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Medallion Medicaid

Medicaid expansion is here!

Medicaid expansion

Medicaid health coverage is now available to more Virginians through Medicaid expansion. Find out if you may be eligible for quality no-cost health insurance

Open enrollment for Medallion Medicaid
Non-expansion members in Roanoke/Allegheny and Southwest Virginia: enroll December 19, 2019 through February 28, 2020.

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When can I enroll?

Open enrollment varies by region


What you get

family on couch

Benefits to help you live life, your way. Plus, there are no copays or deductibles for services that are part of your benefits.

  • More than 25,000 doctors, hospitals and specialists to choose from near you
  • Urgent and emergency care
  • 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)
  • 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 
  • Rides to doctor appointments, and the drugstore to get your prescriptions and grocery stores and farmer’s markets —– set up a ride by calling Southeastrans at 1-877-892-3988 (TTY 711) or visiting the Southeastrans website.  For more information, visit our Schedule a Ride page
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

Your benefits include a wide range of prescription and over-the-counter (OTC) medicines at no cost. We work with IngenioRx to provide these pharmacy benefits.

Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered.

Go to the Pharmacy page

For children and adults through EyeMed

  • Members under 21: Glasses or contacts as medically necessary, plus one routine eye exam every 24 months
  • Members 21 and up: One routine eye exam and a discount on materials 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 you with your emotional and mental health, too. These behavioral health and substance abuse treatment and recovery services are included in 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
  • Dental benefits — One cleaning, one exam and bitewing X-rays per year for adults ages 21-64
  • Free rides to grocery stores, farmers’ markets and food banks
  • GED testing on us
  • $25 gift card for high school and college students with A’s and B’s
  • Up to $20 Walmart gift card for completing your health screener
  • Smartphone with free minutes, data and texts
  • Meals delivered to your home after a hospital stay, including new moms after delivery — two meals a day for seven days
  • Boys & Girls Club® memberships (where available)
  • Free diapers, umbrella stroller and children’s books delivered to your home
  • Sports physicals for kids
  • Coupon book with over $1,000 in savings at local stores
  • WW (formerly Weight Watchers®) vouchers — $120 for 13 weeks of meetings and 14 weeks of eTools
  • Healthy Rewards gift cards worth up to $25 for each activity completed (total of $100 per year)
  • Online fitness classes
  • Air purifier (requires approval)
  • Anthem Community Resource Link

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.

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.

Find out if you're eligible.

What to expect after you sign up

Getting started

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

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.

If you’re a member through Medicaid expansion, you’ll also need to complete a health screener to help us determine how we can best get you the care you need.

Keep your benefits

  • Renew on time! To keep your 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 a new address or phone number, call Member Services at 1-800-901-0020 (TTY 711) or update your information on your secure account.

Have a different plan and want to switch to us?

Call the Managed Care HelpLine at 1-800-643-2273 and tell them you choose the Anthem HealthKeepers Plus plan. You can change health plans each year during your region’s open enrollment.