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FAMIS

What is FAMIS?

FAMIS, or Family Access to Medical Insurance Security Plan, is Virginia's health insurance program for children. It makes health care affordable for children of families who qualify. FAMIS covers all the medical care that growing children need to stay healthy. It also covers medical care if they get sick or hurt.

What services does FAMIS cover?

FAMIS covers these services:

  • Dental care
  • Doctor visits
  • Emergency care
  • Hospital visits
  • Mental health care
  • Prescription medicine
  • Tests and X-rays
  • Vaccinations
  • Vision care
  • Well-baby check-ups
  • Well-child check-ups

How much do you pay?

There are no enrollment costs or monthly premiums for FAMIS. At this time, there are no co-pays for any FAMIS covered services.

Who qualifies for FAMIS?

Children may qualify if they:

  • Live in Virginia
  • Are uninsured
  • Are under age 19
  • Are U.S. citizens or lawfully residing immigrants
  • Live in families that meet income rules

FAMIS is now a choice for children of state employees.

What are the income limits?

Qualifying for FAMIS also depends on household income and family size:

  • For family size, count the number of people included on your federal taxes.
  • If you don’t file taxes, count how many children and stepchildren under age 19 live in your home.
  • Add yourself if you are the children’s parent or stepparent. Then add your spouse or partner.

For example, if you have 4 children and stepchildren under age 19 living in your home, plus yourself and your spouse, your family size is 6. We use monthly income to find out if you qualify. The current monthly income limit for a family of 6 is $6,079.

FAMIS Income Limits* (Gross Income with 5% disregard) - Effective January 13, 2021

Family Size Monthly Yearly
1 $2,201 $26,404
2 $2,976 $35,711
3 $3,752 $45,018
4 $4,528 $54,325
5 $5,303 $63,632
6 $6,079 $72,939
7 $6,854 $82,246
8 $7,630 $91,553
Each additional $776 $9,307

To find out if your children may qualify for FAMIS, answer the questions on the Eligibility Screening Tool at Am I eligible?

How do you apply?

If you think your children qualify, go to Apply.

For more eligibility assistance, use the screening tool at Am I eligible?

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.

Learn more about how to appeal a decision at Appeals.

Where to learn more

FAMIS Brochure

[PDF] FAMIS Brochure (English)
[PDF] FAMIS Brochure (Spanish)

Learn about FAMIS in these languages:
[PDF] EnglishSpanishTraditional ChineseSimplified ChineseVietnameseArabicFarsiKoreanRussianHindiAmharicFrenchKurdishUrduSomali

Get information for immigrants in these languages: 
[PDF] EnglishSpanishTraditional ChineseSimplified ChineseVietnameseArabicFarsiKoreanRussianHindi

FAMIS Member Handbook

[PDF] FAMIS Member Handbook (English)
[PDF] FAMIS Member Handbook (Spanish)

FAMIS

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