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

*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