Become a Member

We know quality health care is a top priority for everyone. That’s why Aetna Better Health of Virginia offers managed care services and programs to individuals and families who qualify for Medicaid, FAMIS (Family Access to Medicaid Insurance Security), CCC Plus (Commonwealth Coordinated Care Plus) and HMO SNP (Commonwealth Coordinated Care Plus -Medicaid and Dual Eligible Special Needs Plan - Medicare. Our benefits cover wellness check-ups for kids and adults, immunizations, vision care, and more.

How to enroll

Medallion

By phone. Call the Managed Care Helpline at 1-800-643-2273.
Online. Visit www.virginiamanagedcare.com

FAMIS

By phone. Call Cover Virginia at 1-855-242-8282.
Online. Visit www.coverva.org

CCC Plus

By phone. Call the CCC Plus Helpline at 1-844-374-9159 (TTY: 1-800-817-6608).
Online. Visit www.cccplusva.com

HMO SNP

By phone. Call Virginia Insurance Counseling and Assistance Program (VICAP) 1‐800‐552‐3402.
Online.
Visit www.medicare.gov

Tell them you choose Aetna Better Health of Virginia.

New health insurance coverage for adults

Starting January 1, 2019, more adults living in Virginia will have access to low-cost, quality health insurance. Even if you applied and were denied Medicaid coverage in the past, you may soon be eligible. Learn more by calling Cover Virginia at 1-855-242-8282 or visit http://www.coverva.org/.

 

Who is eligible?

  • Virginia residents, ages 19 to 64
  • Not already in or eligible for Medicare
  • Must meet income requirements, which vary by household size

 

You may be eligible if:

Family Size

1

2

3

4

5

6

7

8

Each additional person, add:

Yearly

$16,754

$22,715

$28,677

$34,638

$40,600

$46,562

$52,523

$58,485

$5,962

Monthly

$1,397

$1,894

$2,391

$2,887

$3,384

$3,881

$4,378

$4,875

$497

  • Doctor, hospital, and emergency services
  • Prescription drugs
  • Laboratory and X-ray services
  • Maternity and newborn care
  • Long-term care and support services
  • Home health services
  • Behavioral health services including addiction and recovery treatment services
  • Rehabilitative services including physical, occupational, and speech therapies
  • Transportation to Medicaid-covered services when no alternatives are available
  • Family planning services
  • Medical equipment and supplies
  • Preventive and wellness services and chronic disease management services

Members assigned or who choose Aetna Better Health of Virginia will be eligible for our enhanced benefits and services. These benefits include adult dental and vision, as well as enhanced transportation services. Learn more about our enhanced benefits and services under:

Questions? Give our Member Services a call 24 hours a day, 7 days a week at:

Medallion/FAMIS – Member Services

1-800-279-1878 (TTY: 711)

24 hours a day, 7 days a week

CCC Plus – Member Services

1-855-652-8249 (TTY: 711)

24 hours a day, 7 days a week

Are you eligible for Virginia's new health coverage for adults? Find out using Cover Virginia's Eligibility Screening Tool*

*The Eligibility Screening Tool is for estimating eligibility only. Actual eligibility can only be determined when you apply.

Find answers to your questions regarding Virginia’s new health coverage for adults by visiting Cover Virginia’s Frequently Asked Questions page (English / Spanish). You may also call Cover Virginia at 1-855-242-8282 to speak to a representative, or visit http://www.coverva.org/.

 

Frequently asked questions include:

  • Am I eligible?
  • When will the new health coverage start?
  • What services are covered?
  • Will I be able to get health coverage if I have a pre-existing condition?
  • Are dental services covered?
  • Will I be able to keep my current doctor?
  • What health plans will be available?
  • How do I select a plan?
  • How will my doctor know that I have coverage?
  • Will I be required to meet additional requirements for coverage?
  • What are the definitions for “family size” and “household”?

Other important information about your enrollment

Medicaid eligibility is determined by your local Department of Social Services (DSS). Contact your local DSS eligibility worker about any Medicaid eligibility questions. For more information, you can visit Cover Virginia at www.coverva.org, or call 1-855-242-8282 or TDD: 1-888-221-1590. The call is free.

Medallion and FAMIS 

If you don’t have Medicaid or FAMIS coverage but think you may be eligible, you will need to submit an application. To apply, follow these steps:

  1. Apply online
  2. To apply by phone, call Cover Virginia at 1-855-242-8282

You can also submit an application for coverage at your local Department of Social Services (DSS) office. Find out where your nearest DSS office is.

CCC Plus

You are eligible for CCC Plus when you have full Medicaid benefits, and meet one of the following categories:

  • You are age 65 and older,
  • You are an adult or child with a disability,
  • You reside in a nursing facility (NF),
  • You receive services through the CCC Plus home and community based services waiver [formerly referred to as the Technology Assisted and Elderly or Disabled with Consumer Direction (EDCD) Waivers],
  • You receive services through any of the three waivers serving people with developmental disabilities (Building Independence, Family & Individual Supports, and Community Living Waivers), also known as the DD Waivers.

You have a choice in your health plan

Every area of the state has an open enrollment period. During this time, you can change from your current health plan to Aetna Better Health of Virginia. The Department of Medical Assistance Services (DMAS) will notify you by mail when your next open enrollment takes place. You will receive a comparison chart of the different plans that you may choose. You can change your health plan during the first 90 days of your enrollment for any reason. You can also change your health plan once a year during open enrollment or at annual renewal for any reason.

If you are a current Aetna Better Health of Virginia member and you want to stay our member, you do not need to take any action.

Medallion

To choose Aetna Better Health, call the Medicaid Managed Care Helpline at 1-800-643-2273. For more information or if you have questions, please visit www.virginiamanagedcare.com.

FAMIS

To choose Aetna Better Health, call Cover Virginia at 1-855-242-8282. For more information, please visit www.coverva.org.

CCC Plus

To choose Aetna Better Health, call the CCC Plus Helpline at 1-844-374-9159 or TDD 1-800-817-6608. If you are a current Aetna Better Health of Virginia member and you want to stay our member, you do not need to take any action. For more information, please visit www.cccplusva.com.

The Medicaid Managed Care Helpline, Cover Virginia, and CCC Plus Helpline can help you understand your health plan choices and answer your questions about which doctors and other providers participate with each health plan. The services are free and are not connected to any health plan.

 

Standard benefits include:

  • Language translation services
  • Checkups for children
  • Visits to the doctor when you are sick
  • Hospital services
  • Emergency care
  • Laboratory services
  • Prescription drugs
  • Family planning services
  • X-ray/imaging
  • Mental health services
  • Routine eye exams and glasses for children
  • Routine eye exams for adults
  • Home health services
  • Rides to medical appointments (Non-emergent transportation is not available to FAMIS members)
  • Maternity and high risk pregnancy care
  • Newborn care
  • Immunizations (shots) for children
  • Physical, occupational, and speech therapies
  • After hours medical advice line

Health care for children:

  • Immunizations (shots)
  • Checkups to age 21
  • Vision screenings
  • Health education
  • Services for special health care needs
  • Lead screenings
  • Hearing screenings

For FAMIS enrollees, co-pays may apply.

Added benefits:

  • Free cellphone with 350 free minutes per month, data, and free unlimited text messaging, including free calls to Member Services
  • Ted E. Bear, MD club for children (newborn to age 10)
  • Mobile app
  • Digital wellness programs for stress, back pain, eating healthier, and creating an exercise routine for your lifestyle