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FAMIS

Medallion 4.0 is coming. You’ll still get the same benefits you’re used to, but now with more!

If you’re still a Medallion 3.0 member, visit the Your Resources page to see your Medallion 3.0 member handbook and other resources.

To choose or switch to the Anthem HealthKeepers Plus plan, call 1-800-643-2273.

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Medallion 4.0 is coming

We offer low-cost benefits for your kids through FAMIS (Family Access to Medical Insurance Security), Virginia’s health insurance program for children of working parents who may not qualify for Medicaid. With Medallion 4.0, you’ll get the same great FAMIS benefits you’re used to, but now you’ll get more benefits and services administered by us like early intervention services, flexible payment methods and Community Mental Health and Rehabilitation Services (CMHRS). Plus, you’ll get new value-added benefits like sports physicals for kids and children’s books delivered right to your home.

With Medallion 4.0, you may be assigned to a different health plan. But don’t worry, you can still choose us! Call 1-800-643-2273 to switch back to us.

When does Medallion 4.0 start?

For eligible members, the start date will vary by region. If your region has not rolled out yet, you’ll remain a Medallion 3.0 member until Medallion 4.0 begins.

Regional rollout for eligible members:

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What your child gets with FAMIS

Benefits to help your child get and stay healthy

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  • More than  25,000 doctors, hospitals and specialists to choose from near you
  • Our 24/7 NurseLine – talk to a nurse any time, day or night, and get answers to health questions by calling 1-800-901-0020 (TTY 711) 
  • Urgent and emergency care, including professional ambulance services if needed
  • Well-child and baby checkups
  • Disease Management programs for asthma, diabetes, chronic obstructive pulmonary disease (COPD), heart failure, coronary artery disease (CAD), major depressive disorder, bipolar disorder, substance abuse disorder, schizophrenia, hypertension and HIV/AIDS 
  • Translation and interpretation services via phone and onsite for your medical appointments

Plus your kids get extra benefits at no cost like coupon books with special discounts to local stores and sports physicals.

New services you get with Medallion 4.0

  • Early intervention services —– services like speech or occupational therapy designed to help a baby under the age of three who may not be learning or developing like other babies and toddlers. For more information, look in your member handbook.
  • Community Mental Health and Rehabilitation Services (CMHRS) —– services like in-home care and substance abuse crisis intervention

Over-the-counter and prescription drugs at low cost

The Preferred Drug List (PDL) is a list of drugs doctors can use to prescribe your child’s medicines. Drugs listed on the PDL are safe and effective. A group of doctors and pharmacists review and update this list every three months to make sure these drugs are still good choices.

Learn More

Your child can get low-cost vision services like:

  • Glasses (frames and lenses) or contacts as medically necessary
  • One routine eye exam every 24 months

To find providers and store locations, call Member Services at 1-800-901-0020 (TTY 711).

Healthy mind, healthy body

Being healthy is about more than just your body, so our benefits help with your child’s emotional and mental health, too. Get these behavioral health and substance abuse treatment and recovery services through your plan:

  • Intensive outpatient (IOP)
  • Partial day treatment
  • Opioid treatment
  • Case management
  • Residential treatment for pregnant and postpartum women
  • Halfway house and group home treatment
  • Residential treatment
  • Residential detox
  • Crisis stabilization
  • Peer supports

Want to know more about your benefits? Read your member handbook or call Member Services at 1-800-901-0020 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Eastern time.

Our Healthy Rewards program pays you for taking control of your health. You can earn up to $25 for completing activities like wellness check-ups, diabetic screenings, mammograms or refilling your medication.

Healthy Rewards are dollars put onto a debit card when you go to doctor visits for:
  • Well-woman visit
  • Adult well-visit
  • Well-child visit
  • Adolescent well-visit
  • Childhood/adolescent immunizations
  • Human papillomavirus (HPV)
  • Lead screening
  • High blood pressure medication refills
  • Diabetic  A1c testing
  • Diabetic eye exams
  • Diabetic nephropathy
  • Flu vaccine

To learn more and enroll, please call 1-877-868-2004.

To learn more and enroll, please call 1-877-868-2004 or visit mss.anthem.com/healthyrewards.

Find out more information about:
  • How the program works.
  • What rewards are available and which ones you may be eligible for.
  • How often you can earn a reward for each activity.
  • Where you can spend your reward dollars.
  • And more!

You must be enrolled in the Healthy Rewards program to earn rewards for your healthy activities.

Should I apply for FAMIS?

Yes. My child:
  • Is under age 19.
  • Meets FAMIS income guidelines.
  • Lives in Virginia.
  • Is a U.S. citizen or legally residing immigrant.
  • Is uninsured when you apply.

No. My child:

  • Is age 19 or over.
  • Is eligible for FAMIS Plus or children’s Medicaid. Find out how to apply for Medicaid instead.
  • Does not meet FAMIS income guidelines.
  • Does not live in Virginia.
  • Already has health insurance.

What to expect after you sign up

Getting started

We’ll make sure you have the tools you need to get your benefits and keep your child healthy.

Learn more about what to expect after you sign up.

Your new member packet

You’ll receive your new member packet soon after signing up with us. Your packet will include your welcome letter, your quick start guide and your health assessment.

Your quick start guide is a general overview of your benefits, services, and resources to help guide you as a new member.

For more detail about your plan and benefits, be sure to check out your member handbook.


Some FAMIS members have copays. For more information, check the copay charts below.

Your health assessment (HA) is a short questionnaire which will help us learn more about your health. So we can help you get care and doctors to fit your needs. It won’t take more than five minutes to fill out.

Take your Health Assessment

If you have questions or didn’t get your HA, call 1-844-533-1994, ext. 106-103-5148 (TTY 711). We’ll help you fill yours out over the phone Monday through Friday from 8:30 a.m. to 5 p.m. Eastern time.

Keep your benefits

  • Renew on time! To keep your child’s FAMIS benefits, you have to renew every 12 months.
  • Keep your address and phone number up-to-date with the state by calling us. If they don’t have the right contact information for you, you could lose your benefits.

To renew your benefits, call Cover Virginia toll free at 1-855-242-8282 (TDD 1-888-221-1590) or renew online.

To report your new address or phone number, call Member Services at 1-800-901-0020 (TTY 711) or  update your information on your secure account.

Learn more about renewal

You may receive a new ID card, but don’t worry! Your benefits aren’t changing.


You’ll continue receiving your usual Medallion Medicaid and FAMIS value-added benefits, plus the extras that are coming with Medallion 4.0.