FAMIS (Family Access to Medical Insurance Security) for Children

Provides medical insurance for children under age 19 who have low-income. 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

Children under age 19 - 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

- Apply in Person or mail to:
Bureau of Public Assistance Programs
2100 Washington Blvd, 1st Floor
Arlington, VA 22204
- Call 703-228-1350 to have an application mailed to you
- Fax application & documents to 703-228-1011

Download Application Form: http://www.dss.virginia.gov/benefit/medical_assistance/forms.cgi

- Apply by phone: Cover VA Call Center 855-242-8282
- Apply online: https://commonhelp.virginia.gov/access

703-228-1350

Jessica Crothers

Mon - Fri: 8am - 5pm

- Cover Virginia Application for Health Coverage & Help Paying Costs
- You may be asked for:
? Social Security Number or proof of application
? Verification of Identity for eligible children
? Proof of Citizenship or Immigration Status
? Proof of current income for applicant, all children and parents living in the home
? Copy of Health Insurance Cards if applicable

Infant; Child

- Children under age 19
- Virginia resident
- U.S. citizen and some legal immigrants
- Social Secuirty 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 Famis Plus and who do not have health insurance may qualify with the FAMIS income limits.

FAMIS Monthly Family Income Limits
Household Size / Maximum Gross Income
1 person / $2127
2 people / $2874
3 people / $3620
4 people / $4367
5 people / $5114
6 people / $5860
7 people / $6607
8 or more / $7354
Each Add+ / $747

income limits updated 1/17/2020
FAMIS Plus Monthly Family Income Limits
Household Size / Maximum Gross Income
1 person / $1489
2 people / $2016
3 people / $2542
4 people / $3069
5 people / $3596
6 people / $4122
7 people / $4649
8 or more / $5176
Each Add+ / $527

Other

Yes

Co-pays required for some services