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Washington Medicaid (Apple Health)

Apple Health is Washington’s Medicaid program. It is a joint federal/state program established to pay for medical services for people with disabilities, people 65 years and older, children and their caretakers, pregnant women, and adults who meet the program’s financial requirements.

Program Name Apple Health
Expanded Medicaid Yes
Website hca.wa.gov
Email askmedicaid@hca.wa.gov
Phone 800-562-3022
Apply Online Washington Connection
Appeal a Denial File an Appeal
Find a Local Office Community Specialists

Eligibility Requirements

To be eligible for Washington Medicaid, you must be a resident of the state of Washington, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Ambulance Immunizations
Behavioral services Laboratory services
Clinic services Maternity and newborn care
Dental (limited for adults) Mental health services
Doctor appointments Pediatric services
Emergency services Prescription medications
Family planning Transportation to medical appointments
Hospital services Treatment for substance abuse
Hospitalization Vision (limited for adults)

Copayments

Most individuals who qualify for Washington Medicaid will have no monthly premium, no copay, and no out-of-pocket costs for covered services.

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