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Virginia Medicaid

The purpose of Virginia Medicaid is to improve the health of people in Virginia who might otherwise go without medical care for themselves and their children.

Virginia Medicaid is the state and federal partnership that provides medical coverage to eligible needy persons. The purpose of Virginia Medicaid is to improve the health of people in Virginia who might otherwise go without medical care for themselves and their children. 

The Virginia Department of Medical Assistance Services (DMAS) offers lifesaving coverage to one in five Virginians, including more than 500,000 newly eligible adults who gained access to care when the program expanded in 2019. 

Program Name Virginia Medicaid (Cover Virginia)
Expanded Medicaid Yes
Website https://coverva.org
Phone 855-242-8282
Apply Online https://www.commonhelp.virginia.gov/
Appeal a Denial File an Appeal
Find a Local Office https://coverva.org/en/find-help-in-your-area

Eligibility Requirements

To be eligible for Virginia Medicaid, you must be a resident of the state of Virginia, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Clinic services Long-term services and support
Dental care services Nursing facility care
Durable medical equipment and supplies Organ transplants
Early intervention Physician's services
Eye examinations Podiatry services (foot care)
Eyeglasses Prescription drugs
Family planning Prosthetic devices
Home health services Psychiatric or psychological services
Hospital care Rehabilitation services
Hospital emergency room Renal (kidney) dialysis clinic visits
Lead testing Transportation services

Copayments

Inpatient services $100
Outpatient services $3.00
Clinic visits $1.00
Physician visits $1.00
Eye exams $1.00
Prescriptions $1.00
Home health services $3.00
Rehabilitation services $3.00

Copayments are not required for the following:

  • Children under 21
  • Emergency services (including dialysis)
  • Pregnancy-related services
  • Family planning services
  • Members receiving long term or hospice care services
  • No copays for individuals enrolled in Managed Care

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