Covering Children and Pregnant Women
with Affordable Health Insurance
A Service of the Commonwealth of Virginia
The FAMIS MOMS program provides health care coverage for pregnant women. Good health care during pregnancy is important for you and your baby. FAMIS MOMS encourages pregnant women to get early and regular prenatal care to increase the likelihood for a healthy birth outcome.
You may be eligible if you:
| FAMIS MOMS Income Limits* (Gross Income) Effective January 24, 2013 |
||
|---|---|---|
| Family Size | Monthly | Yearly |
| Each Additional Family Member | $670 | $8,040 |
| $2,585 | $31,020 | |
| $3,255 | $39,060 | |
| $3,925 | $47,100 | |
| $4,595 | $55,140 | |
| $5,265 | $63,180 | |
| $5,935 | $71,220 | |
| $6,605 | $79,260 | |
Income limits are adjusted annually.
* based on income before taxes (some income may be excluded and certain deductions
may apply)
** count the unborn child/ren as additional family members
Women not eligible for FAMIS MOMS, may be eligible for Medicaid for Pregnant Women
or Emergency Services Medicaid.
When you are an enrollee of FAMIS MOMS, you get comprehensive health care benefits during your pregnancy and for two months following the end of your pregnancy. FAMIS MOMS also has a special program for women with high risk pregnancies.
Your health care services are provided through MCOs (managed care organizations) or fee-for-service, depending on where you live. Please refer to the Health Plan Information page for more information about how members of the FAMIS programs receive their benefits.
View the FAMIS MOMS Member Handbook for more information about the benefits and health plan information associated with FAMIS MOMS.
Just like FAMIS, with FAMIS MOMS there are no enrollment fees or monthly premiums. Also there are no co-pays for pregnancy related services.
Once your baby is born, he or she is automatically eligible for health insurance for the first year of life. Please let us know as soon as your baby is born so that we can determine whether the baby will be covered under FAMIS or FAMIS Plus. All we need is the baby’s name, date of birth, race and gender to get the infant enrolled immediately. Enroll your newborn online or call 1-866-87FAMIS.
Preventive care for you and your baby is important. Please visit our Staying Healthy section where you will find recommendations for a healthy pregnancy.
Toll Free: 1-866-87FAMIS (1-866-873-2647) • TDD: 1-888-221-1590 • Fax: 1-888-221-9402
8:00 am to 7:00 pm Monday - Friday
9:00 am to 12:00 pm Saturday
Translation services are also available
or contact your local Department of Social Services.