Our Programs

Virginia offers several low and no cost health insurance programs for eligible children, pregnant women and adults. To find out more about each program, follow the links below.

Coverage for Children

There are two health insurance programs available for qualifying children in Virginia. Both programs offer comprehensive benefits with no enrollment costs and no monthly premiums.

Coverage for Pregnant Women

Virginia offers two health insurance programs for qualifying pregnant women. Both programs provide full coverage benefits while a woman is pregnant and for two months following the birth of her baby.

Coverage for Adults

Health insurance programs for qualifying adults in Virginia are provided through Medicaid and Plan First. Both programs have no enrollment costs and no monthly premiums.

Coverage for Former Foster Care Youth

As of January 1st, 2014, Medicaid coverage is available to eligible former foster care youth who were receiving Virginia Medicaid and foster care services at the time of their 18th birthday and are currently under age 26. Any young adult who was formerly in foster care in Virginia at the time of their 18th birthday can apply online at www.commonhelp.virginia.gov or by calling the Cover Virginia Call Center at 1-855-242-8282 or they can print the paper application (Spanish version available here) and send by mail or fax to their local Department of Social Services (LDSS) or visit their LDSS in Person. For more information click here.

Find out more information on Covered Services for Former Foster Care Youth.

Hospital Presumptive Eligibility

There’s also another temporary coverage program. Certain hospitals may be able to enroll eligible individuals in short-term Medicaid coverage for up to two months through Hospital Presumptive Eligibility (HPE). This temporary coverage is based on both financial and non-financial eligibility for the following coverage groups:

  • A parent or caretaker relative of a child or children in the home under age 18 or 19 if the child remains in school
  • A pregnant woman
  • A child under age 19
  • An individual under 26 who was a former foster care child in Virginia
  • A person who has been diagnosed with breast or cervical cancer
  • A person eligible for limited Medicaid benefit for family planning coverage only
Pregnant women can only get HPE coverage one period per pregnancy and all other individuals can only get HPE coverage one time during the calendar year. For ongoing coverage a full application needs to be submitted. For more information on how to apply please visit the Apply page.

For more information about Presumptive Eligibility, please refer to covered services for pregnant women and for other individuals or for Plan First. You may also view a list of HPE Approved Hospitals.

 
 

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Cover Virginia Call Center
Toll Free: 1-855-242-8282 • TDD: 1-888-221-1590
8:00 am to 7:00 pm Monday - Friday
9:00 am to 12 noon Saturday
Call toll free for application assistance, questions and translation services
or contact your local Department of Social Services.

Cover Virginia is sponsored by the Commonwealth of Virginia