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 2021 Income Eligibility Guidelines.
Yes! Medicaid is available to you if you have a pre-existing health condition, as long as you meet other program requirements.
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.
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, 2022 – December 15, 2022. 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.
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.
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.
You can apply online at Healthcare.gov, by phone or in-person with the help of a Certified Application Counselor.
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.
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.
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.
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.
