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Our Programs


Virginia Medicaid has low-cost and no-cost health coverage programs. There are programs for children, pregnant women and adults, including those with disabilities. To learn more about each program, use the links below.

Monthly income limits by program

To learn if you may qualify for one of Virginia’s Medicaid programs, read the charts below. You may qualify if your household monthly income is at or below the amount listed for your household size.

Eligibility for health coverage is based on income plus other factors. These charts screen for income only. You may qualify for coverage based on other things like age or disability. To get a full review, you need to apply. To learn more, go to Apply.

Coverage for children

There are two health coverage programs for children in Virginia who qualify. Both programs have full benefits. There are no enrollment costs or monthly premiums. Medicaid for children and the FAMIS program are for children up to age 19 whose household income is within the limits. Children under age 21 who are in foster care or subsidized adoptions may qualify. Newborns of mothers who are enrolled in Medicaid or FAMIS MOMS qualify for coverage for the first year.

Coverage for pregnant women

Health coverage is available for pregnant and postpartum individuals who qualify. If the household’s income is within the limits, the pregnant or postpartum person may qualify for Virginia Medicaid or FAMIS MOMS. Both programs offer full health coverage while a woman is pregnant and for one full year after the baby’s birth.

In addition, the FAMIS Prenatal Coverage program provides full coverage during pregnancy and through 60 days postpartum for pregnant individuals who do not meet immigration status rules for other coverage.

 

Medicaid for children under age 19 and pregnant women

Medicaid for Children & Medicaid for Pregnant Women
Up to 148% FPL
Household size Yearly Monthly 
1 $22,289 $1,858
2 $30,252 $2,521
3 $38,214 $3,185
4 $46,176 $3,848
5 $54,139 $4,512
6 $62,101 $5,176
7 $70,064 $5,839
8 $78,026 $6,503
Each additional $7,963 $664

*Includes 5% FPL Disregard
2024 Income Guidelines as of January 17, 2024

 

FAMIS, FAMIS MOMS & Plan First

FAMIS, FAMIS MOMS & Plan First 
Up to 205% FPL
Household size Yearly Monthly 
1 $30,873 $2,573
2 $41,902 $3,492
3 $52,931 $4,411
4 $63,960 $5,330
5 $74,989 $6,250
6 $86,018 $7,169
7 $97,047 $8,088
8 $108,076 $9,007
Each additional $11,029 $920

*Includes 5% FPL Disregard
2024 Income Guidelines as of January 17, 2024

Coverage for adults

Adults 19-64 years old
Medicaid has health coverage programs for adults in Virginia who qualify. There are no enrollment costs and no monthly premiums for adults between 19-64 years old who qualify. Their income must be within the limits.

 

Medicaid for adults age 19-64

Medicaid for Adults age 19-64
Up to 138% FPL
Household size Yearly Monthly 
1 $20,783 $1,732
2 $28,208 $2,351
3 $35,632 $2,970
4 $43,056 $3,588
5 $50,481 $4,207
6 $57,905 $4,826
7 $65,330 $5,445
8 $72,754 $6,063
Each additional $7,425 $619

*Includes 5% FPL Disregard
2024 Income Guidelines as of January 17, 2024

Plan First

Plan First is Virginia’s family planning services program. It is for men and women who do not meet the income rules for full Medicaid. Plan First has limited benefits. It covers yearly family planning exams for men and women, pap tests, sexually transmitted infection testing, family planning education and counseling, tubal ligation and vasectomies. It also covers approved over-the-counter and prescribed contraceptives and transportation to a family planning service.

 

FAMIS, FAMIS MOMS & Plan First

FAMIS, FAMIS MOMS & Plan First 
Up to 205% FPL
Household size Yearly Monthly 
1 $30,873 $2,573
2 $41,902 $3,492
3 $52,931 $4,411
4 $63,960 $5,330
5 $74,989 $6,250
6 $86,018 $7,169
7 $97,047 $8,088
8 $108,076 $9,007
Each additional $11,029 $920

*Includes 5% FPL Disregard
2024 Income Guidelines as of January 17, 2024

Medicaid for aged, blind, or disabled (ABD) individuals

Adults who are age 65 or older or are disabled or blind may qualify for full Medicaid. A resource test may be required for the applicant. A person who does not qualify for full Medicaid because their income is over the limit may “spenddown” their income limit on certain medical bills. They must have a certain amount in medical bills before they can be approved for Medicaid. The amount of medical costs needed to qualify depends on household size and income.


Medicaid for aged, blind and disabled (ABD)

Medicaid for aged, blind and disabled (ABD)
Up to 80% FPL
Household size Monthly income
1 $1,004
2 $1,363

2024 Income Guidelines as of January 17, 2024
 

Medicaid Works

Medicaid Works
Up to 138% FPL
Household size Monthly income
1 $1,732
2 $2,351

2024 Income Guidelines as of January 17, 2024
*Additional $20 deduction for unearned income
*Eligibility category also has resource limits

 

Medicare Savings Programs

Medicaid Savings Program
Up to 135% FPL
Household size Monthly income
1 $1,695
2 $2,300

2024 Income Guidelines as of January 17, 2024
*Eligibility category also has resource limits

 

Premium assistance

Virginia has two Medicaid-related premium assistance programs that help pay for all or part of the costs of employer-sponsored health insurance: FAMIS Select and the Health Insurance Premium Program (HIPP).

Emergency services for non-citizens

Some immigrants may qualify for full Medicaid coverage. Others may qualify for Medicaid payment only for emergency services.

Emergency Services Medicaid covers some services that are medically necessary for short time periods. This includes services such as dialysis or labor and delivery. Your notice of coverage will tell you when your coverage starts and ends.

For answers to common questions, read Frequently asked questions about Medicaid for non-citizens.

Apply for Virginia Medicaid programs

If you think you may qualify for one of the programs above, please apply.

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