Health Care and Health Insurance Options
Health Insurance Options for Alexandria Children and Families
Every child needs health insurance to help pay for the expense of doctors, hospitals, dentists and other health care providers. Just like car insurance, families typically pay a monthly fee known as a "premium" for health insurance. Health insurance may be offered by your employer or you may buy it from a private health insurance company. If your job does not offer health insurance or you cannot afford to buy it, some children can receive health insurance for free or at a reduced cost from the government.
Many children in Alexandria without insurance may qualify for this coverage. A lot of families do not know how to apply or assume their children will not be accepted. Some families think immigrants cannot apply for government health insurance. Other families believe they make too much money to receive government insurance.
Applying for health insurance through the Commonwealth of Virginia is similar to applying for free or reduced lunch. Just like the school lunch program, eligibility will depend on how much money your family earns and the number of people in your family. Children must be U.S. citizens or legal immigrants and Virginia residents to be eligible. Applicants will be asked to provide: the child’s Social Security number; proof of U.S. citizenship status or documentation of legal immigrant status; and proof of Virginia residency. Citizenship is not required; most legal immigrants who meet the income requirements are eligible. Information on the immigration status of adults in the child’s family is not required.
Current government insurance programs include:
FAMIS Plus (Medicaid) is for children from birth to age 19. Families of four who make up to $37,148 a year qualify for this program.
FAMIS is for uninsured children birth to age 19 in families who make too much money for FAMIS Plus. Families of four can earn up to $51,455 a year and still have their children qualify.
Health Insurance Marketplace for Virginia
The Affordable Care Act (also called “Obamacare”) created the Health Insurance Marketplace to help some families purchase private health insurance. The 2019 Marketplace open enrollment period will be from November 1, 2018, through December 15, 2018. To be eligible, individuals and families must be U.S. citizens or legal immigrants and state residents. Families will be required to pay a monthly premium; many may qualify for assistance to lower the amount they pay. More information on the Marketplace is available at: www.healthcare.gov.
Uninsured families in Northern Virginia can get free, confidential help applying for any of these programs through one of these offices:
Inova Partnership for Healthier Kids at 703-698-2550 which is available weekdays 8:30 a.m.-5:00 p.m.
Neighborhood Health provides one-on-one application assistance at 2 convenient locations. Call 703-535-5568 to schedule an appointment.
Enroll-Virginia provides individual assistance to apply for coverage through the Health Insurance Marketplace. Call 703-647-4748 to make an appointment.
Families can learn more about coverage options, apply for new coverage or renew coverage at www.coverva.org or www.commonhelp.virginia.gov/access. Applicants wishing to only apply for health care for children do not have to provide residency information on other family or household members.
Health Care Options for Alexandria Children
Children who are not eligible for any health insurance can visit one of the following "safety net providers".
Pediatric Wellness and Illness Care, 703-535-5568
1200 N. Howard St, Alexandria VA 22304
Accessible via DASH AT2 and AT1
2 East Glebe Rd, Alexandria, VA 22305
Accessible via DASH AT10 and AT3 buses
Neighborhood Health serves all income-eligible children regardless of residence and immigration status. Offers Sliding Fee Discounts, based on family income. Limited evening and Saturday hours are available. Services for children include well child care, sick child care, immunizations, physical exams, sports physicals, mental health services, and dental services.
Wellness on Wheels (WOW) Dental Bus
The ACPS Wellness on Wheels (WOW) Dental Bus is a mobile dental unit serving all ACPS students on the school campuses of John Adams, William Ramsay, Patrick Henry, Cora Kelly, Mount Vernon, James K. Polk, Samuel Tucker, and T.C. Williams King Street Campus. Onboard the bus are licensed dental professionals from Neighborhood Health who provide oral exams and routine dental procedures. The WOW Bus accepts Medicaid, FAMIS, and most private insurances. Fees for uninsured children are based on income and family size; some services may be free.
Alexandria Health Department (AHD) Clinical Services
Call 703-746-4996 to determine eligibility and to make an appointment.
4480 King Street, Alexandria, VA 22302
Accessible via DASH AT6 bus
AHD offers limited services for children. Fees are charged on a sliding-scale fee based on income and family size; some services may be free. AHD does not require verification of immigration status. Individual AHD clinics listed below can provide additional information.
Routine immunizations provided for newborns through teenagers. By appointment only.
Vouchers provided to eligible families for nutritious food and nutrition counseling to pregnant, postpartum, and breastfeeding women, and for infants and children up to the age of 5 years.
The Teen Wellness Center
703-746-4776 or text “APPT” to 571-329- 2245
3330 King Street, Alexandria, VA 22302
Free parking; accessible via DASH AT5 and AT6 buses.
The Teen Wellness Center, run by the Alexandria City Health Department in partnership with the Department of Community and Human Services and ACPS Health Services, is located at T.C. Williams High School. All teens aged 12-19 years old who are residents of Alexandria are eligible for free and confidential health services. Some services require parental consent under Virginia Law. Services provided include school/sports physicals; minor illness, immunization, health education; counseling; HIV counseling and testing; pregnancy prevention and testing; and sexually transmitted infections testing, treatment, and counseling.
Prepared by the ACPS School Health Advisory Board for its Health Access Outreach Project, and by Jennifer Tolbert, Director of State Health Reform for the Kaiser Family Foundation.