The Governor’s Access Plan (GAP) is a program that integrates primary and behavioral health services and coordinates care for Virginia’s uninsured adults with serious mental illness (SMI). Other key benefits include diagnostic, and laboratory services, as well as coverage for prescriptions.
The three key goals of the GAP plan are to:
In order to be eligible, individuals must meet ALL of the requirements outlined below, which are reviewed and verified by Cover Virginia:
Qualifying for GAP also depends on household income and family size. For your family size, count the number of people included on your federal taxes. If you do not file taxes, count how many children and stepchildren under age 19 live in your home. Add yourself if you are the mother, father or stepparent of the children. Then add your husband or wife. For example, if you have 4 children and/or stepchildren under age 19 living in your home, plus yourself and your husband, your family size is 6. We determine eligibility based on monthly income. The current monthly income limit for a family of 6 is $2,308.
|GAP Income Limits* (Gross Income) - Effective July 1, 2016|
|Additional person add||$296||$3,536|
*includes 5% standard disregard
There are two ways to apply for the GAP program:
You can designate someone to receive information about your case on the GAP Authorized Representative Form.