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  4. FAMIS

FAMIS

 

FAMIS (Family Access to Medical Insurance Security) is Virginia’s health insurance program for children and pregnant women. It is Virginia’s CHIP (Children’s Health Insurance Program) coverage. Optima Health partners with the Virginia Department of Medicaid Assistance Services (DMAS) to carry out the program.

There is no cost to enroll and nothing to pay each month. There are no copays.

There are several FAMIS types.

  • FAMIS Children is health insurance for children up to age 18. See what services FAMIS Children covers.
  • FAMIS MOMS is health insurance during pregnancy and after giving birth. Learn about what FAMIS MOMS covers for you.
  • FAMIS Prenatal Coverage offers the same benefits as FAMIS MOMS no matter your immigration status. See how to qualify for FAMIS Prenatal Coverage.
  • FAMIS Select helps families pay for their health plan from their employer. Your child must be enrolled in FAMIS first. Learn about the benefits of FAMIS Select.

Income Eligibility for FAMIS Programs

The income limits for FAMIS are higher than the Medicaid income limits. You may use the online Screening Tool on the Cover Virginia website to see if you or your child may qualify.

Check Eligibility

 

Applying for FAMIS Programs

You can choose from these options to apply:

  • Phone: Call Cover Virginia at 1-855-242-8282 (TDD: 1-888-221-1590). Hours: Monday through Friday from 8:00 a.m. to 7:00 p.m. and Saturday from 9:00 a.m. to 12:00 p.m.
  • Online: Apply at Virginia Common Help.
  • Mail: Print a paper application in English or Spanish from coverva.dmas.virginia.gov/apply. Mail or drop it off at your local Department of Social Services.

For more information about FAMIS, contact Cover Virginia at 1-833-5CALLVA (1-833-522-5582) (TDD: 1-888-221-1590), or visit coverva.dmas.virginia.gov/apply.

How to Apply

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© Optima Health 2023, PO Box 66189, Virginia Beach, Virginia 23466

Sentara Health Plans and Optima Health are trade names of Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Optima Health Insurance Company is an additional trade name for Sentara Health Insurance Company. Virginia Premier Health Plan is an additional trade name for Sentara Health Plans. Optima Behavioral Health is an additional trade name for Sentara Behavioral Health Services, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Sentara Health Plans. Optima Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. Sentara Health Administration, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS.) Medicaid and FAMIS products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS.)