Virginia Medicaid Plan for Adults - Plan First

Plan First

Program Details

What is Plan First?

Plan First is Virginia's limited benefit family planning insurance program that pays for birth control and family planning services for women and men who do not qualify for a full-benefit Medicaid program. Plan First is a limited coverage program and not considered full coverage Medicaid.

Who is it for?

Medicaid,Adults

Who is Eligible?

Men and women may be eligible if they: Are not eligible for full benefits through Medicaid or FAMIS; Are US citizens or legally-residing immigrants; Live in Virginia; Meet the monthly income limits. Please visit www.planfirst.org for current income limits.
If you are under the age of 19 or pregnant, you may be eligible for full benefits through Medicaid or FAMIS. You can have other private insurance and still be eligible for Plan First. Visit www.planfirst.org for more inofrmation.

What is Covered?

Plan First covers:
  • Yearly physical exams for family planning (birth control) purposes, including PAP test (if appropriate), Sexually Transmitted Infection (STI) testing;
  • Family planning education & counseling;
  • Birth control methods provided by a doctor or obtained with a prescription such as contraceptive implants, ring, patch, IUDs, birth control pills, diaphragms, Depo Provera, and condoms;
  • Sterilization (tubal ligations, Essure and vasectomies), if that is your choice; and
  • Non-Emergency transportation to family planning services.*IUDs, implants and Depo Provera must be provided by the doctor.

What is not Covered?

Plan First does not pay for:
  • Exams for women/men who no longer need or want pregnancy prevention services
  • Treatment for medical problems, including STIs or other reproductive health problems
  • Repeat Pap tests due to a problem or Pap tests for women who do not need birth control
  • Pharmacy, except for family planning purposes as noted above
  • Vaccinations
  • Hysterectomies
  • Mammograms
  • Infertility treatments
  • Abortions
  • Emergency transportation -- ground or air ambulance

How much is it?

If you become sick or need help for preventive care or other medical conditions not related to family planning, you will have to pay for the costs of seeing a doctor and/or getting treatment. Low cost or no cost providers may include: Community Health Centers that provide medical care for a fee based on your income, Free Clinics and/or local Health Departments.

How to Apply?

  • Apply online at www.coverva.org
  • Call Cover Virginia toll free at 1-(855)242-8282 to apply on the phone; or
  • Visit your local Department of Social Services in the city or county in which you live.
You will be evaluated for full Medicaid or FAMIS benefits. If you are not eligible for full benefits, you will then be evaluated for Plan First. If you are not in need of birth control, or no longer wish to participate in Plan First, contact your eligibility worker at your local Department of Social Services.

Frequently Asked Question

  • Will I have to pay co-payments?

    Plan First does not charge a co-payment for covered family planningservices.

  • Income and Resource Requirements

    Qualifying for Plan First also depends on household income and family size. For your family size, count the number of people included on your federal taxes. If you don't file taxes, count how many children and stepchildren under age 19 live in your home. Add yourself if you are the mother, father or stepparent of the children. Then add your husband or wife. For example, if you have 4 children and/or stepchildren under age 19 living in your home, plus yourself and your husband, your family size is 6. We determine eligibility based on monthly income. The current monthly income limit for a family of 6 is $5,566.

  • What if I have other medical insurance or other health coverage?

    You can still be eligible for Plan First if you already have health insurance. The other insurance will be billedbefore Plan First, but Plan First will pay for covered services if the other insurance does not.

Additional Details


Physician Finder

Physicians that accept medicaid assignment

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TRENT, CYNTHIA
1212 LAKE JAMES DR
VIRGINIA BEACH, VA 23464
RIPOLL, IGNACIO
6025 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
LADERBERG, STEVEN
5308 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
CHUCKER, INGRID
6477 COLLEGE PARK SQ
VIRGINIA BEACH, VA 23464
WALMART PHARMACY 10-6226
1832 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
CVS PHARMACY #05802
6099 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
ROSENBLUM, LEVIN, BARNEY & HASTY, LTD
1055 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
KEN J TOMPKINS MD PC
5249 PROVIDENCE ROAD
VIRGINIA BEACH, VA 23464
OAKWOOD NURSING & REHABILITATION CENTER
5520 INDIAN RIVER ROAD
VIRGINIA BEACH, VA 23464
YATES, KELLEY
5301 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
FARM FRESH PHARMACY
1385 FORDHAM DR
VIRGINIA BEACH, VA 23464
ARRINGTON, ELIZABETH
1400 FORDHAM DR
VIRGINIA BEACH, VA 23464
JACQUELINE B SMITH DDS PLLC
1385 FORDHAM DR STE 106
VIRGINIA BEACH, VA 23464
JAMES T SAUNDERS MD PC
1500 STILL HARBOR LN
VIRGINIA BEACH, VA 23464
VIRGINIA BEACH DERMATOLOGY ASSOCIATES PLLC
5320 PROVIDENCE RD STE 202
VIRGINIA BEACH, VA 23464
HARRIS TEETER PHARMACY #350
5060 FERRELL PARKWAY
VIRGINIA BEACH, VA 23464
PROM, SAUNORA
6009 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
DUDDING, LEIGH
1400 FORDHAM DR
VIRGINIA BEACH, VA 23464
JAMES, SALLY
1400 FORDHAM DR
VIRGINIA BEACH, VA 23464
SMITH, JACQUELINE
1385 FORDHAM DR STE 106
VIRGINIA BEACH, VA 23464
ELBESHBESHY, TAREK
6632 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
FARM FRESH PHARMACY
1832 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
ROBERTS, BEVERLY
5486 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
RITE AID PHARMACY 11273
5232 FAIRFIELD SHOPPING CENTER
VIRGINIA BEACH, VA 23464
RITE AID PHARMACY 11275
840 SOUTH MILITARY HIGHWAY
VIRGINIA BEACH, VA 23464
Details
CYNTHIA TRENT, CPNP, AE-C
Phone Number
(757) 523-4589
Office Locations
1212 LAKE JAMES DR
VIRGINIA BEACH, VA 23464
1212 LAKE JAMES DR VIRGINIA BEACH VA, 23464

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