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How to Apply

If, after using the Screening Tool, you think you may qualify for health care coverage under Medicaid, FAMIS, or Plan First, there are four easy ways to apply.

  1. Call Cover Virginia at 1-855-242-8282 to apply on the phone Mon - Fri: 8:00 am to 7:00 pm and Sat: 9:00 am to 12:00 pm or

  2. Apply online at www.commonhelp.virginia.gov or

  3. Print out and complete a paper application (Spanish version available here) and mail it to your local Department of Social Services (* Additional forms or applications may be required) or

  4. Visit your local Department of Social Services in the city or county in which you live

*You may need to print out additional single page supplement forms if applying for Medicaid, FAMIS or Plan First for more than two people in your household. When applying for Medicaid for adults over age 19 with disabilities, adults aged 65 or over, and for all people who need long term care services, you will need to fill out an ABD-LTC - Appendix D application as well as the Application for Health Coverage and Help Paying Costs. See below

Additional Person Single Page Supplement
ABD-LTC Application - Appendix D

You should have the following information ready when you apply:

  • Full legal name, Date of Birth, Social Security Number, Citizenship or Immigration Status for you and anyone in your household who is applying for health care coverage.
  • Most recent federal tax filing information (if available).
  • Job and income information for members of your household for the month prior or the current month. Having recent pay stubs or W-2s to reference may be helpful.
  • Information about other taxable income for members of your household such as unemployment benefits, Social Security benefits, pensions, retirement income, rental income, alimony received, etc.
  • Policy numbers for any current health insurance

When you apply, you will be asked if you wish to give your permission (Consent to Share) allowing us to use the information you gave us on the application to create a User Profile for you. Your answer does not affect your eligibility for health care coverage. You can read and download the Consent to Share document here.

For information about how to appeal a decision, visit the Appeals page.

Not Sure If You Qualify?

To find out if you may qualify for Medicaid, FAMIS or Plan First, answer the questions on the Screening Tool on the Am I Eligible? page.

Application Assisters

If you need help with filling out your application, please click on the link to find an Application Assister in your area.

Federal Health Insurance Marketplace

While Open Enrollment for 2015 Federal Health Insurance Marketplace coverage has ended, some people may qualify for a Special Enrollment period. Visit www.healthcare.gov or call 1-800-318-2596 to apply. If you would like to check what kind of financial help you may qualify for before contacting the Marketplace, you can use the Kaiser Family Foundation Calculator. For more information about Marketplace Special Enrollment, click here. To find a Marketplace event in your area, go to the calendar.

Governor’s Access Plan (GAP)

For information about how to apply for the Governor’s Access Plan, please go to the GAP page.

Veteran’s Benefits

Click here for information about Veteran’s benefits and how to apply.

Low or No-Cost Providers of Care

For a list of free clinics in your area, visit The Virginia Association of Free Clinics website. To find a community health center in your area, visit the Virginia Community Healthcare Association’s website.