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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