84–e90. National registry study of 4,552,978 people. Compared with a one year relationship, a relationship of more than 15 years with the same GP was associated with 25% lower odds of dying (OR 0.75, 95% CI 0.70–0.80) and 28% lower odds of acute hospital admission. Observational; Norway has universal coverage. View study
- Pereira Gray DJ, Sidaway-Lee K, White E, Thorne A, Evans PH. Continuity of care with doctors: a matter of life and death? A systematic review of continuity of care and mortality. BMJ Open. 2018;8(6):e021161. Systematic review of 22 studies across nine countries; 18 (81.8%) reported statistically significant reductions in mortality with increased continuity of care. Continuity was measured differently across studies, so no pooled effect size was calculated. View study
- Basu S, Berkowitz SA, Phillips RL, Bitton A, Landon BE, Phillips RS. Association of Primary Care Physician Supply With Population Mortality in the United States, 2005–2015. JAMA Internal Medicine. 2019;179(4):506–514. Study of 3,142 U.S. counties. Every 10 additional primary care physicians per 100,000 population was associated with a 51.5 day increase in life expectancy (95% CI 29.5–73.5), versus 19.2 days for 10 additional specialists. County level analysis; association, not causation. View study
- Fryar CD, Kit B, Carroll MD, Afful J. Hypertension Prevalence, Awareness, Treatment, and Control Among Adults Age 18 and Older: United States, August 2021–August 2023. NCHS Data Brief No. 511, National Center for Health Statistics, October 2024. Based on measured blood pressure in NHANES: 47.7% of U.S. adults have hypertension, and only 59.2% of those affected are aware of it.Read the brief (PDF)
- National Diabetes Statistics Report. Centers for Disease Control and Prevention. Reports that 38.1 million U.S. adults have diabetes and 8.7 million of them, 22.8%, are undiagnosed (data through 2021). A more recent CDC update using 2023 data reports 27.6% undiagnosed. Undiagnosed prevalence is estimated from laboratory values in a survey sample and extrapolated.cdc.gov
- Screening for Hypertension in Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. April 27, 2021. Grade A, the Task Force’s highest rating: screening for hypertension in adults 18 years or older with office blood pressure measurement. View recommendation
- Screening for Prediabetes and Type 2 Diabetes: US Preventive Services Task Force Recommendation Statement. JAMA. 2021;326(8):736–743. Grade B: screening for prediabetes and type 2 diabetes in adults aged 35 to 70 who have overweight or obesity. The statement notes that diabetes is the leading cause of kidney failure and of new cases of blindness among U.S. adults. View recommendation
- Frederiksted Health Care Expands While Anticipating Funding Cut. St. Croix Source, August 12, 2025. Reports that the federally qualified health center serves roughly 10,000 patients, close to one quarter of St. Croix’s population, across about 45,000 visits per year, on a sliding scale with some uninsured patients not charged.stcroixsource.com
- Community Health Services and 2026 USVI Health & Wellness Fair. U.S. Virgin Islands Department of Health. Community Health Services medical clinic hours are listed as Monday through Friday, 8:30 to 11:30 a.m. The annual free wellness fair on St. Croix ran June 8–12, 2026, weekdays 9 a.m. to 3 p.m.doh.vi.gov
- Virgin Islands Economy at a Glance. U.S. Bureau of Labor Statistics, April 2026 data published June 4, 2026. Average weekly wage in the U.S.V.I. was $1,068 against a U.S. average of $1,569. Total nonfarm employment fell 7.4% year over year, with leisure and hospitality down 18.3%.Read the summary (PDF)
- Dr. Arakere Prasad, founder of Primary Care, PLLC, voted Best Physician and his staff the Best Medical Customer Service Team on St. Croix. Virgin Islands Daily News, Blue Ribbon awards feature, 2019. Documents Dr. Prasad’s practice on St. Croix since 1982 and family practice since 1988, eight years in the emergency room and fifteen years as a pediatrician at Gov. Juan F. Luis Hospital, board certification in emergency medicine and internal medicine, and the practice’s in-house laboratory and on-premise pharmacy. Blue Ribbon awards are reader voted recognitions, not clinical outcome rankings.
- “You roll the dice and sometimes you lose.” Comment by u/mindthenoize in r/virginislands, April 10, 2026. A former resident describing eight years living in the territory, a family member’s heart attack and 14 hours of travel time, and a spouse who lost vision in one eye while waiting on off island treatment. Public social media comment, quoted as the writer published it; the account holder’s identity and the underlying medical details are not independently verified. Read the comment
- Status of State Medicaid Expansion Decisions. KFF, updated August 21, 2026. Reports that 41 states, counting Washington, D.C., have adopted the Medicaid expansion and 10 states have not. Expansion covers nearly all adults with incomes up to 138 percent of the federal poverty level.kff.org
Important Health and Advertising Disclosures
If this is an emergency, do not wait for Wednesday. Chest pain, trouble breathing, severe bleeding, sudden weakness or numbness, slurred speech, a drooping face, severe abdominal pain, a serious injury, or thoughts of harming yourself are emergencies. Call 911 or go to the nearest emergency room immediately. A free screening clinic is not a substitute for emergency care.
This is advertising. This article is a paid advertorial produced on behalf of Primary Care, PLLC of St. Croix, U.S. Virgin Islands. “HealthcareUSVI” is a presentation format used for this advertisement and is not an independent news organization. This content is not endorsed by, affiliated with, or produced by any newspaper, government agency, or the authors of any study cited here.
Not medical advice. The information here is provided for general education only. It is not a substitute for professional medical advice, diagnosis, or treatment. Never disregard professional medical advice or delay seeking it because of something you read in this article. Always talk with a qualified health care provider about your own situation. Only a licensed clinician who has examined you can diagnose or treat a medical condition.
Regulatory statement. The screenings and services described here are clinical services provided by licensed health care professionals. They are not products, drugs, or dietary supplements. No statement in this article has been evaluated by the U.S. Food and Drug Administration, and nothing described here is intended to diagnose, treat, cure, or prevent any disease outside of the ordinary practice of medicine by licensed clinicians. No specific medication, device, or commercial product is being promoted or offered for sale in this article.
About the research cited. Studies referenced above were conducted in a range of populations and settings, and most are observational rather than randomized. Results reported in a research study describe averages across a group and do not predict what will happen to any individual. Where evidence is mixed or contested, we have said so in the body of this article and included the contrary findings in the source list. No outcome is promised, guaranteed, or implied for any person who attends this clinic.
About eligibility. The free Wednesday clinic is intended for low income, uninsured residents of St. Croix. Eligibility is determined by the practice. Capacity each week is limited by clinic staffing, and completing an eligibility check does not reserve, guarantee, or promise an appointment, a service, a diagnosis, or any particular result. Clinic days, hours, and services are subject to change. Please call the practice to confirm before you travel.
About the images. The photographs in this article are illustrative images created with generative artificial intelligence. They do not depict real patients, real staff members, real events, or any actual location. No image should be understood as a testimonial or as documentation of an actual person or outcome.
About the data. Figures were current as of publication and are cited with their sources and dates above. Government eligibility thresholds, program rules, clinic schedules, and insurance market conditions change. Some source documents carry no effective date, and where federal sources disagreed with each other we have noted it. Readers should confirm current Medicaid eligibility figures directly with the U.S. Virgin Islands Department of Human Services Office of Medicaid.
Privacy. Any information you provide in the eligibility check is used to determine whether you may qualify for this program and to contact you about it. It is not a medical record and does not create a doctor patient relationship.