Individual & Family Coverage
Medicaid & FAMIS
Virginia Medicaid & Virginia FAMIS provide health coverage for certain uninsured individuals.
According to the Virginia Department of Social Services, in order to be eligible for Medicaid, applicants must meet the non-financial and financial requirements for Medicaid and must be in one of the groups covered by Medicaid. The four major groups covered by Medicaid are:
Medically Indigent Children and Pregnant Women (MI) - Medicaid generally provides coverage to pregnant women and children with countable family income below 133% of the federal poverty level (FPL) who meet the non-financial requirements. Eligibility under this component is determined without regard to the individual's resources.
Low Income Families and Children (LIFC) - Medicaid covers families who meet the non-financial requirements and the income and resource requirements.
Aged, Blind and Disabled (ABD) - Medicaid covers individuals over 65 and individuals with disabilities who meet the non-financial requirements and the income and resource requirements. Medicaid covers Supplemental Security Income (SSI) recipients who meet the resource requirements.
Long-Term Care (LTC) - Medicaid provides coverage to individuals who require care in a medical facility or whose care can be provided in the home and whose income and resources are insufficient to cover the cost of their care.
Medicaid & FAMIS for Uninsured Children
In Virginia, Children's Health Insurance includes Medicaid and Family Access to Medical Insurance Security (FAMIS) and is available through a single application. Children will be covered by Medicaid if the family's income meets the Medicaid income requirements. Children who are not eligible for Medicaid and who meet the FAMIS eligibility requirements will be covered by FAMIS.
