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Virginia Medicaid Coverage for Adults

Coverage for Adults 19-64 years old

450,000 Virginians enrolled in health coverage through Medicaid expansion!

More adults in Virginia can now get high-quality, low- or no-cost health insurance. Virginians ages 19-64 can apply any time to get the health care they need. Starting July 1, 2021, adults are now eligible for dental coverage through Virginia Medicaid.

Who qualifies for Virginia Medicaid?

Do you qualify for health benefits?

To find out if you may qualify, use the Eligibility Screening Tool. Eligibility for health coverage is based on income plus other factors. This tool screens for income only. You may qualify for coverage based on other things like age or disability. To get a full review, you need to apply. To learn more, go to Apply.

What are the income limits?

2023 Income Guidelines Effective January 18, 2023

Medicaid for adults age 19 64 - Up to 133% FPL

Household size Yearly Monthly
1 $20,121 $1,677
2 $27,214 $2,268
3 $34,307 $2,859
4 $42,400 $3,450
5 $48,494 $4,042
6 $55,587 $4,633
7 $62,680 $5,244
8 $69,773 $5,815
Each additional $7,094 $592

*Includes 5% FPL Disregard

Former foster care individuals

Adults from ages 18 to 26 can get Medicaid if they were in foster care and had Medicaid in any state on their 18th birthday. There is no income limit for this program.

Breast and Cervical Cancer Prevention and Treatment Act

Individuals may qualify if they were screened by the Virginia Department of Health’s Every Woman’s Life program or the Project Wish program and were diagnosed with and need treatment for breast or cervical cancer. 

The Virginia Department of Health’s Every Woman’s Life program screeners decide who qualifies for this program. For more information, go to vdh.virginia.gov/every-womans-life

Resources for advocates

For helpful resources to assist you with outreach, go to Advocates.

How do you apply?

If you think your children qualify, go to Apply.

Where to learn more

Frequently Asked Questions (FAQ)

[PDF] English | Spanish

 

New Adult Health Coverage Poster

[PDF] English | Spanish | Double-sided 

Adult Health Coverage Flyer

 

Adult Health Coverage Flyer 

[PDF] English | Spanish | Arabic | Amharic | Urdu | Vietnamese | Double-sided 

Adult Health Coverage Flyer Option 2

 

Adult Health Coverage Flyer Option 2 (digital download only)

[PDF] English | Spanish | Arabic | Amharic | Urdu | Vietnamese | Double-sided | Order online

 

Medicaid Member Handbook

[PDF] English | Spanish

 


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