What is FAMIS

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What is FAMIS?

• FAMIS is Virginia's health insurance program for
  children.
• FAMIS provides access to quality health services
  for children.

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What does FAMIS Do?

• FAMIS covers all the medical services growing
  children need to avoid getting sick, plus the
  services that will help them make a speedy
  recovery if they do become ill or get hurt.

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Services Covered by FAMIS

• Doctor visits
• Well-baby checkups
• Hospital visits
• Vaccinations
• Prescription medicine

• Tests and x-rays
• Dental care
• Emergency care
• Vision care
• And more

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How Much Does FAMIS Cost?

• There are no enrollment costs or monthly premiums
  for FAMIS.When your children get care there may
  be a small fee called a co-pay for some services.
  Most co-payments are just 2 or 5 - FAMIS covers
  the rest. You do not pay for well-baby or well-
  child checkups.

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Who is Eligible for FAMIS?

• Your children may be eligible if they-Live in
  Virginia -Are under age 19 -Don't have health
  insurance now and haven't had it in the past 4
  months (see www. FAMIS.org for exceptions) -Are
  not eligible for the Virginia state employee
  health insurance plan

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Who is Eligible for FAMIS?

• Your children may be eligible if they
• -Are not eligible for FAMIS Plus (also known as
  Medicaid) -Live in families meeting FAMIS income
  guidelines-Are United States citizens or
  qualified aliens (other children may be eligible,
  please call to find out more)

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Income Guidelines

• Qualifying for FAMIS also depends on household
  income and family size. To find out your family
  size, count how many children and stepchildren
  under age 19 live in your home. Add yourself if
  you are the mother, father or stepparent of the
  children. Then add your husband or wife. For
  example, if you have 4 children and/or
  stepchildren under age 19 living in your home,
  plus yourself and your husband, you have a family
  size of six people. The monthly income limit
  for a family of six is 4,312.00.

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Eligibility
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How to Apply

• It's easy to apply for FAMIS. You will need to
  complete a Health Insurance Application for
  Children and Pregnant Women. You may do this
  online, over the phone, or by mail or fax. You
  will need to share information on who is in your
  family and your family's income.

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Phone Application

• To begin an application over the phone, call
  toll-free
• 1-866-87FAMIS (1-866-873-2647)TDD users ONLY
  call, 1-888-221-1590
• 800 am to 700 pm, Monday - Friday900 am to
  1200 noon, Saturday

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Other Ways to Apply

• You can also apply at your local DSS office
• Or
• You can apply on-line at www.famis.org

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Online Application

• You can apply online! The application will take
  you about 20 minutes and can be completed from
  the privacy of home. When you complete the online
  application, you will need to print out a
  "Confirmation Page," sign it (your signature is
  required), and mail or fax it in with any needed
  documents.

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Please remember to renew!

• Children on FAMIS will have health insurance
  coverage for 12 months
• At the end of the 12 months the FAMIS coverage
  needs to be renewed

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FAMIS MOMS

• The FAMIS MOMS program provides health care
  coverage for pregnant women. Good health care
  during pregnancy is important for you and the
  baby.
• FAMIS MOMS encourages pregnant women to get early
  and regular prenatal care to increase the
  likelihood for a healthy birth outcome.

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FAMIS MOMS Eligibility Guidelines

• The mother applying must
• Currently be uninsured
• Meet family income guidelines
• Have a medically confirmed pregnancy or be within
  the sixty-day period after your pregnancy ends
• Not have access to the State Employee Health Plan
• Be a resident of Virginia
• Be a U.S. citizen or a qualified legal immigrant

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FAMIS Select

• 100 per month per child up to the total amount
  of the family premium
• Children must be eligible for FAMIS
• Employer-based insurance or private policy
• No wrap-around services
• No co-pay, deductible, or co-insurance
  reimbursement

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FAMIS Select

• To apply or for more information, contactFAMIS
  Select UnitVirginia Department of Medical
  Assistance600 East Broad Street, Suite
  1300Richmond, VA 23219(804) 786-7024 (Richmond
  area)1-888-802-5437 or 1-888-802-KIDSFor
  general questions, emailFAMIS.select_at_dmas.virgin
  ia.gov

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New Marketing Campaign

• In September, FAMIS launched a new marketing
  campaign featuring a new spokesperson
• This campaign replaces the Theres a better way
  to protect your children campaign.

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Meet Our Spokesperson

• Julia Melendez has three children on FAMIS
• New Ads, brochures, and posters featuring Julia
  are available

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Contact info

• Andy Feagans
• Community Outreach Liaison
• [phone] phone
• [phone] fax
• andrew.feagans_at_dmas.virginia.gov

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