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.

You have options for your health coverage

If you recently lost your health insurance coverage, there are still options for you and your family. Visit Cover Virginia and answer the five questions using the Eligibility Screening Tool. If you qualify, visit the online application page to apply for coverage, or call Cover Virginia at 1-855-242-8282. Their hours are Monday through Friday, 8:00 am to 7:00 pm and Saturday, 9:00 am to 12:00 pm.

The rules have changed. More adults living in Virginia now have access to low-cost, quality health insurance. Even if you applied and were denied Medicaid coverage in the past, you may now be eligible. Learn more by visiting www.coverva.org/expansion or call Cover Virginia at 1-855-242-8282. Their hours are Monday through Friday, 8:00 am to 7:00 pm and Saturday, 9:00 am to 12:00 pm.

Our Programs

Medallion 4.0 Medicaid is for low-income and working individuals or families, their children, pregnant women, and those in foster care or adoption assistance.

Use the Cover Virginia Screening Tool to check your eligibility. If you think you qualify after using the screening tool, click the “Become a Member” tab below.

Basic benefits:

  • Visits to the doctor when you are sick
  • Hospital services
  • Emergency care
  • X-ray/imaging and laboratory services
  • Prescription drugs
  • Mental health services
  • Home health services
  • Routine eye exams for adults
  • Rides to medical appointments (Medicaid/FAMIS plus members only)
  • Language translation services
  • Family planning services
  • Physical, occupational and speech therapies
  • Services for special health care needs
  • Special medical equipment
  • After hours medical advice line
  • Maternity, high risk pregnancy and newborn care
  • Checkups and immunizations for children
  • Routine eye exams and glasses for children
  • Lead screenings for children
  • Hearing screenings for children

For Medicaid members, there are no co-payments or deductibles. FAMIS members may have co-payments for certain benefits. If you have a question, please call Member Services at 1-800-279-1878 (TTY: 711) or consult your schedule of benefits or member handbook.

Additional value-added benefits:

  • Addiction and Recovery Treatment Services (ARTS)
  • Adult dental
  • Adult hearing
  • Adult vision
  • Adult Smoking Cessation
  • Asthma Prevention
  • Newborn Baby Diapers for a month
  • Better Breathing program
  • Diabetes Care for Life program
  • Expanded Member Services call center hours
  • No-Cost Cell Phone
  • General Educational Development (GED) Incentive
  • Home-delivered meals
  • Non-traditional medicine reimbursement
  • Swimming Lessons
  • Ted E. Bear, M.D.
  • Transportation
  • Adult Weight management
  • Youth Sport Physicals

Learn more about your benefits under Medallion 4.0 Medicaid.

By mobile app. Download the free Virginia Managed Care app on your Android or iPhone to compare health plans, find a provider, or change your health plan to Aetna Better Health of Virginia. Search for “Virginia Managed Care” on Google Play or the App Store.

Online. Visit http://www.virginiamanagedcare.com/

By phone. Call the Managed Care Helpline at 1-800-643-2273 (TTY: 1-800-817-6608), Monday through Friday, 8:30 a.m. to 6:00 p.m. Interpreter services are free. Tell them you choose Aetna Better Health.

 

FAMIS (Family Access to Medical Insurance Security) is for children under age 19 of working parents who do not otherwise qualify for Medicaid.*

Basic benefits:

  • Visits to the doctor when you are sick
  • Hospital services
  • Emergency care
  • X-ray/imaging and laboratory services
  • Prescription drugs
  • Mental health services
  • Home health services
  • Routine eye exams for adults
  • Rides to medical appointments (Medicaid/FAMIS plus members only)
  • Language translation services
  • Family planning services
  • Physical, occupational and speech therapies
  • Services for special health care needs
  • Special medical equipment
  • After hours medical advice line
  • Maternity, high risk pregnancy and newborn care
  • Checkups and immunizations for children
  • Routine eye exams and glasses for children
  • Lead screenings for children
  • Hearing screenings for children

For Medicaid members, there are no co-payments or deductibles. FAMIS members may have co-payments for certain benefits. If you have a question, please call Member Services at 1-800-279-1878 (TTY: 711) or consult your schedule of benefits or member handbook.

Additional value-added benefits:

  • Addiction and Recovery Treatment Services (ARTS)
  • Adult dental
  • Adult hearing
  • Adult vision
  • Adult Smoking Cessation
  • Asthma Prevention
  • Newborn Baby Diapers for a month
  • Better Breathing program
  • Diabetes Care for Life program
  • Expanded Member Services call center hours
  • No-Cost Cell Phone
  • General Educational Development (GED) Incentive
  • Home-delivered meals
  • Non-traditional medicine reimbursement
  • Swimming Lessons
  • Ted E. Bear, M.D.
  • Transportation
  • Adult Weight management
  • Youth Sport Physicals

Learn more about your benefits under FAMIS.

Use the Cover Virginia Screening Tool to check your eligibility. If you think you qualify after using the screening tool, click the “Become a Member” tab below.

By phone. Call Cover Virginia at 1-855-242-8282 (TDD: 1-888-221-1590), Monday – Friday, 8:00 a.m. to 7:00 p.m. and Saturday, 9:00 a.m. to 12:00 p.m.

Online. Visit http://www.commonhelp.virginia.gov/

In person. Visit your local Department of Social Services

CCC Plus (Commonwealth Coordinated Care Plus) is for individuals with full Medicaid benefits who are 65 and older, children or adults with disabilities, nursing facility residents, or those receiving long-term services and supports.

If you have Medicaid and are 65 and older, are aged, blind, or disabled or have a developmental disability, reside in a nursing facility, or receive long-term services and supports, you will automatically be signed up for CCC Plus by the state.

For questions regarding your eligibility, call the CCC Plus Helpline at 1-844-374-9159 (TTY: 1-800-817-6608) Monday – Friday, 8:30 am to 6:00 pm. To review frequently asked questions related to CCC Plus, visit CCC Plus FAQs at cccplusva.com/faqs.

Basic benefits:

 

  • Addiction and recovery treatment services
  • Behavioral (mental) health services, counseling and 24/7 crisis line
  • Care coordination services
  • Diagnostic services including x-ray, lab and imaging
  • Durable medical equipment and supplies
  • Emergency and urgent care
  • Family planning services
  • Health care for children including checkups, immunizations (shots) and screenings
  • Hospital and home health services
  • Interpreter and translation services
  • Maternity and high-risk pregnancy care
  • Medical transportation services
  • No co-pays except your patient pay towards long term services and supports and any Medicare Part D drug co-pays
  • Physical, occupational and speech therapies and audiology services
  • Prescription drugs and over-the-counter medications (when prescribed by doctors)
  • Preventive and regular medical care
  • Routine eye exams and glasses for children and routine eye exams for adults
  • Team approach (interdisciplinary care)
  • 24/7 nurse advice line
  • Women’s health services

Additional value-added benefits:

  • Addiction and Recovery Treatment Services (ARTS)
  • Adult dental
  • Adult vision
  • Adult hearing
  • Personal care attendant
  • Diabetes care
  • Medication Adherence Program for Chronic Illness
  • Wellness rewards
  • Home-delivered meals
  • Weight management
  • Memory care
  • Regional Wellness Centers
  • Community Health Workers
  • Expanded Respite
  • Free Cell Phone

Learn more about your benefits under CCC Plus.

By phone. Call the CCC Plus Helpline at 1-844-374-9159 (TTY: 1-800-817-6608), Monday – Friday, 8:30 a.m. to 6:00 p.m.

Online. Visit http://www.cccplusva.com/

 

HMO-SNP is for individuals on Medicare and who receive Medicaid assistance.

HMO-SNP is for individuals on Medicare and who receive Medicaid assistance.

Visit our HMO-SNP page.

How to Enroll:

By phone. Call Virginia Insurance Counseling and Assistance Program (VICAP) at 1-800-552-3402.

Online. Visit http://www.medicare.gov/

*FAMIS is a program of the Commonwealth, administered by the Department of Medical Assistance Services (DMAS) in partnership with Aetna Better Health of Virginia.