Virginia Medicaid Special Enrollment Period
April 19-June 30, 2020 | King George and Stafford County residents ONLY

Virginia Medicaid Special Enrollment Period | April 19-June 30, 2020 | King George and Stafford County residents ONLY

Care that puts you first

Get the right kind of health care for you and your family

In our integrated health system—the leading system in the region1—we deliver award-winning care the way you need it. Email a specialist. Get test results online. Have a video visit with your doctor.2​ All from your mobile phone, on your lunch break or at home. We make being healthy easier, so you have less to worry about.

Kaiser Permanente is partnering with Virginia Premier to deliver quality care that fits the way you live

Care: how, when, and where you want it

PHONE

Call for 24/7 care advice from our registered nurses, make phone appointments with your physician, or receive text alerts for appointment and medication reminders.

ONLINE

Use our apps to get certain lab results, schedule appointments, and order your prescriptions​ online3​ for home delivery—often within 48 hours.

VIDEO

Have a $0 video visit2​ with your personal physician, your child's pediatrician, a behavioral health clinician, or emergency medicine doctor by phone, computer, or tablet.

IN PERSON

Make same- or next-day appointments at any of our medical facilities, most offering primary care, lab, X-ray, and pharmacy together under one roof,4​ so you get more done in one trip. ​

In our integrated system, you're special

Kaiser Permanente treats every patient as an individual with specific needs. Our integrated system of care adapts to you, supporting you along your health journey in the way that fits you best.

Our system of care is built around you

Everyone on our care team is connected to you. They know your medical history, and work together to help produce the best outcomes for your health.

Seamlessconnections

When you come see our doctors, you don’t fill out forms. Each appointment is tracked in your electronic medical record to keep our care team up to date on you. Once the visit is over, you can pick up your prescription before leaving our facility. And then order refills on the KP app for delivery to your home.

You can do this because our physicians, pharmacy, labs, X-ray, health plan, facilities—it’s all one system. All working together to make better health as simple as possible.

Personalizeddelivery

When it’s time to make a care decision, you’re not alone. Our award-winning doctors,1​ specialists, and pharmacies are all connected to you—and each other—through the electronic medical record. They know your overall health picture. Pre-existing conditions. Medications. Diet.

So, whether you’re seeing your doctor at one of our facilities or a specialist by video visit on your phone,2​ they all have your latest info and are consulting with each other to produce the best health results.

Convenient access

When you need to get care, how is up to you. Email a specialist. Call our 24/7 nurse line for advice. See your doctor by video.2​ Check test results online. In our integrated ​ system, you choose the delivery method.

These are all core system components, not add-ons, so quality is built into every experience. And unlike many insurers, we don’t outsource these services to providers who don’t know our patients' medical histories. So, whether it’s online, by phone, via video, or in person, our caregivers all share the same information, so they can resolve issues more efficiently to get you healthier faster.

Our system of care is built around you

Everyone on our care team is connected to you. They know your medical history, and work together to help produce the best outcomes for your health.

Award-winning doctors

Hundreds of Permanente physicians are recognized annually as Top Doctors1​ by magazines across the District of Columbia, Maryland, and Virginia.

Advanced Urgent Care

Think of it as personalized urgent care, with shorter wait times than hospital emergency rooms, a care team that knows your health history, and an innovative care delivery space. ​ ​ ​

Our Advanced Urgent Care units treat serious, but non-life-threatening, medical issues at a level that far exceeds standard urgent care clinics. We deliver acute and preventive care services including advanced diagnostics, treatment, observation, and prescriptions, all conveniently available on site, under one roof.4

This includes:

  • On-site testing and diagnostics
  • 24/7 observation capabilities
  • Consults with specialists (neurology, cardiology, orthopedics)
  • Emergency Medical Record access for more personalized care
  • Access to patient’s personal history and medications
  • Easy follow-up scheduling with PCP or specialists
  • Coordination with our premier hospitals if continued care is needed

33 locations in DC, MD, and VA

Our medical facilities are right in your neighborhood. Most offer doctors, pharmacy, labs, and X-ray under one roof,4​ so you get more done in one trip.

Our service area in Northern Virginia includes:
  • Alexandria
  • Arlington County
  • Fairfax City and County
  • Falls Church
  • Fauquier County
  • King George County
  • Loudoun County
  • Manassas
  • Manassas Park
  • Prince William County
  • Stafford County

Discover the benefits of Medicaid now available:

  • No monthly premiums
  • No copays
  • Vision coverage (for both adults and children)
  • Comprehensive dental coverage for children
  • Annual period to change health plans
  • Transportation to medical appointments, if needed
  • Coverage for substance use disorder and behavioral health services
  • Expanded network of community providers

Enrolled in another Medicaid plan?

You can choose Virginia Premier during your annual enrollment period​ to receive care from Kaiser Permanente.

Want to stay with Kaiser Permanente?

Did you have a Kaiser Permanente Individual and Family plan, and want to keep​ your doctor and care? You can! Choose Virginia Premier as your plan.

First time applying for Medicaid?

You can choose​ great care from Kaiser Permanente by asking for Virginia Premier when you sign up.

Are you eligible for Medicaid in Virginia?

In 2019, more people in Virginia qualified for Medicaid coverage.

More people in Virginia have access to quality, low-cost and no-cost health insurance through Medicaid. Even if you were denied Medicaid coverage before, you may now qualify.

To qualify for the new health coverage, you must:

Be a Virginia resident, ages 19 to 64

Be eligible for Medicare, or not already have Medicare

Meet income requirements, which vary by household size

2020 Medicaid income requirements for Virginia

Family size

Monthly income

Yearly income

1

$1,438

$17,237

2

$1,946

$23,337

3

$2,454

$29,436

4

$2,962

$35,536

5

$3,470

$41,636

6

$3,979

$47,735

7

$4,487

$53,835

8

$4,995

$59,934

How to sign up for Virginia Premier/Kaiser Permanente

Enrolled in another Medicaid plan?Make the switch!

Online:​ Go to virginiamanagedcare.com​ and click on “Enroll,​ then “Get Started.”

By phone:​ If you want to speak to a live person, call the Managed Care Helpline at 1-800-643-2273​ (TDD 1-800-817-6608). The helpline is available Monday through Friday, 8:30 a.m. to 6 p.m.

Say, “I want Virginia Premier!”​ The sooner you call, the sooner you can get quality care from Kaiser Permanente.

Applying for Medicaid?​ Choose the option below that’s best for you:

Call the Cover Virginia Call Center

1-855-242-8282

(TDD: 1-888-221-1590)
Mon. – Fri., 8 a.m. – 7 p.m.
Sat., 9 a.m. – 12 p.m.

Complete an online application

Through Common​ Help:
commonhelp.virginia.gov
Through the Health Insurance Marketplace:
www.healthcare.gov

Mail or drop off a paper application

Print out an application andmail or drop it off to your local Department of Social Services. Mailing may take longer than other methods of applying.

Download English Application
Download Spanish Application
Find your nearest local Virginia Department of Social Services

Sign up and apply for other benefits

Call the Virginia Department of Social Services Enterprise Customer Service Center if you’re interested in applying for Medicaid as well as other benefits such as the Supplemental Nutrition Assistance Program (SNAP).

1-855-635-4370

Mon. – Fri. 7 a.m. – 6 p.m.

For more information about Medicaid through Virginia Premier with Kaiser Permanente, visit va.kp.org/medicaid/va.

1In the National Committee for Quality Assurance (NCQA) 2019–2020 Health Insurance Plan Ratings, Kaiser Permanente of the Mid-Atlantic States’ private health plan is rated 5 out of 5, among the top 1% in the nation, and our Medicare health plan is rated 4.5 out of 5, the highest rating in DC, MD, and VA. The 2019 Commission on Cancer, a program of the American College of Surgeons, granted Three-Year Accreditation with Commendation to the Kaiser Permanente cancer care program. The Mid-Atlantic Permanente Medical Group is the largest medical group in the Washington, DC, and Baltimore areas and exclusively treats Kaiser Permanente members. Permanente doctors are recognized as Top Doctors in Washingtonian magazine (2019), Northern Virginia Magazine (2019), Baltimore magazine (2019), and Washington Consumers’ CHECKBOOK magazine (2018). According to NCQA’s Quality Compass® 2019, we lead DC, MD, and VA in the following categories: colorectal screening, breast cancer screening, childhood immunizations combo 9, cervical cancer screening, and timeliness of prenatal and postpartum care for women. Quality Compass is a registered trademark of the NCQA.
2If you have an HSA‐qualified deductible plan, you will need to pay the full charges for scheduled phone and video visits until you reach your deductible. Once you reach your deductible, your copay is $0 for scheduled phone and video visits. Video visits are available to Kaiser Permanente members who have a camera-equipped computer or mobile device and are registered at kp.org. You must be present in Maryland, Virginia, or Washington, DC, for video visits with your primary care physician or behavioral health provider. For urgent video visits with an emergency doctor, you may also be present in West Virginia, Florida, North Carolina, or Pennsylvania. For certain medical or mental health conditions. For video visits with a behavioral health provider, appointments can be scheduled for follow-up care.
3Some medications are not eligible for Mail Order Pharmacy. Mail Order Pharmacy can deliver to addresses in MD, VA, DC, and certain locations outside the service area.
4When receiving care at most Kaiser Permanente facilities.
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