Eligibility and enrollment in Apple Health (Medicaid)

Am I eligible for Apple Health coverage in Washington?

 

Apple Health is the name of Washington’s Medicaid program. It helps Washington residents who qualify get access to free or low-cost health insurance. You can apply for coverage either through Washington Connection or Washington Healthplanfinder. Just make sure to check what kind of coverage you or your family qualifies for.

 

Washington Connection is for individuals who are:

 

Adults ages 19 up to 65

 

Blind

 

Disabled

 

In need of Long-term Services and Supports (LTSS) and Hospice

 

Washington Healthplanfinder is for:

 

Children

 

Parents or caretakers with children

 

Pregnant individuals

 

Adults ages 18 to 64

 

If you’re unsure about which program to apply for, visit the Washington Health Care Authority website to learn more about eligibility requirements.

 

You may be eligible if you meet certain income requirements and are part of one of the following groups:

 

Adults ages 19 up to 65

 

Parents or caretakers with dependent children under age 18

 

Individuals who are pregnant

 

Children

 

Noncitizens

 

Individuals age 65 or older or who have blindness or a disability

 

Foster Care

 

In need of Long-term Services and Supports (LTSS) and Hospice

 

You may not be eligible for medical managed care, but you could be eligible for Behavioral Health Services Only (BHSO). By enrolling in BHSO, you can receive behavioral health (mental health and substance use disorder) treatment services. Check if you meet certain income requirements and are part of one of the following groups:

 

Dual eligible or enrolled in Apple Health Medicare Connect (enrolled in both Medicare and Apple Health)

Members with spenddown (using medical bills to reduce your income)

 

Individuals who are pregnant and noncitizens

 

Individuals living in an institution for mental disease and other Medicaid eligible long-term or residential care

 

To find out if you qualify for Apple Health or Behavioral Health Services Only (BHSO), go to Washington Healthplanfinder.

How do I enroll in Apple Health

 

If you meet the eligibility requirements, you can apply at any time. Simply follow these steps:

 

 

1. Gather important information

 

When you’re ready to apply, make sure you have the following information for each person applying:

 

Legal name, birth date and Social Security number

 

Most recent federal tax information (if available)

 

Income information

 

Current health insurance information, if any

 

Noncitizen status (if a legal permanent resident)

 

Your immigration information, if that applies to you

 

Tribal status (if registered)

 

 

2. Apply for Apple Health

 

Apply for Apple Health in one of three ways:

 

Apply on Washington Healthplanfinder’s website

 

Call Washington Healthplanfinder at 855-923-4633.

 

Use the WAPlanfinder app to apply

 

 

3. Choose your health plan

 

Once you’re approved, Apple Health will send you a ProviderOne services card in the mail in about two weeks. Choose your health plan by logging into your account with Washington Healthplanfinder.

Ready to apply for Apple Health coverage?

 

Get started on Washington Healthplanfinder’s website.