More healthy days are on the horizon for Humana Healthy Horizons^® in Virginia members.

Medicaid Eligibility in Virginia

To apply for Cardinal Care in Virginia, you will need to complete and submit an application. You can apply in one of these ways:

• Solicitar en línea a commonhelp.virginia.gov.
• Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 833-5CALLVA (TDD: 1-888-221-1590).
• Apply online at the Virginia's Insurance Marketplace at marketplace.virginia.gov.
• Mail or drop off a paper application to your local Department of Social Services (DSS) (English application, PDF | Spanish application, PDF). Mailing may take longer than other ways of applying. To find your local DSS, go to dss.virginia.gov/localagency.
  • Note: If you are over 65, blind, disabled, or have a special medical need, scroll down on this page to find additional documents we may need you to complete. You can also get a one page supplement to the application if there are more than two people in your household.
• If you also want to apply for other benefits, you can apply online at commonhelp.virginia.gov, or call the Virginia Department of Social Services Enterprise Call Center at 1-855-635-4370.

Qué necesita para enviar su solicitud

When you apply for Medicaid services in Virginia, you will need:

• Full legal name
• Fecha de nacimiento
• Social Security numbers (or document numbers for any legal immigrants who need insurance)
  • Note: You may be asked to prove citizenship or immigration status after you apply. Read a list of acceptable verification documents.
• Employer and income information for everyone in your family (for example, from paystubs, W-2 forms, or wage and tax statements)
  • Note: If self-employed, read Self-employment Expenses Information.
• Policy numbers for any current health insurance
• Information about any job-related health insurance available to your family

Enroll your new baby in Cardinal Care Medicaid

We know how important it is that your new baby has the best care possible, as soon as possible. To enroll your newborn in Medicaid, you must do one of the following within 60 days of your child's birth:

• Call Cover Virginia at 855-242-8282
• Call your local Department of Social Services (DSS) office
  Find your local DSS office here

¿Por qué elegir Humana Healthy Horizons?

Diseñamos Humana Healthy Horizons para ofrecerle la atención y el apoyo que necesita, de modo que pueda pasar más tiempo haciendo las cosas que más le gustan. Ahora más que nunca, su salud y la cobertura de su atención de la salud son importantes. Humana Healthy Horizons offers Virginia Medicaid members access to the high-quality healthcare coverage you want and extras you need.

Le ofrecemos formas fáciles de encontrar un médico o un especialista. Podemos enviarle los medicamentos a su domicilio, para que no tenga que ir hasta la farmacia. Y junto con su atención médica, recibe:

• Acceso a médicos sin necesidad de remisiones
• Go365 for Humana Healthy Horizons^®, un programa de recompensas que le ayudará a llevar una vida sana
• Cobertura de salud conductual y emocional
• Cobertura de audición, de medicamentos recetados y de la vista
• Herramientas digitales que le ayudan a administrar su atención de la salud

Inscripción obligatoria

Mandatory enrollment means you qualify for Virginia Medicaid and are required to enroll in a plan. Puede elegir el plan que desea, o el estado lo inscribirá automáticamente en un plan.

Cuando se inscribe por primera vez en un plan de atención administrada de Medicaid, tiene 90 días para probar el plan. Durante estos 90 días, puede cambiarse por cualquier motivo a otro plan. Después de este período de prueba de 90 días, no puede cambiarse de plan de salud hasta el próximo período de inscripción abierta, a menos que se le presente un evento por el que pasa a ser elegible para el cambio.

Inscripción abierta

El período de inscripciones abiertas anual les da a los afiliados obligatorios otra oportunidad para cambiarse de plan por cualquier motivo. You will get a letter from Virginia DMAS each year with information about your open enrollment period. Esta carta también incluirá información sobre cómo cambiar de plan de salud.

Desafiliación

Disenrollment is when you need to change from one health plan to another. It does not affect your Medicaid eligibility. After the first 90 days of enrollment, you need to have a reason approved by the state if you want to disenroll. Para ver una lista de motivos aprobados para desafiliarse y cómo pedir permiso para desafiliarse, consulte su Manual para afiliados.

Humana is proud of our strong relationship with Virginia Cardinal Care. We’re focused on helping you make the most of your plan so you can focus on what matters most.