Virginia Medicaid Income Limits 2024
Virginia Medicaid Income Limits 2024
You may qualify for Virginia Medicaid if your household monthly income is at or below the amount listed for your household size. Virginia Medicaid has low-cost and no-cost health coverage programs.
There are programs for children, pregnant women and adults, including those with disabilities. To learn more about each program, use the links below.
Monthly income limits by program
To learn if you may qualify for one of Virginia’s Medicaid programs, read the chart below. You may qualify if your household monthly income is at or below the amount listed for your household size.
Medicaid for children under age 19 and pregnant women
| Household size | Yearly | Monthly |
|---|---|---|
| 1 | $21,579 | $1,799 |
| 2 | $29,186 | $2,433 |
| 3 | $36,973 | $3,067 |
| 4 | $44,400 | $3,700 |
| 5 | $52,008 | $4,334 |
| 6 | $59,615 | $4,968 |
| 7 | $67,222 | $5,602 |
| 8 | $74,829 | $6,236 |
| Each additional | $7,608 | $634 |
*Includes 5% FPL Disregard
2023 Income Guidelines as of January 20, 2023
Medicaid for adults age 19-64
| Household size | Yearly | Monthly |
|---|---|---|
| 1 | $20,121 | $1,677 |
| 2 | $27,214 | $2,268 |
| 3 | $34,307 | $2,859 |
| 4 | $41,400 | $3,450 |
| 5 | $48,494 | $4,042 |
| 6 | $55,587 | $4,633 |
| 7 | $62,680 | $5,224 |
| 8 | $69,773 | $5,815 |
| Each additional | $7,094 | $592 |
FAMIS, FAMIS MOMS & Plan First
| Household size | Yearly | Monthly |
|---|---|---|
| 1 | $29,889 | $2,491 |
| 2 | $40,426 | $3,369 |
| 3 | $50,963 | $4,247 |
| 4 | $61,500 | $5.125 |
| 5 | $72,037 | $6,004 |
| 6 | $82,574 | $6.882 |
| 7 | $93,111 | $7,760 |
| 8 | $103,648 | $8,638 |
| Each additional | $10,537 | $879 |
Medicaid for aged, blind and disabled (ABD)
| Household size | Monthly income |
|---|---|
| 1 | $972 |
| 2 | $1,315 |
Medicaid Works
| Household size | Monthly income |
|---|---|
| 1 | $1,677 |
| 2 | $2,268 |
Medicare Savings Programs
| Household size | Monthly income |
|---|---|
| 1 | $1,641 |
| 2 | $2,219 |
Eligibility for health coverage is based on income plus other factors. These charts screen for income only. You may qualify for coverage based on other things like age or disability.
Coverage for children
There are two health coverage programs for children in Virginia who qualify. Both programs have full benefits. There are no enrollment costs or monthly premiums. Medicaid for children and the FAMIS program are for children up to age 19 whose household income is within the limits. Children under age 21 who are in foster care or subsidized adoptions may qualify. Newborns of mothers who are enrolled in Medicaid or FAMIS MOMS qualify for coverage for the first year.
- FAMIS
- Medicaid for children
Coverage for pregnant women
Health coverage is available for pregnant and postpartum individuals who qualify. If the household’s income is within the limits, the pregnant or postpartum person may qualify for Virginia Medicaid or FAMIS MOMS. Both programs offer full health coverage while a woman is pregnant and for one full year after the baby’s birth.
In addition, the FAMIS Prenatal Coverage program provides full coverage during pregnancy and through 60 days postpartum for pregnant individuals who do not meet immigration status rules for other coverage.
- Medicaid for pregnant women
- FAMIS MOMS
- FAMIS Prenatal Coverage
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.
- Medicaid expansion
- Former foster care individuals
- 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.
- Waiver fact sheet
- Medicare Savings Programs
- Medicaid Works
Plan First
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.
- Plan First
Premium assistance
Virginia has two Medicaid-related premium assistance programs that help pay for all or part of the costs of employer-sponsored health insurance: FAMIS Select and the Health Insurance Premium Program (HIPP).
- FAMIS Select
- HIPP
Emergency services for non-citizens
Some immigrants may qualify for full Medicaid coverage. Others may qualify for Medicaid payment only for emergency services.
Emergency Services Medicaid covers some services that are medically necessary for short time periods. This includes services such as dialysis or labor and delivery. Your notice of coverage will tell you when your coverage starts and ends.
