Dental Coverage is Now for Everyone

Virginia Medicaid includes dental coverage under a separate program for all members age 21 and up as of July 1, 2021. Children and pregnant women enrolled in Medicaid, FAMIS, or FAMIS MOMS continue to receive comprehensive dental coverage. View coverage details This link will open a new browser tab or window and takes you to a website that is not owned or operated by Optima Health (PDF).

Time for Change?

Open enrollment is the time of year when you have the chance to change your plan to Optima Health. It is Medicaid Medallion open enrollment in:

  • Western/Charlottesville region: August 19, 2021 – October 31, 2021

Check dates where you live.

Medicaid Makes Healthcare Possible. Optima Health Makes it Personal.

Optima Health is dedicated to taking care of health and so much more. Optima Family Care is a Virginia Medicaid plan. It is for children, teens, and adults who meet certain income and other requirements. You can apply at any time of year.

A doctor examining the throat of a small boy.

What does Medicaid Cover?

Medical and Pharmacy

Preventive care and screenings are part of your coverage. You cannot be denied for pre-existing conditions.

Highlights

  • Doctor visits, urgent care, and hospital stays
  • Wellness exams
  • Prescription drugs
  • Mental health and addiction and recovery services
  • Vaccines and flu shots
  • 24-Hour Nurse Advice Line

Plan Coverage Details

Two women talking to a boy while holding a swaddled baby.

Maximize You Benefits

Benefits from Optima Health

When you are an Optima Family Care member, you get lots of added benefits on top of your Medicaid coverage.

Highlights

  • Vision coverage
  • Gift card rewards
  • Free cell phone
  • Virtual visits over the phone or computer
  • Partners in Pregnancy program including free breast pump
  • Wellness programs for diet and exercise

More Added Benefits

Young male taking canned food from the shelf in a store.

Connection to Local Services

Help Beyond Healthcare

We understand the unique needs of Virginia because it has always been home to us.

Highlights

  • Healthy Savings%reg; food and household items discount program
  • Housing help
  • Rides to the grocery store and community events
  • College application assistance and GED voucher

 

View Programs

Denied Before? Check Again.

Questions?

Whether you are seeking coverage for yourself or helping someone else, we are here to answer your questions about our added benefits and services. We can help in other languages.

Optima Family Care
Toll-free: 1-800-881-2166 (TTY: 711)
Monday through Friday, 8 a.m. to 8 p.m. EST/EDT

Check our online Learning Center for answers to common questions.

This page does not represent a complete list of coverage and benefits. View the Optima Family Care member handbook (PDF) for full details.