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Sentara Medicaid Health Plan

Sentara Health Plans is more than coverage — it’s a commitment to you. When we manage your care, we give you personal attention to meet your unique needs. Your story matters to us.

You may be eligible for Medicaid, a type of health insurance program with no monthly fees or deductibles for those who qualify. The name of Sentara’s Medicaid plan is Sentara Community Plan. Medicaid is available to people of all ages with incomes below a certain level and people with disabilities. Medicaid health plans cover a wide range of health services, including doctor visits, dental coverage, mental health support, and more. You can apply for Medicaid at any time of year.

Already enrolled in a Medicaid health plan?

You have the right to choose Sentara Community Plan as your Virginia Medicaid or FAMIS plan. You can change plans at certain times of the year. Learn more about how you can switch to Sentara Health Plans.

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    What Does Medicaid Cover?

    Sentara Medicaid health plans provide coverage to support your health and wellness needs.

    • Doctor visits and prescription drugs
    • Urgent care and hospital stays
    • Dental services
    • Mental health support anytime
    • Pregnancy and postpartum support
    • 24/7 Nurse Advice Line

    Plan Coverage Details

     

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    Maximize Your Medicaid Benefits

    Sentara Health Plans is dedicated to taking care of health and so much more.

    • Adult vision
    • Discounts on healthy foods
    • Earn gift cards
    • $20 allowance for feminine hygiene products
    • 400 diapers (eligibility required)
    • 24/7 virtual care

    More Added Benefits

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    Help Beyond Healthcare

    We have a friendly team focused on connecting you with local services:

    • Healthy food
    • Utility assistance
    • Education
    • Job assistance
    • Non-medical rides
    • Personal finance

    View Programs

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    You Can Have Medicaid and Medicare at the Same Time

    When it comes to managing your Medicaid and Medicare benefits and care, it is easier working with one health plan. Your Sentara Health Plans care coordinator will take the lead connecting your coverage and services. Plus, you gain extra benefits when you choose Sentara Medicare for your dual special needs plan (D-SNP).

     

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    Not Eligible for Medicaid?

    Sentara Health Plans offers a variety of health insurance plans both on and off the Health Insurance Marketplace.

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Questions? We Are Here For You.

Let's talk about the benefits and services you will get when you become a Sentara Health Plans member.

Sentara Community Plan
 1-800-881-2166 (TTY: 711

Monday through Friday, 8 a.m. to 8 p.m.

Plan Documents

Member Handbook and Guide

Medicaid Provider Directories

Medicaid Prescription Drug Lists