Apple Health and Medicaid

Medicaid and Apple Health

Within Washington State, Medicaid is known as Apple Health.  Washington Apple Health applications are available year round. Visit the Health Plan Finder or call 1-855-923-4633 to enroll.

Eligibility for Apple Health for Children:

  • Free or low-cost coverage is available
  • Children of public employees with access to health insurance coverage under the PEBB or SEBB programs are not eligible for Apple Health for Kids with premiums
  • Low-cost coverage (Apple Health with premiums) is only available to children who are uninsured.
  • Income requirements for free coverage:

Eligibility for Apple Health for Adults:

  • Are age 19 through 64.
  • Have annual household income at or below the Medicaid standard (see income chart below).*
  • Are a U.S. citizen or meet Medicaid immigration requirements. (Washington residents from the Republic of Palau, the Republic of the Marshall Islands and the Federated States of Micronesia)
  • Are not entitled to Medicare.

How to Apply for Medicaid

  1. Review adult and/or child income eligibility requirements.
  2. Read the Eligibility Overview to determine if Apple Health is the best fit for you and your family.
  3. Create an account on Washington Health Plan Finder.
  4. Collect and enter information into the Washington Health Plan Finder application, WAPlanfinder Mobile App, downloadable paper form, or call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633.
  5. Review the five different Integrated Health Care Plans that are responsible for Medicaid in Washington, not all of which may be available in your location.
  6. If you need further help, contact a free Health Plan Navigator.

Navigating through Apple Health

Apple Health (Medicaid) Eligibility Factors – A video dealing with income verification issues
Washington Apple Health for Children in Foster Care – All foster children and youth in Washington are given health care through Coordinated Care
Washington Apple Health (Medicaid) Eligibility – A video on how Apple Health determines income
Washington Apple Health (Medicaid) Eligibility – A video addressing citizenship, immigration, and Medicaid

MCOs Available Through Apple Health

Amerigroup Washington
Community Health Plan of Washington
Coordinated Care of Washington
Molina Healthcare of Washington
UnitedHealthcare Community Plan