Haris Ashley
If you're looking to apply for medical insurance in Washington state, there are several options available to you. The first step is to check your eligibility for Apple Health (Medicaid) through the Washington Healthplanfinder website or mobile app. If you qualify, you'll need to select a Managed Care Organization (MCO) that covers essential health benefits such as hospitalization, prescriptions, and preventative services. You can also explore insurance plans and programs that can help pay your medical bills, including free programs to reduce prescription costs. Additionally, Washington Healthplanfinder offers health insurance with prices based on your income, and Native Americans and Alaska Natives can enroll at any time. For those with specific needs, such as prenatal care, there are programs like First Steps offered by the State of Washington.
| Characteristics | Values |
|---|---|
| Website | Washington Healthplanfinder |
| Mobile app | WAPlanfinder |
| Phone | 1-855-923-4633 |
| Postal application | Application for healthcare coverage (18-001P) |
| In-person support | Local resources |
| Online application | Washington Connection |
| Eligibility | US citizen or legal resident for 5 years or longer |
| Special program | Apple Health |
| Special program eligibility | Adults aged 65 or older, blind, disabled, or in need of long-term services and supports |
| Special program renewal | Annual |
| Special enrollment period | Outside the open enrollment period |
| Special enrollment period eligibility | Native Americans and Alaska Natives enrolled in a federally recognized tribe |
| Special enrollment period eligibility | Individuals with a projected income at or below 250% of the Federal Poverty Level |
| Special enrollment period eligibility | Individuals with a pregnancy |
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What You'll Learn
Eligibility criteria for Apple Health
Apple Health is available to Washington state residents who meet certain income and life situation requirements. To be eligible, you must be a US citizen or a legal resident for five years or longer, and be under the age of 65.
If you are pregnant, you can apply for Apple Health at any time during or after your pregnancy. If you are not eligible for Apple Health due to your immigration status, you may still be eligible for the Alien Emergency Medical (AEM) Program if you have a qualifying medical condition.
Apple Health for Kids is a free or low-cost coverage plan for children under the age of 6 whose family income is at or below the Medicaid standard. If your child is enrolled in Apple Health for Kids and your income or life situation changes, your child will still be covered through the end of the month they turn 6.
Apple Health Expansion is a new program in Washington state that helps people aged 19 or older with certain immigration statuses gain health insurance. This program is limited to a certain number of enrollees due to funding.
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How to renew your coverage
Renewing your health insurance coverage in Washington State is a straightforward process and gives you the chance to make sure you have a plan that suits your needs. Here is a step-by-step guide on how to renew your coverage:
Online
You can renew your coverage online by logging into your Washington Healthplanfinder account. If you have Apple Health (Medicaid) coverage, follow the renewal instructions provided. Open enrollment begins on November 1 each year, and you will receive a renewal message before this date. This message will include details about your current plan or a similar plan for the upcoming year.
Mobile App
Download the WAPlanfinder app and select "Sign In" or create a new account if you don't already have one.
By Phone
Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633. If you are an Apple Health Classic Medicaid client, you can also call the DSHS Customer Support Center at (877) 501-2233 or Molina's Health Plan Renewals Team at (866) 916-0920.
In-Person
You can renew your coverage in-person at no additional cost by visiting your local community services office. Find your nearest office online or locate a Navigator or Broker via the wahealthplanfinder.org website.
By Mail
Download an Application for Healthcare Coverage form and mail it to:
Washington Healthplanfinder
P.O.
Washington, WA
If you are an Apple Health Classic Medicaid client, you can mail your application to:
DSHS Community Services Division - Customer Service Center
PO Box 11699
Tacoma, WA 98411-6699
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Applying for free or low-cost insurance
If you are a resident of Washington State and are looking to apply for free or low-cost medical insurance, there are several options available to you. Firstly, you can use the Washington Healthplanfinder website or the WAPlanfinder mobile app to explore your options and determine your eligibility. This platform offers health insurance plans with prices based on your income, and you can also learn about special enrollment periods outside of the standard open enrollment period.
If you are specifically seeking insurance that covers prenatal care, you can apply for "First Steps", a program offered by the State of Washington that does not consider immigration status. Additionally, Washington Healthplanfinder provides opportunities for Native Americans and Alaska Natives enrolled in a federally recognized tribe to enroll in low-cost insurance at any time.
If you are eligible for Apple Health (Medicaid), you will need to select a Managed Care Organization (MCO). MCOs cover Essential Health Benefits, including hospitalization, prescriptions, preventative services, chronic disease management, pediatric services, and maternity and newborn care. Apple Health is open year-round, and you can renew your coverage online via Washington Healthplanfinder. To qualify, you must be a US citizen or legal resident for at least five years.
For those aged 65 or older, or who are blind or disabled, you can apply for Apple Health Classic Medicaid coverage online through Washington Connection. This program also covers individuals who require long-term services and supports. If you are unsure about your eligibility or require assistance with the application process, you can contact the Washington Healthplanfinder Customer Support Center by phone or seek help from local resources at no additional cost.
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Insurance for prenatal and postpartum care
If you're looking for insurance for prenatal and postpartum care in Washington state, there are a few options to consider. Firstly, you can explore the Washington Healthplanfinder, which offers health insurance plans with prices based on your income. This platform also provides opportunities for Native Americans and Alaska Natives enrolled in federally recognized tribes to enroll at any time. Additionally, they have a special enrollment period outside of the open enrollment period, allowing you to enroll in a new plan or make changes to your current one.
Another option is Apple Health, which provides coverage for prenatal and postpartum care. Apple Health is part of the Community Health Plan of Washington (CHPW) and offers Medicaid coverage. With Apple Health, you can access preventive prenatal care visits, pregnancy care services, and postpartum care at no cost. This includes exams, tests, and support from a specialized team. Additionally, your newborn will be automatically eligible for Apple Health coverage until they turn six years old if you are enrolled at the time of giving birth.
To apply for Apple Health, you can do so online through the Washington Connection if you meet certain criteria, such as being an adult over 65, blind or disabled, or needing long-term services and support. You can also call the Washington Healthplanfinder Customer Support Center or submit an application for healthcare coverage. Keep in mind that Apple Health coverage must be renewed annually to maintain health coverage.
Furthermore, if you need insurance specifically for prenatal care, you can apply for "First Steps" in Washington state. This program is available regardless of your immigration status. Additionally, Washington state has extended postpartum coverage, allowing individuals to apply for and receive coverage throughout the 12-month period after their pregnancy ends, provided they meet certain income and residency requirements.
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Using the Washington Healthplanfinder website or app
Washington Healthplanfinder is the place to shop for health and dental insurance in Washington State. You can access it via the website or the WAPlanfinder mobile app.
To get started, answer a few questions about your household to see what plans and savings you may be eligible for. You will be asked about your income, as the cost of insurance plans is based on this. Based on your eligibility, you can then browse your options and select a plan. If you are eligible for Apple Health (Medicaid), you will need to select a Managed Care Organization (MCO). All MCOs cover Essential Health Benefits, including hospitalization, prescriptions, preventative and wellness services, chronic disease management, pediatric services, maternity, and newborn care.
You can apply for Apple Health at any time, and it is available year-round. If you are an adult aged 65 or older, blind or disabled, or need long-term services and supports, you can apply for Apple Health Classic Medicaid coverage online through Washington Connection.
If you have missed the deadline to renew your coverage, contact Washington Healthplanfinder as soon as possible. If they find you eligible within 90 days after the date you lost coverage, they will cover you for the period you were without it. The fastest way to renew your lost coverage is to go online. You can also call their customer support center at 1-855-923-4633.
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Frequently asked questions
You can apply for health and dental insurance in Washington state through Washington Healthplanfinder. You can apply online, by phone, or in person.
Apple Health is free or low-cost health and dental coverage for those who qualify. To be eligible, you must be a US citizen or a legal resident for 5 years or longer.
Apple Health covers Essential Health Benefits, including hospitalization, prescriptions, preventative and wellness services, chronic disease management, pediatric services, maternity and newborn care.
If you need insurance that pays for prenatal care, you can apply for "First Steps" in Washington state.
