Insurance Enrollment
Have you moved in the past three years? Has your address or contact information changed?
Please make sure MEDICAID/FAMIS has your current mobile phone number, email, and mailing address so their records are up to date. It’s important to make sure MEDICAID/FAMIS can reach you with information about changes to your health insurance. There may be steps you need to take to keep your coverage.
Visit the Cover Virginia website for more information or call 1-855-242-8282 to update your contact information today.
Medicaid Expansion
As of January 1, 2019 more adults in Virginia have access to quality, low-cost and no-cost health insurance. Virginians aged 19-64 can submit an application.
If you were not eligible before, you may be eligible now. Taking this short quiz can help you determine if you are eligible or not.
Daily Planet Health Services accepts most forms of insurance, including Medicaid.
Non-emergency medicaid transportation is a benefit included in most but not all Medicaid programs. More information, including details on how to schedule transportation, is available here.
Frequently Asked Questions
Q: How is Medicaid expansion different from ACA Marketplace insurance?
A: Medicaid is now being offered to adults with income at or below 138% of the Federal Poverty Level (FPL), or $16,750 for a single adult. ACA Marketplace insurances are offered at reduced rates to consumers who qualify based on income. Medicaid is a low or no cost health insurance option for those who qualify.
Q: What health care benefits are included in all insurance plans?
A: Prescription drugs, doctor visits (sickness and wellness visits), mental health treatment, hospitalizations, rehabilitative
services, substance use disorder treatment, family planning services, lab work, X-rays, home health services, and more.
Q: How do I apply?
A: There are several ways to apply: online application portal, by phone, local department of social services.
Affordable Care Act (ACA) Marketplace Insurance – www.healthcare.gov or 1-800-381-2596
Medicaid – www.coverva.org or 1-855-242-8282
There are videos available in English and Spanish that explain the application process.
Q: When does expanded Medicaid coverage start?
A: Medicaid coverage begins January 1, 2019.
Q: Where can I get care?
A: Anywhere your health insurance plan is accepted, including all Daily Planet Health Services’ locations.
Q: Can I still be seen by my provider(s) at Daily Planet Health Services (DPHS)?
A: Yes, DPHS works with most major health insurance companies. In most cases, you can continue to see your provider(s) at DPHS.
Q: What’s a PCP?
A: A PCP is a Primary Care Provider and may be a doctor, nurse practitioner or physician assistant. The provider will help you address the majority of your health care issues and can arrange specialty care when it’s needed to prevent and manage chronic conditions.
Q: What’s PCMH?
A: PCMH is a Patient Centered Medical Home. It is a team-based health care delivery model led by a health care professional to provide comprehensive and consistent medical care to patients with a goal of achieving positive health outcomes.
Q: Can I use my insurance at the hospital?
A: Yes, but sometimes going to the hospital isn’t the best option. Before going to the emergency room ask yourself: Is this a serious or life-threatening situation? If it’s a common illness (flu, cold, or bronchitis) or a minor injury (sprains, minor cuts, back pain) you can make an appointment to see your PCP instead.
Health Insurance Marketplace
If you have recently lost health coverage or are uninsured, you have a second chance to get covered with an affordable, high-quality plan on the health insurance marketplace through the Affordable Care Act. Enroll any time between February 15 and May 15 or see if you qualify for a special enrollment period due to a recent life event, like losing other coverage, moving, getting married, or having a baby.