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Virginia Medicaid

All Virginians deserve affordable health care, including you. We have many plans to help you get healthy —and stay healthy. 

The Virginia Medicaid plan offers health coverage at a no-cost or low-cost through our UnitedHealthcare Community Plan. This plan covers adults, people with disabilities, pregnant women, and children. If you qualify for both Virginia Medicaid and Medicare, we also have a Dual Special Needs Plan.

See why Virginia chooses UnitedHealthcare

As one of the largest provider networks in Virginia, get the most out of your plan’s benefits by choosing doctors and specialists that fit your health care needs.

UnitedHealthcare Healthy First Steps®

Get extra support and rewards to keep you and your baby healthy during pregnancy and beyond

Find plans

Medicaid plans

UnitedHealthcare Community Plan of Virginia - Cardinal Care

UnitedHealthcare and Virginia team up offer good quality healthcare coverage to keep families healthy.

UnitedHealthcare Community Plan of Virginia gives extra benefits that may not be covered by other plans. Our Cardinal Care Medicaid plan covers families, pregnant women, infants, children and adults who are eligible. It also offers extra support and care for adults and children with disabilities, long-term illnesses or special health care needs.

View Medicaid plan details
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Dual Special Needs Plan

Dual Special Needs plans (also known as Dual Health plans or D-SNPs) are for people who have both Medicaid and Medicare. D-SNPs cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either original Medicare or Medicaid.

View all D-SNP plans

Individual & Family ACA plans

UnitedHealthcare offers Individual & Family ACA plans in Virginia. They’re designed to give you the coverage you need without breaking the bank.

Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.

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Virginia Medicaid eligibility and enrollment

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Eligibility

Virginia Medicaid offers Cardinal Care at no extra cost if you’re one of the following:

  • Pregnant women, children
  • Men and women between ages of 19-64
  • Adults with special health needs who don't qualify for Medicare

Enrollment

Every year, you can join or change your UnitedHealthcare Community plan of Virginia - Cardinal Care.

To learn if you can join and how to sign up, visit the enrollment steps page. The dates when you can sign up are different in each area.

Steps to enroll

Renewals

Don’t lose benefits

Make sure you don’t miss information about your Virginia Medicaid coverage.

Call 1-833-522-5582 TDD: 1-888-221-1590 to update your contact information today so you can receive official mail, email and texts. 

Renew my coverage (Opens in a New Tab)

Benefits and features

We want to help you live healthier lives and to have the best possible member experience.

Sticks for Kicks Plus!

Sticks for Kicks Plus! is a new benefit from UnitedHealthcare® Community for members 18 and younger.

When you get a qualifying “stick” (shot), you’ll earn $50 gift cards from Foot Locker® and/or Walmart to buy “kicks” (shoes) and active wear.

If you get a second qualifying shot, you earn another $50 gift card (up to $100 total).

New On-Demand Self Care for $0

Get the Self Care app from AbleTo  for free. It offers you:

  • Meditation tools for relaxation
  • Tracking of mood and habits to spot patterns and and behavior impacts
  • Guides on topics that you care about
  • Weekly check-ins for a personalized experience

Get AbleTo Self Care

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Healthy First Steps®

Build a healthy future for you and your baby while earning great rewards.

Our UnitedHealthcare Healthy First Steps® program helps keep you and your baby healthy during pregnancy and your baby’s first 15 months of life.

Extra member benefits

Connect to care—from your local pharmacy

Chat live with a UHC Doctor and get help with:

  • Coughs, fever, sore throat
  • Earaches, diarrhea
  • Rashes, allergies, bites
  • Back or belly pain
  • Sports injuries, burns
  • UTIs
  • And more

Test your symptoms quickly at a local pharmacy with UHC Doctor Chat.

Value-added services

One Pass fitness benefit

UnitedHealthcare® offers One Pass™ to help you stay fit and healthy.

One Pass is available at no extra cost for Virginia Medicaid members 18 years and older. One pass gives you:

  • Free membership and unlimited access to 300+ select fitness locations in Virginia, including Anytime Fitness, Golds Gym, H2 Health, LA Fitness, Planet Fitness, Rehab Associates, Snap Fitness and YMCA 
  • Access to more than 20,000 livestream classes or pre-recorded videos.
  • A workout builder to guide you and personalize your exercises.
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New on-demand self care for $0

Sometimes you need help. Extra benefits include:

  • Education vouchers
  • Prenatal care
  • Wellness perks 
  • Gift cards for youth, up to age 18
  • Free live 24/7 virtual doctor visits 
  • Meals delivered at home 
  • Help to quit tobacco
  • Weight support
  • And more

Download the Medicaid newsletter

Our HealthTalk newsletter is now online so that you can read it whenever, wherever you want. These newsletters are a great way to learn about our plans and important health topics. Check back quarterly for a new edition.


Disclaimer information

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Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2025.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.