FAMIS for Children

General Information

Family Access to Medical Insurance Security (FAMIS) provides medical insurance for children under age 19 who have low-income. Medical insurance for children under age 19 consist of two programs:

• FAMIS, which provides medical coverage for uninsured and low-income children, or
• FAMIS Plus, which provides medical coverage for low-income children who may have other health care coverage. Visit the state’s FAMIS information page.

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

Eligibility

• Children under age 19
• Virginia resident
• U.S. citizen and some legal immigrants
• Social Security number or proof of application
• For FAMIS Plus: Assign Rights to Medical Support (meaning any reimbursements from applicant’s private insurance and/or settlements 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 Income Limits* – Updated January 20, 2024

* Includes 5% standard disregard

FAMIS Plus Monthly Family Income Limits

How to Apply

Apply in person or mail to: Bureau of Public Assistance Programs
2100 Washington Boulevard, 1st Floor
Arlington, VA 22204

Or

Apply ONLINE

Download an application: Apply (coverva.org)

Or

Call 703-228-1350 to have an application mailed to you

Or

Fax application and documents required to 703-228-1001

Documents Required

• Cover Virginia Application for Health Coverage & Help Paying Costs
• You may be asked for:
  • Social Security Number or proof of application
  • Verification of identify of eligible children
  • Proof of Citizenship or Immigration Status
  • Proof of current income for applicant, all children and parents living in home
  • Copy of health insurance cards, if applicable