General Information
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
- FAMIS Plus, which provides medical coverage for low-income children who may have other health care coverage
- Visit the state’s FAMIS information 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 $2 or $5 may be applicable 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 all rights to medical support, which means any reimbursements from applicants private health insurance and/or any settlements resulting from a lawsuit must be paid to the Department of Medical Assistance (DMAS)
- Income limits vary for FAMIS or FAMIS Plus Programs for children. Please see guidelines below.
- Applicants not eligible for the Virginia State Employee Health Insurance Plan or FAMIS Plus and do not have health insurance and have not had insurance in the past four months may qualify with the FAMIS income limits.
FAMIS Household Monthly Income Limits
| Household Size | Maximum Monthly Gross Income |
| 1 | $1,945 |
| 2 | $2,622 |
| 3 | $3,298 |
| 4 | $3,975 |
| 5 | $4,652 |
| 6 | $5,328 |
| 7 | $6,005 |
| 8 | $6,682 |
| Each additional | + $677 |
FAMIS Plus Household Monthly Income Limits
| Household Size | Maximum Monthly Gross Income |
| 1 | $1,293 |
| 2 | $1,743 |
| 3 | $2,193 |
| 4 | $2,643 |
| 5 | $3,093 |
| 6 | $3,543 |
| 7 | $3,993 |
| 8 | $4,443 |
| Each additional | + $450 |
How to Apply
Apply in person or 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 and documents required to 703-228-1011
Or
Download an application at: http://coverva.org/mat/magi_1.pdf?11162015
Documents Required
- Complete Health Insurance for Children and Pregnant Women Application
- 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