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women, and adults.
APPLY - HOME
Apply online at commonhelp.virginia.gov. Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 1-855-242-8282 (TDD: 1-888-221-1590). Apply online at the Health Insurance Marketplace at healthcare.gov. Mail or drop off a paper application to your local Department of Social Services (DSSRENEW MY COVERAGE
Renew my coverage. We are processing Medicaid renewals during the COVID-19 emergency.B ut you will not lose coverage if you do not renew now. Read more about renewing your health coverage at COVID-19.. You must renew your Virginia Medicaid health coverage each year. This is called an annual renewal.FAMIS - HOME
FAMIS, or Family Access to Medical Insurance Security Plan, is Virginia's health insurance program for children. It makes health care affordable for children of families who qualify. FAMIS covers all the medical care that growing children need to stay healthy. It APPLICATION ASSISTANCE Call ENROLL Virginia at 1-888-392-5132; and Boat People SOS at 703-538-2190. Certified Application Counselors (CACs) are located throughout the state, often in community health centers and other community-based services. To find an assister who can help you with your Marketplace application, enter your ZIP code or county below andthen select
MATERIALS - HOME
MEMBER HANDBOOKS
Learn more about health care programs, renew your coverage, report a change and enroll your newborn. Member handbooks; Renew my coverage;Report a change
APPLICATION FOR HEALTH COVERAGE AND HELP PAYING COSTS 2 3/1/217 Answer questions 4-11 if any applicants are under age 65 years. 4. Are you or is anyone for whom you are applying disabled? VIRGINIA MEDICAID/FAMIS CLIENT APPEAL REQUEST FORM October 2020 1 | Page VIRGINIA MEDICAID / FAMIS CLIENT APPEAL REQUEST FORM A fillable form is available at www.dmas.virginia.gov. Fill out this form completely including why you are appealing or write a letterwith the same
HOSPITAL PRESUMPTIVE ELIGIBILITY (HPE) INCOME LIMITS 2 . $2,946 : $3,711 . $4,477 : 5 . $5,242 : $6,007 . $6,773 : $7,538 . Additional family member add : $766. Children Under Age 19 and Pregnant Women Statewide Income HOME | COVER VIRGINIAHOSPITAL PRESUMPTIVE ELIGIBILITY (HPE)APPLY FOR COVERAGEMEDICAID MEMBER ADVISORY COMMITTEE Welcome to Cover Virginia. On this website, you can learn about Virginia’s Medicaid, FAMIS programs for children, pregnant women, and adults. You can also get information about health insurance choices through the Federal Marketplace. Learn. Learn about health care coverage and premium assistance programs for children, pregnantwomen, and adults.
APPLY - HOME
Apply online at commonhelp.virginia.gov. Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 1-855-242-8282 (TDD: 1-888-221-1590). Apply online at the Health Insurance Marketplace at healthcare.gov. Mail or drop off a paper application to your local Department of Social Services (DSSRENEW MY COVERAGE
Renew my coverage. We are processing Medicaid renewals during the COVID-19 emergency.B ut you will not lose coverage if you do not renew now. Read more about renewing your health coverage at COVID-19.. You must renew your Virginia Medicaid health coverage each year. This is called an annual renewal.FAMIS - HOME
FAMIS, or Family Access to Medical Insurance Security Plan, is Virginia's health insurance program for children. It makes health care affordable for children of families who qualify. FAMIS covers all the medical care that growing children need to stay healthy. It APPLICATION ASSISTANCE Call ENROLL Virginia at 1-888-392-5132; and Boat People SOS at 703-538-2190. Certified Application Counselors (CACs) are located throughout the state, often in community health centers and other community-based services. To find an assister who can help you with your Marketplace application, enter your ZIP code or county below andthen select
MATERIALS - HOME
MEMBER HANDBOOKS
Learn more about health care programs, renew your coverage, report a change and enroll your newborn. Member handbooks; Renew my coverage;Report a change
APPLICATION FOR HEALTH COVERAGE AND HELP PAYING COSTS 2 3/1/217 Answer questions 4-11 if any applicants are under age 65 years. 4. Are you or is anyone for whom you are applying disabled? VIRGINIA MEDICAID/FAMIS CLIENT APPEAL REQUEST FORM October 2020 1 | Page VIRGINIA MEDICAID / FAMIS CLIENT APPEAL REQUEST FORM A fillable form is available at www.dmas.virginia.gov. Fill out this form completely including why you are appealing or write a letterwith the same
HOSPITAL PRESUMPTIVE ELIGIBILITY (HPE) INCOME LIMITS 2 . $2,946 : $3,711 . $4,477 : 5 . $5,242 : $6,007 . $6,773 : $7,538 . Additional family member add : $766. Children Under Age 19 and Pregnant Women Statewide Income HOME | COVER VIRGINIA Welcome to Cover Virginia. On this website, you can learn about Virginia’s Medicaid, FAMIS programs for children, pregnant women, and adults. You can also get information about health insurance choices through the Federal Marketplace. Learn. Learn about health care coverage and premium assistance programs for children, pregnantwomen, and adults.
HEALTH PLANS
To change your health plan online, select “Enroll” and then “Get Started.”. If you want to change health plans by phone, call the Managed Care Helpline, Monday through Friday from 8:30 a.m. to 6 p.m. at 1-800-643-2273 (TDD 1-800-817-6608). Interpreter services are available. The Helpline can:OUR PROGRAMS
Coverage for pregnant women. There are two health coverage programs for pregnant women in Virginia who qualify. If the household’s income is within the limits, the pregnant woman may qualify for Virginia Medicaid or FAMIS MOMS. Both programs offer full health coverage while a woman is pregnant and for two months after herbaby’s birth
MATERIALS - HOME
Materials. There are two ways to get materials from Cover Virginia. 1. Print from web: Need one copy? You can print materials right from this website. Select the language link next to the picture of the documentyou want below.
PLAN FIRST - HOME
Plan First is Virginia’s free family planning program for men and women. Family Planning Services have education and support to help you decide if or when you want to have a baby. Plan First offers free yearly family planning exams, contraceptives, lab testing, family planning education and more.FEDERAL MARKETPLACE
Marketplace Special Enrollment Period ends August 15, 2021. The regular 2021 Open Enrollment Period ended on December 15, 2020, but you can apply during a Special Enrollment Period until August 15, 2021. Anyone can apply for coverage at this time.AM I ELIGIBLE?
Use the Eligibility Screening Tool. Answer a few questions to find out which health care coverage may be available to you. Answer questions for people in your family who are on your federal tax return. If you don't file federal taxes, just answer for family members APPLICATION FOR HEALTH COVERAGE & HELP PAYING COSTS Page 2 of 8 NEED HELP WITH YOUR APPLICATION? Visit the Cover Virginia website at coverva.org or call us at 1-855-242-8282.Para obtener una copia de este formulario en Español, llame 1-855-242-8282.If you need help in a language other than English, call 1-855-242-8282 and tell the customer service representative the language you need. HOSPITAL PRESUMPTIVE ELIGIBILITY (HPE) INCOME LIMITS Hospital Presumptive Eligibility (HPE) Income Limits Income limits include the MAGI 5% federal poverty level (FPL) disregard DMAS 070120. Parent/Caretaker-relative of SELF-EMPLOYMENT EXPENSES INFORMATION Self-employment expenses Information You can subtract the business expenses listed below from your gross income to get an amount for your net self-employment income. HOME | COVER VIRGINIAPLANSMARKETPLACEPROGRAM OVERVIEWHELP FOR VETERANSHOSPITAL PRESUMPTIVE ELIGIBILITY (HPE) Welcome to Cover Virginia On this website, you can learn about Virginia’s Medicaid, FAMIS programs for children, pregnant women, and adults. You can also get information about health insurance choices through the Federal Marketplace. APPLY - COVER VIRGINIA - WELCOME How to apply. Apply in one of these ways: Apply online at commonhelp.virginia.gov. Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 1-855-242-8282 (TDD: 1-888-221-1590). Apply online at the Health Insurance Marketplace at healthcare.gov. Mail or drop off a paper application to your local Department of Social Services (DSS) ([PDFHEALTH PLANS
Health plans. Members are first enrolled in fee-for-service for a short time until they are enrolled in one of the six health plans. Most Medicaid and FAMIS members get care through a health plan. APPLICATION ASSISTANCE Health Insurance Marketplace. Help is available in-person across the Commonwealth and on the phone. All Virginia-based assisters havecompleted rigorous
FAMIS - HOME
What is FAMIS? FAMIS, or Family Access to Medical Insurance Security Plan, is Virginia's health insurance program for children. It makes health care affordable for children of families who qualify.PLAN FIRST - HOME
What is Plan First? Plan First is Virginia’s free family planning program for men and women. Family Planning Services have education and support to help you decide if or when you want to have a baby. APPLICATION FOR HEALTH COVERAGE AND HELP PAYING COSTS 2 3/1/217 Answer questions 4-11 if any applicants are under age 65 years. 4. Are you or is anyone for whom you are applying disabled? VIRGINIA MEDICAID/FAMIS CLIENT APPEAL REQUEST FORM October 2020 1 | Page VIRGINIA MEDICAID / FAMIS CLIENT APPEAL REQUEST FORM A fillable form is available at www.dmas.virginia.gov. Fill out this form completely including why you are appealing or write a letterwith the same
FAMIS PLUS - COVERVA.ORG What services does Medicaid for children cover? Medicaid for children covers these services: Dental care; Doctor visits; Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program for children (comprehensive preventive and treatment services)FAMIS SELECT
FAMIS Select – Application WHAT IS FAMIS Select?. FAMIS . Select. is a voluntary program that gives families with children . approved for FAMIS. greater flexibility and choice in providing for their family’s heath care coverage. HOME | COVER VIRGINIAPLANSMARKETPLACEPROGRAM OVERVIEWHELP FOR VETERANSHOSPITAL PRESUMPTIVE ELIGIBILITY (HPE) Welcome to Cover Virginia On this website, you can learn about Virginia’s Medicaid, FAMIS programs for children, pregnant women, and adults. You can also get information about health insurance choices through the Federal Marketplace. APPLY - COVER VIRGINIA - WELCOME How to apply. Apply in one of these ways: Apply online at commonhelp.virginia.gov. Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 1-855-242-8282 (TDD: 1-888-221-1590). Apply online at the Health Insurance Marketplace at healthcare.gov. Mail or drop off a paper application to your local Department of Social Services (DSS) ([PDFHEALTH PLANS
Health plans. Members are first enrolled in fee-for-service for a short time until they are enrolled in one of the six health plans. Most Medicaid and FAMIS members get care through a health plan. APPLICATION ASSISTANCE Health Insurance Marketplace. Help is available in-person across the Commonwealth and on the phone. All Virginia-based assisters havecompleted rigorous
FAMIS - HOME
What is FAMIS? FAMIS, or Family Access to Medical Insurance Security Plan, is Virginia's health insurance program for children. It makes health care affordable for children of families who qualify.PLAN FIRST - HOME
What is Plan First? Plan First is Virginia’s free family planning program for men and women. Family Planning Services have education and support to help you decide if or when you want to have a baby. APPLICATION FOR HEALTH COVERAGE AND HELP PAYING COSTS 2 3/1/217 Answer questions 4-11 if any applicants are under age 65 years. 4. Are you or is anyone for whom you are applying disabled? VIRGINIA MEDICAID/FAMIS CLIENT APPEAL REQUEST FORM October 2020 1 | Page VIRGINIA MEDICAID / FAMIS CLIENT APPEAL REQUEST FORM A fillable form is available at www.dmas.virginia.gov. Fill out this form completely including why you are appealing or write a letterwith the same
FAMIS PLUS - COVERVA.ORG What services does Medicaid for children cover? Medicaid for children covers these services: Dental care; Doctor visits; Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program for children (comprehensive preventive and treatment services)FAMIS SELECT
FAMIS Select – Application WHAT IS FAMIS Select?. FAMIS . Select. is a voluntary program that gives families with children . approved for FAMIS. greater flexibility and choice in providing for their family’s heath care coverage. HOME | COVER VIRGINIA Welcome to Cover Virginia On this website, you can learn about Virginia’s Medicaid, FAMIS programs for children, pregnant women, and adults. You can also get information about health insurance choices through the Federal Marketplace.HEALTH PLANS
Health plans. Members are first enrolled in fee-for-service for a short time until they are enrolled in one of the six health plans. Most Medicaid and FAMIS members get care through a health plan.RENEW MY COVERAGE
Renew my coverage. We are processing Medicaid renewals during the COVID-19 emergency.B ut you will not lose coverage if you do not renew now. Read more about renewing your health coverage at COVID-19.. You must renew your Virginia Medicaid health coverage each year. This is called an annual renewal. FIND HELP IN YOUR AREA Uninsured and need health care services? Application assistance is help applying for health coverage. You can get in-person help across Virginia and by phone.AM I ELIGIBLE?
Am I eligible? Below are tools to learn if you or your children may qualify for Medicaid, FAMIS, Plan First or for health coverage through the Federal Marketplace. APPLICATION FOR HEALTH COVERAGE & HELP PAYING COSTS Page 2 of 8 NEED HELP WITH YOUR APPLICATION? Visit the Cover Virginia website at coverva.org or call us at 1-855-242-8282.Para obtener una copia de este formulario en Español, llame 1-855-242-8282.If you need help in a language other than English, call 1-855-242-8282 and tell the customer service representative the language you need.FAMIS SELECT
FAMIS Select – Application WHAT IS FAMIS Select?. FAMIS . Select. is a voluntary program that gives families with children . approved for FAMIS. greater flexibility and choice in providing for their family’s heath care coverage. HOSPITAL PRESUMPTIVE ELIGIBILITY (HPE) INCOME LIMITS 2 . $2,946 : $3,711 . $4,477 : 5 . $5,242 : $6,007 . $6,773 : $7,538 . Additional family member add : $766. Children Under Age 19 and Pregnant Women Statewide Income MEDICAL ASSISTANCE HANDBOOK Department of Medical Assistance Services Effective 6/1/2019 www.dmas.virginia.gov Medical Assistance Handbook - 1 - FAMIS SELECT BROCHURE Find out if your children are eligible for FAMIS Apply for FAMIS by calling . 1-855-242-8282, or on-line at . commonhelp.virginia.gov, or by visiting your local Department of Social Services Select Language▼ www.commonhelp.virginia.govMenu
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WELCOME TO COVER VIRGINIA On this website you can learn about Virginia’s Medicaid and FAMIS programs for children, pregnant women and adults. You can also get information about health insurance options available through the Federal Marketplace. You can apply online or search for someone who can assist you with your application. To begin, use the screening tool on the Am I Eligible page or the New Health Coverage for Adults page to get connected to the right health care coverage for you and your family.Back to School 2020
NEW HEALTH COVERAGE FOR ADULTS More than 450,000 adults are now enrolled and receiving health services because of expanded eligibility rules that took effect in January 2019. Find out more.AM I ELIGIBLE?
Answer five easy questions on the screening tool to find out if you or your family may be eligible for one of Virginia’s quality healthcoverage options.
FAMIS
The FAMIS health insurance program covers one in four children in Virginia so they get all the healthcare services they need to stayhealthy.
CONTACT US
Due to COVID 19, Cover Virginia call center response times may be longer than usual. Please send us your question and we will respond as quickly as possible.BACK TO SCHOOL 2020
Help us ensure that every eligible school age child in Virginia has access to the services they need for a healthy school year.FEDERAL MARKETPLACE
It's Open Enrollment for the Marketplace! You can enroll in or renew your Marketplace coverage from November 1 through December 15, 2020. utf8 authenticity_token Sign up to receive the latest news and updates from Cover Virginiacommit
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Due to COVID 19, Cover Virginia call center response times may be longer that usual. Please send us your question and we will respond as quickly as possible. Toll Free: 1-855-242-8282 • TDD: 1-888-221-1590 Cover Virginia is sponsored by the Commonwealth of Virginia Virginia Department of Medical Assistance Services. All rightsreserved.
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