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Understanding Medicaid Eligibility in Virginia

Healthcare coverage can feel complicated, especially when programs and requirements change over time. Medicaid helps eligible individuals and families access important healthcare services—including doctor visits, preventive care, hospital services, prescriptions, and more.

If you live in Virginia and are wondering whether you may qualify, here is a simple overview to help you get started.

What Is Medicaid?

Medicaid is a public health insurance program that provides healthcare coverage for eligible individuals and families with limited income and other qualifying circumstances. Coverage may include preventive care, primary care visits, hospital services, behavioral health services, and other essential health needs.

Eligibility is determined by several factors—not income alone.

Who May Qualify in Virginia?

You may qualify for Virginia Medicaid depending on factors such as:

• Household income

• Family size

• Age

• Pregnancy status

• Disability status

• Citizenship or immigration requirements

• Existing healthcare coverage

Common groups that may qualify include:

• Children and adolescents

• Pregnant individuals

• Parents and caretakers

• Adults meeting income requirements

• Older adults

• Individuals with disabilities

What Information Will You Usually Need to Apply?

Preparing documents in advance can make the process easier.

Examples may include:
✓ Proof of identity
✓ Proof of Virginia residency
✓ Income information (pay stubs, tax records, etc.)
✓ Household information
✓ Social Security numbers (when applicable)

Why Eligibility Can Be Confusing

Many people assume they do not qualify and never apply. In reality, eligibility depends on multiple factors and can change over time.

Even if you were previously denied—or your circumstances changed—it may still be worth reviewing current requirements.

Where to Start

If you think Medicaid may help you or your family:

1. Review current eligibility guidelines

2. Gather household and income information

3. Complete an application through official Virginia resources

4. Follow instructions for any additional verification

Health4Nova Tip

Health4Nova shares educational information to help community members better understand available healthcare resources and navigate next steps with confidence.

Disclaimer: Health4Nova provides educational information and community resources and does not administer Medicaid benefits, determine eligibility, or provide legal or medical advice.