FAMIS (Family Access to Medical Insurance Security) MOMS

Provides health care coverage during pregnancy and for two months following the end of pregnancy. Services covered:
- Prescription drugs
- Physicians visits
- In-patient and out-patient hospital care
- Preventive Care
- Dental Services (effective 3/1/15)
- Applications do not require a face-to-face interview. Mail-in and faxed applications are accepted.
- Interested persons can get an application by visiting or telephoning the office.

-Apply by phone:
Cover VA Call Center 855-242-8282
- Apply online: https://commonhelp.virginia.gov/access
- 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
- Download application form: http://www.dss.virginia.gov/benefit/medical_assistance/forms.cgi
- Fax application & documents to 703-228-1011

703-228-1350

Jessica Crothers

Mon - Fri: 8am - 5pm

- Cover Virginia Application for Health Coverage & Help Paying Costs
- Social Security Number or proof of application
- If not born in the United States, front and back of Immigration documents, Alien registration card, I-94 or Passport
- Proof of income and that of spouse, if applicable

Other

- Virginia Resident
- U.S. citizen or legal immigrant
- Curently pregnant or within the 60 day period after pregnancy ends
- Applicant does not have other insurance

Household Size / Maximum Gross Income
2 people / $2874
3 people / $3620
4 people / $4367
5 people / $5114
6 people / $5860
7 people / $6607
8 people / $7354
Each Add+ / $747

*income limits updated 1/17/2020

Other

Yes