FAMIS for Children

Program Description

Family Access to Medical Insurance Security (FAMIS) provides medical insurance for children under age 19 who have low-income. Medical insurance for children under age 19 consist of two programs:

  • FAMIS, which provides medical coverage for uninsured and low-income children
  • FAMIS Plus, which provides medical coverage for low-income children who may have other health care coverage. Visit the state’s FAMIS information page.

Services covered:

  • Doctor and hospital visits
  • Vaccinations and well-baby check-ups
  • Prescription medicine
  • Tests and x-rays
  • Dental and vision Care
  • Emergency mental health care
  • A co-payment of $2 or $5 may be applicable for some services

Eligibility

  • Children under age 19
  • Virginia resident
  • U.S. citizen and some legal immigrants
  • Social Security number or proof of application
  • For FAMIS Plus: Assign Rights to Medical Support (meaning any reimbursements from applicant’s private insurance and/or settlements from a lawsuit must be paid to the Department of Medical Assistance (DMAS)
  • Income limits vary for FAMIS or FAMIS Plus Programs for children. Please see guidelines below.
  • Applicants not eligible for FAMIS Plus and who do not have health insurance may qualify with the FAMIS income limits.

FAMIS Monthly Income Limits*

Household Size Maximum Gross Income
1 $2,609
2 $3,525
3 $4,442
4 $5,359
5 $6,275
6 $7,192
7 $8,109
8 $9,025
Each additional family member $917

Effective January 2026. Includes 5% standard disregard.

FAMIS Plus Monthly Family Income Limits

Household Size Maximum Gross Income
1 $1,865
2 $2,521
3 $3,176
4 $3,832
5 $4,487
6 $5,143
7 $5,798
8 $6,453
Each Additional $656

Ways to Apply

Via Arlington County DHS

  1. Apply in person, or mail your application to:
    Arlington County Department of Human Services
    2100 Washington Boulevard, 1st Floor
    Arlington, VA 22204
  2. To have an application mailed to you, call 703-228-1350.
  3. You can also fax your completed application to 703-228-1011.

Via CommonHelp

  1. Apply online via CommonHelp

Via Phone

  1. Apply via the phone by calling the Cover VA Call Center at 1-855-242-8282.

 

Documents Required

  • Cover Virginia Application for Health Coverage & Help Paying Costs
  • You may be asked for:
    • Social Security Number or proof of application
    • Verification of identify of eligible children
    • Proof of Citizenship or Immigration Status
    • Proof of current income for applicant, all children and parents living in home
    • Copy of health insurance cards, if applicable