Medicaid Expansion Coverage

Page updated on Oct 25, 2018 at 10:08 AM

On January 1, 2019, an estimated 6,000 Alexandria residents will be among more than 400,000 adults in Virginia who will have access to quality, low cost health insurance due to a change in Medicaid rules.


What is Medicaid?

Medicaid provides free or low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly and people with disabilities.


Why are the rules being changed?

Medicaid expansion has had positive impacts in other states, including reduction in uninsured rates, increased access to medications and services for behavioral and mental health conditions and a decline in the infant mortality rate.


When will the new coverage begin?

Coverage begins on January 1, 2019. Enrollment begins November 1, 2018.


Who is eligible?

  • Virginia residents, ages 19-64.
  • Virginia residents not already in or eligible for Medicare.
  • Virginia residents who meet income requirements, which vary by household size.

To see if you are eligible, use this Eligibility Screening Tool. For more information about eligibility criteria, visit


What if I have coverage through the Affordable Care Act?

Those who are currently covered by the Affordable Care Act need to be aware that if they qualify for the expanded Medicaid coverage and do not enroll, they will lose their ACA subsidy and be charged the full premium for their insurance.


What health plans will be available?

The plans available in your area will be shared with you once enrollment begins. Please visit  often for regular updates.


Will I be required to meet additional requirements for coverage?

Virginia is in the process of developing new programs that include workforce training and education. More information will be available as the details are completed. Visit  regularly for updates on employment supports as they becomes available.


How do I enroll?

Visit  regularly for updates on how to enroll for coverage when it becomes available, or visit Common Help, the online public benefits application system, on of after November 1, 2018.

How can I obtain assistance with enrolling through Common Help?

Walk in to the Department of Community and Human Services on the first or third Thursday of each month for assistance using Common Help to apply for Medicaid or other benefits.