Virginia Medicaid
Virginia
What is Virginia Medicaid ?
Medicaid is the state and Federal partnership that provides medical coverage to eligible needy persons. The purpose of Virginia Medicaid is to improve the health of people in Virginia who might otherwise go without medical care for themselves and their children. There is no enrollment fee or premium for Medicaid coverage if you are eligible. Low co-pays are charged for some Medicaid services.
Administration
Virginia Medicaid is administered by Virginia.
Program Requirements
Qualification Requirements Last Updated on 2025-03-01
To be eligible for Virginia Medicaid, you must be a resident of the state of Virginia, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:
- Pregnant, or
- Be responsible for a child 18 years of age or younger, or
- Are between 19 and 64 (not enrolled in Medicare), or
- Blind, or
- Have a disability or a family member in your household with a disability, or
- Be 65 years of age or older.
In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $20,030 |
| 2 | $27,186 |
| 3 | $34,341 |
| 4 | $41,496 |
| 5 | $48,652 |
| 6 | $55,807 |
| 7 | $62,963 |
| 8 | $70,118 |
Income guidelines are effective January 18, 2022 and are updated on the Cover Virginia website - this site includes other programs available within Virginia Medicaid and their associated income limits.
Application Details
What is the application process for Virginia Medicaid ?
Individuals or families may apply for Medicaid online or through their local Department of Social Services, as well as by calling Cover Virginia at 1-855-242-8282. Aged, blind or disabled individuals or married couples may apply for Medicaid online by using CommonHelp.
Paper applications may be downloaded.
Families applying for their children may download the Health Insurance for Children and Pregnant Women form.
Paper application forms may be mailed or taken in person to the local Social Services office.