Johnson Health Center offers FREE health insurance counseling and enrollment to the public. You do not have to be a patient of the health center to utilize this service. Certified Application Counselors are trained professionals to help you determine what health insurance options are available to you such as Medicaid and the Affordable Care Act. We have a Certified Application Counselor at each of our locations.

 

Need to apply for health insurance?
Please call 434-929-1400 ext. 1140

Medicaid

For more information about Virginia’s Medicaid program, you can visit the Cover Virginia website or call one of our Certified Application Counselors who can help you apply. Medicaid has expanded to cover more adults living in Virginia. So, if you applied for Medicaid in the past and were denied, you may now be eligible. Below is a chart with 2022 Income Eligibility Guidelines.

 

Frequently Asked Questions (FAQ)

What services are covered by Medicaid?
  • Doctor, hospital and emergency services, including primary and specialty care
  • Prescription drugs
  • Laboratory and X-ray services
  • Maternity and newborn care
  • Home health services
  • Behavioral health services, including addiction and recovery treatment services
  • Rehabilitative services, including physical, occupational and speech therapies
  • Family planning services
  • Medical equipment and supplies
  • Preventive and wellness services, including annual wellness exams, immunizations, smoking
    cessation and nutritional counseling
  • And more!
Will I be able to get coverage if I have a pre-existing condition?

Yes! Medicaid is available to you if you have a pre-existing health condition, as long as you meet other program requirements. 

Are dental services covered?

Comprehensive dental benefits, including preventive services, are available for all adults and children. Pregnant women also qualify for comprehensive dental services, except for orthodontics.

Managed Care Organizations (MCOs) provide additional dental coverage. You will select an MCO after you are approved for Medicaid. 

Virginia MCO List 

Marketplace

 For more information about the Affordable Care Act, you can visit https://www.healthcare.gov/. The next open enrollment for health insurance is November 1, 2023 – January 15, 2024. You may still qualify for a special enrollment outside of those dates. Some qualifying events for a special enrollment period are: having a baby, moving, losing health coverage and getting married. Johnson Health Center can help you decide if you have a qualifying life event.

What you need to know to get enrolled

What is the Health Insurance Marketplace?

If you don’t have health coverage, the Health Insurance Marketplace is a way for you to find and buy health coverage that fits your budget and meets your needs.

When can I enroll in coverage?

Open enrollment occurs once a year, starting November 1st and closing on December 15th. Outside of open enrollment is considered a Special Enrollment Period (SEP). SEP’s are open to those who have a qualifying life event such as changes in income, marriage, birth or adoption, loss of health coverage (divorce, job loss, turning 26) or moving. 

How can I apply?

You can apply online at Healthcare.gov, by phone or in-person with the help of a Certified Application Counselor. 

What services will the plans cover?

Each health plan will generally offer comprehensive coverage, including a core set of essential health benefits like doctor visits, preventive care, maternity care, hospitalization, prescription drugs, and more.

What else should I know?

Health insurance companies selling plans through the Marketplace cannot deny you coverage or charge you more due to pre-existing health conditions, and they cannot charge women and men different premiums based on their gender.

Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. 

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

To request a Good Faith Estimate, please contact the billing department at 434-455-2480, ext. 1130.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.