What is FAMIS MOMS?
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 (before birth) care.
And now, extended postpartum coverage is available for 12 months after the birth of your baby. Your full health care coverage will continue during that time even if your income changes.
What services does FAMIS MOMS cover?
With FAMIS MOMS, you get full health care benefits during your pregnancy and for one year after your baby’s birth. FAMIS MOMS covers breast pumps and breast feeding support during your pregnancy and after your baby is born.
You will get health care services through health plans. The health plans all have special programs for high-risk pregnancies. To learn more, call your health plan Member Services or go to Health Plan Information.
You also have dental benefits during and after your pregnancy. Dental services are through the Smiles for Children program. For help finding a dentist or to learn more, call Smiles for Children at 1-888-912-3456. Also read the [PDF] Guide to Dental Coverage.
With FAMIS MOMS there are no enrollment fees, monthly premiums (costs), or co-pays for pregnancy-related services.
Who qualifies for FAMIS MOMS?
You may qualify if you:
- Live in Virginia
- Are pregnant or within 12 months after your baby's birth
- Are a U.S. citizen or a legally residing immigrant
- Meet family income guidelines
Your baby qualifies for coverage for the first year after birth. Tell us as soon as your baby is born.
You can enroll your baby by phone with Cover Virginia at 833-5CALLVA (TDD: 1-888-221-1590). Or you can tell your eligibility worker at your local Department of Social Services (DSS) when your baby is born. You can also ask the hospital about submitting the enrollment information for your newborn. To learn more, go to Enroll a newborn.
What are the income limits?
*Includes 5% FPL Disregard
2023 Income Guidelines as of January 20, 2023
Women who do not qualify for FAMIS MOMS may qualify for:
- FAMIS Prenatal Coverage,
- Medicaid for pregnant women, or
- Emergency Services Medicaid
How do you apply?
Eligibility for health coverage is based on income plus other factors. This tool screens for income only. You may qualify for coverage based on other things like age or disability. To get a full review, you need to apply.
Where to learn more
Members Postpartum Continuous Coverage Flyer
Stakeholders Postpartum Continuous Coverage Flyer
FAMIS MOMS Flyer
FAMIS MOMS Member Handbook