General Information
Provides health care coverage for women who are pregnant and uninsured. Apply online! Services covered:
- Prescription drugs
- Physicians visits
- In-patient and out-patient hospital care
- Preventive care
Eligibility
- Virginia resident
- U.S. citizen or legal immigrant
- Currently uninsured
- Proof of medically confirmed pregnancy or be within 60 days after pregnancy ends
- Applicant does not have access to the State Employee Health Plan
FAMIS MOMS Family Income Limits* – Effective Jan. 18, 2018
| Household Size | Maximum Monthly Gross Income** | Yearly |
| 2 | $2,976 | $35,711 |
| 3 | $3,752 | $45,018 |
| 4 | $4,528 | $54,325 |
| 5 | $5,303 | $63,632 |
| 6 | $6,079 | $72,939 |
| 7 | $6,854 | $82,246 |
| 8 | $7,630 | $91,553 |
| Each additional | $776 | $9,307 |
*Includes 5% standard disregard
** gross income is before taxes and deductions
*** count unborn child/ren as additional family members
How to Apply
Apply today! 1-855-242-8282
Apply in person/mail to:
Bureau of Assistance Programs
2100 Washington Boulevard, 1st Floor
Arlington, VA 22204
Or
Call 703-228-1350 to have an application mailed to you
Or
Fax application to 703-228-1011
Documents Required
- Complete Health Insurance for Children and Pregnant Women Application
- Written proof of pregnancy signed by an M.D., R.N. or medical practitioner
- Social Security Number or proof of application
- If not born in the United States, front and back of Immigration documents, Alien registration card, I-94 or Passport
- Proof of income and that of spouse, if applicable