Learn More About Your Coverage What You Need To File Your 2020 Taxes And If Youre Eligible For A Special Enrollment Period
If you enrolled or renewed your coverage for 2021, now is a great time to learn how to get the most value from your health care coverage. Explore the resources available to help you maximize your 2020 health care coverage.
If you were covered by a Marketplace plan in 2020, you will need two important forms to complete and file your 2020 tax return. If you were uninsured in 2020, the fee is $695 per adult and $347.50 per child up to a maximum of $2,085 or 2.5% of your annual household income above the tax filing threshold, whichever is more. You may qualify for an exemption from the fee if you meet certain requirements.
The 2021 Open Enrollment period ended on December 15, 2020. As a result, you cannot sign up for health care coverage until the 2022 Open Enrollment period UNLESS you become eligible for a Special Enrollment Period. You must experience a qualifying life event like getting married, having or adopting a baby, losing your current health coverage in order to be eligible. If you have a qualifying event, you may be eligible to enroll during the 2021 Special Enrollment Period .
As always, one-on-one help is still available! You will have someone who will help you every step of the way. Located throughout the state, application assisters are highly trained and know all about how to enroll in and renew health care coverage. Use the locator to find help in your area. Their services are at no-cost: you do not have to pay for their help!
Virginia Medicaid Phone Number
Heres how to contact the Virginia Medicaid Agency:
For Medicaid Applicant & Member Services
Cover Virginia also operates a statewide customer service call center for Medicaid and the FAMIS Programs:
The call center provides:
- Explanation of coverage and benefits
- Assistance in resolving application issues
- Assistance in submitting state-sponsored health insurance applications and
- renewals Records address, household, and income changes
- Enrolls individuals in their choice of managed care organization or assists
- them in changing their MCO
Does Cancelling Insurance Hurt Credit
Cancelling your car insurance policy shouldnt affect your credit score, whether you pay monthly or annually. As long as you cancel it properly. If you pay monthly, you cant just cancel your direct debit. And because pay-monthly car insurance is a credit agreement, it could be bad news for your credit score.
Recommended Reading: Therapist That Accept Medicaid Nyc
What Does Medicaid Cover In Virginia
Medicaid in Virginia has three levels of benefits.
Full coverage provides members with the complete range of benefits. This includes pharmacy, hospital, and doctor services for qualified individuals.
Time-limited coverage is for people who meet the spend-down or women who get 24 months of services regarding family planning once the Medicaid coverage they had expires at the end of their pregnancy.
Medicare-related coverage is where Medicaid will pay for Medicare premiums. This might also include payments for Medicare coinsurance and deductible.
Income Requirements For Virginia Medicaid
If you would like to be able to qualify for one of the Medicaid programs in Virginia, you will have to fall into the income bracket for the program you think you should be in. Pregnant women who might be in the FAMIS Plus program or Medicaid can make no more than 143% of the FPL as determined by the MAGI . For the childrens FAMIS program, MOMS, or Plan First, you cant earn more than 200% of the FPL. Children who are not yet 19 have to be in households that earn less than 143% of the FPL.
You can click here to find out more about the income limits for each household size.
Also Check: Eye Exam Places That Take Medicaid
Virginia Legislation Prohibits Medicaid Recovery
ABLEnow hasprovidedthousands of Virginians with disabilitiesa new way to save for the future without affecting certain public benefits such as Medicaid and Supplemental Security Income . Now, thanks to Virginia lawmakers and disability advocates, Virginians have another incentive to open and save in a Virginia-sponsored ABLE account. The Virginia General Assembly passed legislation to prohibit the state from pursuing Medicaid recovery claims against the ABLEnow or ABLEAmerica accounts of Virginia residents, unless required to do so by federal law.
When Is Open Enrollment
Your open enrollment period depends on the program that you are enrolled in and where you live. Different regions may have different open enrollment periods. To learn when open enrollment happens where you live, . You will receive a letter informing you of your open enrollment period before open enrollment begins.
Recommended Reading: Apply For Emergency Medicaid Utah
Canceling Magi Medicaid Coverage
Cancelling Medicare During A Special Enrollment Period
Certain circumstances may make you eligible for a Medicare Special Enrollment Period.
A Special Enrollment Period may be granted at any time outside of the Annual Enrollment Period to people who move outside of their plans coverage area, lose Medicaid coverage or other experience other specific life events.
If you qualify for a Special Enrollment Period, you may be able to switch or cancel your Medicare Advantage or Part D plan.
Read Also: Medicaid Cost Sharing With Medicare
Compass Waiver Proposal Was Officially Withdrawn By Gov Northam In 2020
Virginia unveiled its waiver proposal for the Medicaid work requirement, premiums, and cost-sharing in September 2018. After a public comment period and public meetings, the final waiver proposal was submitted to CMS in November 2018. In early December 2019, a few weeks after Democrats swept the election in Virginia , Virginias Medicaid Director, Karen Kimsey, notified CMS that the state was formally delaying the negotiations for the work requirement. And during the budget approval process in the 2020 legislative session, lawmakers eliminated the COMPASS requirements , paving the way for Gov. Northam to officially withdraw the work requirement proposal in July 2020.
GOP lawmakers were already frustrated by the fact that although Medicaid expansion took effect in January 2019, it had appeared that it could be a year or two later before a work requirement took effect, just due to the protracted process of getting a waiver approved by the federal government. So it was not surprising that the decision to pause the negotiations over the work requirement was not well received by Republicans in Virginias legislature, who expressed dismay that what they had considered an ironclad promise had been broken.
Getting Health Care Coverage During The Special Enrollment Period
During the year, situations occur that could make you eligible to enroll in a health care plan through the Marketplace after Open Enrollment ends. These are called qualifying life events. Examples include, but are not limited to:
- Getting married or loss of coverage due to a divorce
- Losing your employer-sponsored health care coverage, or coverage under FAMIS or Medicaid
- Turning 26 so you are no longer eligible for coverage under a parents health care plan
- Having or adopting a baby
If you have experienced a qualifying life event and are determined eligible to participate in a Special Enrollment Period, you will be able to choose from all the health care plans available in your area. You may qualify for financial assistance too! Known as advance premium tax credits , these credits lower the amount of money you pay for your health care coverage each month.
You can use healthcare.gov to determine if you are eligible to enroll during this Special Enrollment Period. If you are, you can create an account on healthcare.gov and enroll in a Marketplace plan. You may be asked to provide proof of your qualifying life event, so make sure to save any notices about loss of coverage and other important documents.
Read Also: Medicaid Office St Charles Mo
Virginia Medicaid Enrollment Numbers
By June 2016, total enrollment in Virginias Medicaid program was 968,666, which was 4% higher than it had been in late 2013. Enrollment growth hovered in the single digits until Medicaid was expanded, and then it grew substantially. By July 2020, total Medicaid and CHIP enrollment had grown to over 1.5 million, which was an increase of more than 50% increase since late 2013. Medicaid enrollment in Virginia, and in much of the nation, had a sharp increase in 2020 driven by the coronavirus pandemic.
As of November 2021, 1,926,548 Virginians are covered by Medicaid/CHIP programs.
How To Cancel Medicare Part C
If you wish to cancel your Medicare Part C plan, here is one option for cancelling your coverage:
- The Fall Annual Enrollment Period lasts from each year. During this time, you may disenroll from your Medicare Advantage plan and enroll in a different plan, or you can cancel your Medicare Advantage plan and revert back to Original Medicare coverage.
You can take advantage of the Medicare Advantage Open Enrollment Period, which runs each year from .
During this time, you can change from one Medicare Advantage plan to another, whether or not either plan includes prescription drug coverage.
You can also disenroll from your Medicare Advantage plan and switch back to Original Medicare . If you switch back to Original Medicare during this period, you can join a Medicare Part D prescription drug plan.
If you enroll in a Medicare Advantage plan during your Initial Enrollment Period , you can switch to another Medicare Advantage plan or cancel your Medicare Advantage plan and return to Original Medicare at any time during the first three months you have Medicare.
You may be able to cancel your Medicare Advantage plan if you qualify for a Special Enrollment Period .
Don’t Miss: Can I Check Medicaid Status Online
Learn About Medicaid In West Virginia
UPDATE: Medicaid care in 2020 will take into account the same requirements and application steps as it did in recent years.
West Virginia Medicaid is offered to eligible residents across the state. For people asking What is Medicaid?, this is a health care program offered all across the country. Each state manages its Medicaid program in partnership with the federal government. Therefore, WV Medicaid eligibility may be different from that of other states. The same applies to the coverage and costs of the program.
West Virginia Medicaid is open to low income earners in the state. West Virginia residents that meet specific requirements with regards to income and family status can apply for the program. Medicaid in West Virginia is also open to people in specific categories. The West Virginia Medicaid eligibility requirements are determined by the state and may be reviewed from time to time. Check our West Virginia Medicaid eligibility section for an overview of the different people that quality for the program
Applying for Medicaid in West Virginia is easy and fast. There are a few forms that have to be filled out. The forms are offered for free from various state offices. Check our West Virginia Medicaid application section for an overview of how to apply for the program. After application, the West Virginia Department of Health and Human Resources will determine whether you qualify for the program. If you qualify, you will be enrolled.
Is Medicaid A Welfare
Medicare is an insurance program while Medicaid is a social welfare program. Taxpayer funding provides Medicaid to eligible needy people in a manner similar to other social welfare programs like Temporary Assistance for Needy Families Women, Infants and Children and the Supplemental Nutrition Assistance Program.
You May Like: How To Obtain Medicaid In Florida
Which Medicaid Plan Is Best In Virginia
The best Medicaid plan will be different from person to person based on their specific needs. There are a variety of plans to choose from. Not all of them are available in all areas, so check to see which ones are available to you before choosing one. You might also want to check with your doctors to see which plans they accept if you dont want to have to change doctors.
How To Complete Forms For Medicaid Application By Phone
If you cannot file an online Medicaid application, do not have the means of visiting your local office or are unable to retrieve a VA Medicaid application for mailing, you have one more option to consider. The Department of Social Services accepts applications for Medicaid over the phone in certain instances.You can apply for medical coverage by calling 855-242-8282. Note that times may vary by branch, but caseworkers are available Monday through Friday from 8 a.m. to 7 p.m. You may also call on Saturdays between the hours of 9 a.m. and noon for phone assistance with your Virginia Medicaid application if you so choose.
You May Like: How To Get Help With Medicaid
American Disabilities Act Notice
In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
How To Cancel Medicaid Coverage
Medicaid provides health-care coverage for low-income people, as well as children and the disabled, blind and aged. Currently, 32 states and the District of Columbia automatically provide Medicaid coverage to those on Supplemental Security Income . Other states require the filing of a separate Medicaid application for SSI recipients, while some states have eligibility rules differing from that of federal SSI. Since Medicaid is needs-based, if the recipient’s condition improves and the person no longer is disabled, or if the recipient has sufficient income to no longer qualify for Medicaid, the coverage must be canceled. Any such change in circumstances requires reporting to Medicaid, and that is the responsibility of recipients or their legal guardian to report these changes.
You May Like: Infertility Clinic That Takes Medicaid
Unitedhealthcare Connected For Mycare Ohio
UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.
Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .
Which Drugs Are Covered
If you are eligible for Medicaid and choose to receive your care from Virginia Premier with Kaiser Permanente, you are covered for drugs included in our approved list. To check if your medication is covered, click the link above or contact Member Services at1-855-249-5025, or 711 , Monday through Friday, from 7:30 a.m. to 9 p.m. .
Recommended Reading: Assisted Living Facilities In Arkansas That Accept Medicaid
How To Apply For Medicaid Online In Virginia
You can apply for Medicaid online via the official Cover Virginia websites. The online Medicaid application will open in a new browser, and you can submit your information directly through the Cover Virginia servers.
It is important to note, however, that in some cases youll be asked to mail in proof of income, citizenship and residence. This is not the case for all individuals applying for Medicaid, but it is required in certain instances. If your application for Medicaid is received, and the state healthcare team is unable to verify your qualifications electronically, further proof of eligibility will be required.
Once your Virginia Medicaid application is submitted online, you will be able to check on the processing of your application via your Social Security Number and login information. Your forms for Medicaid application will take no longer than 30 days to be processed with a decision. You may check the status of your VA Medicaid application at any time. to learn more about how to apply for Medicaid.
Where To Apply For Medicaid In Person
Where do you sign up for Medicaid in person? You can do so by going to any Department of Social Services office. Locations for Department of Social Services offices can be found on the Cover Virginia official website. There are locations stationed throughout the state.
Alternatively, you can request that a Virginia Medicaid application be mailed to your place of residence online or by calling a branch of the Department of Social Services. Medicaid applications are also available at any DSS office. You can choose to pick up your application and fill it out while you wait to be seen by a caseworker.
Recommended Reading: Dentist In Louisiana That Accept Medicaid For Adults