General Information
Family Access to Medical Insurance Security (FAMIS) provides medical insurance for children under age 19 who have low-income. Medical insurance for children under age 19 consist of two programs:
- FAMIS, which provides medical coverage for uninsured and low-income children, or
- FAMIS Plus, which provides medical coverage for low-income children who may have other health care coverage. Visit the state’s FAMIS information page or Facebook page
Services covered:
- Doctor and hospital visits
- Vaccinations and well-baby check-ups
- Prescription medicine
- Tests and x-rays
- Dental and vision Care
- Emergency mental health care
- A co-payment of $5 may apply for some services
Eligibility
- Children under age 19
- Virginia resident
- U.S. citizen or some legal immigrants
- Social Security number or proof of application
- For FAMIS Plus: Assign Rights to Medical Support (meaning any reimbursements from applicant’s private insurance and/or settlements from a lawsuit must be paid to the Department of Medical Assistance (DMAS))
- Income limits vary for FAMIS or FAMIS Plus Programs for children. See guidelines below.
- Applicants not eligible for Virginia State Employee Health Insurance Plan or FAMIS Plus and who do not have health insurance and have not had insurance in the past four months MAY qualify with the FAMIS income limits.
FAMIS Income Limits* (Gross Income) – Effective January 18, 2018
| Household Size | Monthly | Yearly |
| 1 | $2,201 | $26,404 |
| 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 family member | $776 | $9,307 |
* Includes 5% standard disregard
FAMIS Plus Household Monthly Income Limits
| Household Size | Maximum Monthly Gross Income | Max Yearly Gross Income |
| 1 | $18,419 | $1,535 |
| 2 | $24,911 | $2,076 |
| 3 | $31,403 | $2,617 |
| 4 | $37,895 | $3,158 |
| 5 | $44,388 | $3,699 |
| 6 | $50,880 | $4,240 |
| 7 | $57,372 | $4,781 |
| 8 | $63,864 | $5,322 |
| Each Additional | $6,493 | $542 |
How to Apply
Apply in person or mail to: Bureau of Assistance Programs
2100 Washington Boulevard, 1st Floor
Arlington, VA 22204
Or
Download an application: http://coverva.org/mat/magi_1.pdf?11162015
Or
Call 703-228-1350 to have an application mailed to you
Or
Fax application and documents required to 703-228-1001
Documents Required
- Complete Health Insurance for Children and Pregnant Women Application (See FAMIS Moms)
- Social Security Number or proof of application
- Verify identify of all eligible children
- If child was born in the United States, original birth certificate or U.S. Passport
- If not born in the United States, front and back of Immigration documents, Alien Registration Card, I-94 or Passport
- Proof of current income for applicant, all children and all parents living in the home
- Copy of health insurance cards, if applicable