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.
*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
You should have the following information ready when you apply:
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.
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.
If you need help with filling out your application, please click on the link to find an Application Assister in your area.
If the screening tool indicates you are likely not eligible for Medicaid, FAMIS, or Plan First, you may be eligible for health insurance through the Federal Health Insurance Marketplace. Some people may qualify for help to pay for their health insurance. Visit www.healthcare.gov or call 1-800-318-2596 for more information.
Open enrollment for Federal Health Insurance Marketplace coverage begins November 2014, but a Special Enrollment Period (SEP) may allow you to enroll in health coverage outside of the Open Enrollment Period. Some qualifying life events will allow you to enroll in or change coverage outside of the Open Enrollment Period. The fact sheet below lists some situations, beyond qualifying life events, which, for complicated cases, may make you eligible for a Special Enrollment Period outside of the Open Enrollment Period. A small number of people will fall into these categories. If you think you qualify for a Special Enrollment Period, you’ll need to call the Marketplace Call Center at 1-800-318-2596. The process may not necessarily be automatic.
The Centers for Medicare and Medicaid Services has a Consumer Fact Sheet (August 2014) with more information.
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.