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FAMIS is Virginia's health insurance program for children. It makes health care affordable for children of eligible families. FAMIS covers all the medical care growing children need to avoid getting sick, plus the medical care that will help them if they do get sick or get hurt.

Services Covered by FAMIS

These services are available:
  • Doctor visits
  • Well Baby Checkups
  • Hospital visits
  • Vaccinations
  • Prescription medicine
  • Tests and X-rays
  • Dental care
  • Emergency care
  • Vision care
  • Mental health care
  • Well Child Checkups

Cost to the Family

There are no enrollment costs or monthly premiums for FAMIS. For some services, the family will have to pay a co-payment. Most co-payments are just $2.00 or $5.00. Some services, like regular check-ups, are free. Download the [PDF] FAMIS Covered Services for more information.

Who is eligible for FAMIS?

Your children may be eligible if they:

  • Live in Virginia
  • Are not eligible for FAMIS Plus (also known as Children's Medicaid)
  • Are under age 19
  • Are United States citizens or lawfully residing immigrants
  • Live in families meeting FAMIS income guidelines

FAMIS is now available as an option for children of state employees.

Income Guidelines

Qualifying for FAMIS also depends on household income and family size. For your family size, count the number of people included on your federal taxes. If you don’t file taxes, count how many children and stepchildren under age 19 live in your home. Add yourself if you are the mother, father or stepparent of the children. Then add your husband or wife. For example, if you have 4 children and/or stepchildren under age 19 living in your home, plus yourself and your husband, your family size is 6. We determine eligibility based on monthly income. The current monthly income limit for a family of 6 is $5,910.

Family Size
Each additional family member$756$9,061

* Includes 5% standard disregard

To find out if your children may be eligible for FAMIS, answer the questions on the Eligibility Screening Tool on the Eligibility page.

How Do I Apply?

To find out if your children may qualify for FAMIS, answer the questions on the Screening Tool on the Am I Eligible? page. If, after using the Screening Tool, you think you may qualify for Medicaid, FAMIS, or Plan First, call Cover Virginia at 1-855-242-8282 or follow the instructions on the Apply page. For more information about how to appeal a decision, visit the Appeals page.

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