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Medicaid Expansion Info

New health coverage for adults

Beginning January 1, 2019, more adults living in Virginia will have access to quality, low-cost health insurance. Starting November 1, Virginians aged 19-64 with incomes up to 138% of the Federal Poverty Level (FPL) can submit an application to get the health care they need so they don't have to worry about getting sick or having an accident.

How to Apply for Coverage

  • Call the Cover Virginia Call Center at 1-(855) 242-8282 (TDD: 1-(888) 221-1590). Apply on the phone Monday - Friday: 8:00am to 7:00pm and Sat: 9:00am to 12:00pm.
  • Complete an online application at Common Help: www.commonhelp.virginia.gov
  • Complete an online application at The Health Insurance Marketplace: www.healthcare.gov
  • Mail or drop off a paper application (Spanish) to your local Department of Social Services (Mailing may take longer than other methods of applying). Find your nearest local department of social services by visiting: http://www.dss.virginia.gov/localagency/
  • Call the Virginia Department of Social Services Enterprise Call Center at 1-(855) 635-4370 (If you also want to apply for other benefits)

Who is eligible?

  • Virginia residents, ages 19-64
  • Not already in or eligible for Medicare
  • Must meet income requirements, which vary by household size (see chart below)

You may be eligible if you make less than:

Family Size

Yearly

Monthly

1

$16,754

$1,397

2

$22,715

$1,894

3

$28,677

$2,391

4

$34,638

$2,887

5

$40,600

$3,384

6

$46,562

$3,881

7

$52,523

$4,378

8

$58,485

$4,875

Additional person add

$5,962

$497

Who qualifies for Virginia Medicaid?

Childless Adults

Parent (Family of 3)

Person with Disability

Before January 2019

Not Eligible

Eligible with annual income at or below $6,900

Eligible with annual income at or below $9,700

Beginning January 2019

Eligible with annual income at or below $16,754

Eligible with annual income at or below $28,677

Eligible with annual income at or below $16,754

If you received an enrollment letter

What services will be covered?

  • Doctor, hospitalist, and emergency services
  • Prescription drugs
  • Laboratory and x-ray services
  • Maternity and newborn care
  • Long-term care and support services
  • Home health services
  • Behavioral health services including addiction and recovery treatment services
  • Rehabilitative services including physical, occupational, and speech therapies
  • Transportation to Medicaid-covered services when no alternatives are available
  • Family planning services
  • Medical Equipment and supplies
  • Preventive and wellness services and chronic disease management services
  • And more!

Will I be able to get health coverage if I have a pre-existing condition?

Yes, this health coverage is available to you if you have a pre-existing condition as long as you meet other qualifications.

Are dental services covered?

Dental services for most adults are limited to medically necessary treatments. Comprehensive dental benefits, including preventive services, are available through age 20. Pregnant women also qualify for comprehensive dental services, except for orthodontics.

Will I be able to keep my current doctor?

With some limited exceptions, you will be asked to choose a health insurance company (called a "plan") that will coordinate your care and reimburse doctors and other providers for services you receive. Check with your doctors and other health care providers to find out whether they participate in one or more of these plans.

Go to www.coverva.org or call 1-(855) 242-8282 for more information.