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Medicaid for pregnant women

What is Medicaid for pregnant women?

With Medicaid for pregnant women, you get full health care benefits during your pregnancy and for two months after your baby’s birth. Medicaid may also cover your medical bills for the three months before you enroll. You also get dental benefits during your pregnancy. Dental services are through the Smiles for Children program. For help finding a dentist or to learn more, call Smiles For Children at 1-888-912-3456. Also read the [PDF] Guide to Dental Coverage.

What services are covered?

Medicaid covers breast pumps and breast feeding support during your pregnancy and after your baby is born. 

You will get health care services through health plans. The health plans all have special programs for high-risk pregnancies. To learn more, go to Health Plan Information. Or call your health plan.

Who qualifies?

Women who qualify have coverage during pregnancy and for two months after the birth. Your baby qualifies for coverage for the first year after birth. Tell us as soon as your baby is born to enroll the baby right away. You will need to give us the baby’s name, date of birth, race and gender. You can enroll your baby by phone with Cover Virginia at 1-855-242-8282. Or tell your eligibility worker at your local Department of Social Services (DSS) when your baby is born. You can also ask the hospital about submitting the enrollment information for your newborn.

After your 60 day postpartum coverage period ends, you may still qualify for health coverage. We will re-evaluate your benefits and send you a letter in the mail telling you our decision. Your coverage may continue, or we may refer you to the federal Marketplace for possible enrollment in a Qualified Health Plan. To learn more, call 1-855-242-8282. Or check with your eligibility worker at your local DSS.

Medicaid Member Handbook

[PDF] Member Handbook (English)
[PDF] Member Handbook (Spanish)

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