Overview: Coverage for Adults
Adults 19-64 years old
Medicaid has health coverage programs for adults in Virginia who qualify. There are no enrollment costs and no monthly premiums for adults between 19-64 years old who qualify. Their income must be within the limits.
- CoverVA | Medicaid expansion
- CoverVA | Former foster care individuals
- CoverVA | Breast and Cervical Cancer Prevention and Treatment Act
Medicaid for aged, blind, or disabled (ABD) individuals
Adults who are age 65 or older or are disabled or blind may qualify for full Medicaid. A resource test may be required for the applicant. A person who does not qualify for full Medicaid because their income is over the limit may “spenddown” their income limit on certain medical bills. They must have a certain amount in medical bills before they can be approved for Medicaid. The amount of medical costs needed to qualify depends on household size and income.
Plan First is Virginia’s family planning services program. It is for men and women who do not meet the income rules for full Medicaid. Plan First has limited benefits. It covers yearly family planning exams for men and women, pap tests, sexually transmitted infection testing, family planning education and counseling, tubal ligation and vasectomies. It also covers approved over-the-counter and prescribed contraceptives and transportation to a family planning service.
Please visit the following links (or find them on the right-hand side of this page) to learn more about our Adults Aged 19-64, Aged, Blind, or Disabled, Plan First, Former Foster Care Individuals, and Breast & Cervical Cancer Prevention and Treatment Act programs for adults.
If you are seeking information for pregnant individuals or veterans, please visit the relevant sections under "For Members" using the navigation at the top of the site, or linked here: For Pregnant Individuals, For Veterans.
Visit CoverVA.org for a more detailed explanation of all of our programs.