Welcome to Cover Virginia
Eligibility Screening Tool

Am I Eligible?

We have included some tools to help you work out if you or your children may be eligible for Medicaid, FAMIS, Plan First or other health benefits through the Federal Marketplace.

Check your eligibility

Click on the Eligibility Screening Tool on the right and answer a few questions to find out which health care coverage options are available to you.

  • Answer questions for the people in your family that are included on your federal taxes.
  • If you don't file federal taxes, just answer for family members living with you (spouse and children under 21).
  • You must answer each question with a number, even if it is 0.

The graph below is a quick reference guide to help you decide what health care benefits you or your family may qualify for. It shows what coverage options are available by program and by income. The numbers on the left side of the graph show the upper percentage limits of Federal Poverty Level (FPL)* for each program.

*The set minimum amount of gross income that a family needs for food, clothing, transportation, shelter and other necessities. In the United States, this level is determined by the Department of Health and Human Services. FPL varies according to family size. The number is adjusted for inflation and reported annually in the form of poverty guidelines. Public assistance programs, such as Medicaid in the U.S., define eligibility income limits as some percentage of FPL.

To help you:
100% FPL = $1,012 gross income per month for 1 person
100% FPL = $2,092 gross income per month for a family of 4
(Plus a 5% income disregard)

Income charts for Medicaid, FAMIS and Plan First are available in English and Spanish. For income information about the Federal Health Insurance Marketplace, visit the Marketplace page.

2018 Federal Health Insurance Marketplace Open Enrollment Has Ended

The 2018 Open Enrollment period ended on December 15, 2017. As a result, you cannot sign up for health care coverage until the 2019 Open Enrollment period UNLESS you become eligible for a special enrollment period. You must experience a qualifying life event — like getting married, having or adopting a baby, losing your current health coverage — in order to be eligible. If you have a qualifying event, you may be eligible to enroll during the 2018 Special Enrollment Period (SEP). For more information go to the Marketplace page. If you think you may be eligible for Special Enrollment and would like to apply for health insurance now through the Marketplace, go to www.healthcare.gov.