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Learn about Medicaid through Sentara Health and Kaiser Permanente in Virginia

Important: Have you moved in the past three years? Has your address or contact information changed? Please make sure Kaiser Permanente has your current mobile phone number, email, and mailing address so our records are up to date. It’s important to make sure we can reach you with information about changes to your health insurance. There may be steps you need to take to keep your coverage.

Update your contact information today by signing into your kp.org account or by calling Member Services at 855-249-5025 (TTY 711), Monday through Friday, 7:30 a.m. to 9 p.m. (except holidays).

Medicaid provides free or low-cost health coverage to low-income individuals and their families. The Virginia Department of Medical Assistance Services (DMAS) administers both Medicaid and FAMIS (Family Access to Medical Insurance Security), which is Virginia's program for children who meet certain eligibility criteria.  

Sentara Health and Kaiser Permanente have joined together in Northern Virginia to offer you expanded access to health care services. Through this relationship, Sentara Health/Kaiser Permanente members will receive quality health care at any Kaiser Permanente medical center.

Sentara Health has a long-standing history of providing access to care throughout the Commonwealth. Together, we will stay true to our commitment to improve the health of communities in every part of Virginia.

Most individuals who qualify for Medicaid will have no monthly premium, no copay, and no out-of-pocket cost for most covered services. For FAMIS, a small monthly premium or copay may apply.

You have a wide network of doctors to choose from. All available Kaiser Permanente doctors accept Sentara Health/Kaiser Permanente Medicaid members.

Medicaid in Virginia provides a core set of health care benefits, including doctor visits and immunizations. If you are eligible for Medicaid, you can be covered for health services like:

Outpatient care

Get care from a healthcare provider such as nurse, doctor or specialist – including appointments, exams, and treatment.

Pediatric services

Your child can get regular check-ups, dental care, vision care and immunizations.

Medication

Get prescriptions that are covered by your plan.

Hospital inpatient care

If you have to go to a hospital, you can get the services you need, including x-rays and lab tests.

Emergency care

If you need to make an emergency room visit, you can get emergency services.

Laboratory services

Lab tests are covered.

Maternity and Newborn care

Regular maternity care appointments, newborn screenings, immunizations, and more are covered.

Mental Health Care

Get comprehensive mental health care including behavioral health treatment, counseling and substance use disorder services.

Rehabilitative & Habilitative Services

Services and devices to help you recover from an injury, disability or chronic condition. Examples include physical and occupational therapy.

Preventive and wellness services

Care you need to stay healthy, such as physical exams, counseling, screening, vaccines and chronic disease management.

Please note: Some services may require preauthorization. All services must be provided by a Kaiser Permanente doctor or medical staff.

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Find out if you may qualify for Medicaid
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If you qualify for Medicaid, you may also qualify for other assistance programs, such as the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF)

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Questions about Medicaid with Kaiser Permanente?

Call the Kaiser Permanente Medicaid Assistance Center at

1-800-394-7715 (toll free) or 711 (TTY),

11 a.m. to 8 p.m., Monday through Friday.

Español: 1-800-394-7518