FAMIS (Family Access to Medical Insurance Security) MOMS

General Information

Provides health care coverage for women who are pregnant and uninsured. Apply online! Services covered:

  • Prescription drugs
  • Physicians visits
  • In-patient and out-patient hospital care
  • Preventive care

Eligibility

  • Virginia resident
  • U.S. citizen or legal immigrant
  • Currently uninsured
  • Proof of medically confirmed pregnancy or be within 60 days after pregnancy ends
  • Applicant does not have access to the State Employee Health Plan

FAMIS MOMS Family Income Limits* – Effective Jan. 18, 2018

Household Size Maximum Monthly Gross Income** Yearly
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

*Includes 5% standard disregard
** gross income is before taxes and deductions
*** count unborn child/ren as additional family members

How to Apply

Apply today! 1-855-242-8282

Apply in person/mail to:

Bureau of Assistance Programs
2100 Washington Boulevard, 1st Floor
Arlington, VA 22204

Or

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

Or

Fax application to 703-228-1011

Documents Required

  • Complete Health Insurance for Children and Pregnant Women Application
  • Written proof of pregnancy signed by an M.D., R.N. or medical practitioner
  • Social Security Number or proof of application
  • If not born in the United States, front and back of Immigration documents, Alien registration card, I-94 or Passport
  • Proof of income and that of spouse, if applicable