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 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.
*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.
Complete Appendix E if you applied for Health care Coverage for someone who is medically needy (has income greater than the Medicaid limit) and would like to be evaluated for a spenddown based on income, resources and medical expenses. Spenddown works like an insurance policy deductible. The amount of the “deductible” is called the “spenddown liability.” Once medical bills are incurred equal to or greater than the spenddown liability, the application is re-evaluated for Medicaid eligibility.
APPENDIX E (Medically Needy Spenddown) to the Application for Health Coverage and Help Paying Costs
APPENDIX E (Medically Needy Spenddown) to the Application for Health Coverage and Help Paying Costs (Spanish)
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.
The 2017 Open Enrollment period ended on January 31, 2017. As a result, you cannot sign up for health care coverage until the 2018 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 2017 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.
For information about how to apply for the Governor’s Access Plan, please go to the GAP page.
Click here for information about Veteran’s benefits and how to apply.
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.