Virginia offers several low and no cost health insurance programs for eligible children, pregnant women and adults. To find out more about each program, follow the links below.

Coverage for Children

There are two health insurance programs available for qualifying children in Virginia. Both programs offer comprehensive benefits with no enrollment costs and no monthly premiums.

Coverage for Pregnant Women

Virginia offers two health insurance programs for qualifying pregnant women. Both programs provide full coverage benefits while a woman is pregnant and for two months following the birth of her baby.

Coverage for Adults

Health insurance programs for qualifying adults in Virginia are provided through Medicaid and Plan First. Both programs have no enrollment costs and no monthly premiums. Beginning January 1, 2019, new Health Care Coverage for adults will be available to those who qualify. Find out more.

Coverage for Former Foster Care Youth

Medicaid coverage is available to eligible former foster care youth who were receiving Medicaid and foster care services in any state at the time of their 18th birthday and are currently under age 26. Any young adult who was formerly in foster care at the time of their 18th birthday can apply online at or by calling the Cover Virginia Call Center at 1-855-242-8282 or they can print the paper application (Spanish version available here) and send by mail or fax to their local Department of Social Services (LDSS) or visit their LDSS in Person. For more information click here.

Find out more information on Covered Services for Former Foster Care Youth.

Hospital Presumptive Eligibility

There’s also another temporary coverage program. Certain hospitals may be able to enroll eligible individuals in short-term Medicaid coverage through Hospital Presumptive Eligibility (HPE). This temporary coverage is based on both financial and non-financial eligibility for the following coverage groups:

Pregnant women can only get HPE coverage one period per pregnancy and all other individuals can only get HPE coverage one time during the calendar year. For ongoing coverage a full application needs to be submitted. For more information on how to apply please visit the Apply page.

For more information about Presumptive Eligibility, please refer to covered services for pregnant women (Spanish) and for other individuals (Spanish) or for Plan First (Spanish). You may also view a list of HPE Approved Hospitals.

Income Guidelines

Qualifying for HPE depends on household income and family size. For your family size, count the number of people included on your federal taxes. If you don’t file taxes, count how many children and stepchildren under age 19 live in your home. If you’re a pregnant woman, include the number of unborn in your family size. Household income is based on what the individual reports as monthly income. Monthly income is based on the gross income of all members included in the family size. Income limits depend on the covered group for which you are eligible.

For more information, review the income charts for the various groups.