Humana Healthy Horizons in Virginia

Cardinal Care
Enrollment

Adult and child reading a book

More healthy days are on the horizon for Humana Healthy Horizons® in Virginia members.

Medicaid Eligibility in Virginia

To apply for Cardinal Care in Virginia, you will need to complete and submit an application. You can apply in one of these ways:

  • Apply online at commonhelp.virginia.gov.
  • Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 833-5CALLVA (TDD: 1-888-221-1590).
  • Apply online at the Virginia's Insurance Marketplace at marketplace.virginia.gov.
  • Mail or drop off a paper application to your local Department of Social Services (DSS) (English application, PDF | Spanish application, PDF). Mailing may take longer than other ways of applying. To find your local DSS, go to dss.virginia.gov/localagency.
    • Note: If you are over 65, blind, disabled, or have a special medical need, scroll down on this page to find additional documents we may need you to complete. You can also get a one page supplement to the application if there are more than two people in your household.
  • If you also want to apply for other benefits, you can apply online at commonhelp.virginia.gov, or call the Virginia Department of Social Services Enterprise Call Center at 1-855-635-4370.

What you need when you apply

When you apply for Medicaid services in Virginia, you will need:

  • Full legal name
  • Date of birth
  • Social Security numbers (or document numbers for any legal immigrants who need insurance)
    • Note: You may be asked to prove citizenship or immigration status after you apply. Read a list of acceptable verification documents.
  • Employer and income information for everyone in your family (for example, from paystubs, W-2 forms, or wage and tax statements)
  • Policy numbers for any current health insurance
  • Information about any job-related health insurance available to your family

Enroll your new baby in Cardinal Care Medicaid

We know how important it is that your new baby has the best care possible, as soon as possible. To enroll your newborn in Medicaid, you must do one of the following within 60 days of your child’s birth:

Why choose Humana Healthy Horizons?

We designed Humana Healthy Horizons to provide you with the care and support you need – so you have more time to focus on what you love. Now more than ever, your health and healthcare coverage are important. Humana Healthy Horizons offers Virginia Medicaid members access to the high-quality healthcare coverage you want and extras you need.

We have easy ways for you to find a doctor or a specialist. We can send your medicines to your home, so you don’t have to go to a pharmacy. And along with your medical care, you get:

Mandatory enrollment

Mandatory enrollment means you qualify for Virginia Medicaid and are required to enroll in a plan. You can choose the plan you want, or the state automatically will enroll you into a plan.

When you first enroll in a Medicaid Managed Care Plan, you have 90 days to try the plan. During this 90-day period, you can switch for any reason to a new plan. After this 90-day period ends, you cannot change health plans until the next open enrollment period, unless you have an event that allows a change.

Open enrollment

The yearly Open Enrollment Period gives mandatory members another chance to change plans for any reason. You will get a letter from Virginia DMAS each year with information about your open enrollment period. This letter also will include information about how to change your health plan.

Disenrollment

Disenrollment is when you need to change from one health plan to another. It does not affect your Medicaid eligibility. After the first 90 days of enrollment, you need to have a reason approved by the state if you want to disenroll. For a list of approved reasons to disenroll, and how to ask for permission to disenroll, see your Member Handbook.

Humana is proud of our strong relationship with Virginia Cardinal Care. We’re focused on helping you make the most of your plan so you can focus on what matters most.