Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Income limit increasing for Apple Health pregnancy programs November 1, 2024
Senate Bill 5580 directs and funds an increase in the income eligibility limit for Apple Health pregnancy and postpartum programs, including Apple Health for Pregnant Individuals and After-Pregnancy Coverage (APC).
The income limit for Apple Health for Pregnant Individuals and APC will change from 193 percent to 210 percent of the federal poverty level (FPL).
This upcoming change expands access to more people based on income and will take effect November 1, 2024. Apple Health eligibility systems will reflect this change October 1, 2024.
How much can clients earn to qualify?
| Program | 1-Person household | 2-Person household | 3-Person household | 4-Person household | 5-Person household | 6-Person household | 7-Person household |
|---|---|---|---|---|---|---|---|
| Apple Health for Pregnant Individuals and After-Pregnancy Coverage (APC) | $2,698 monthly |
$3,662 monthly |
$4,626 monthly |
$5,590 monthly |
$6,554 monthly |
$7,518 monthly |
$8,482 monthly |
Who should apply for Apple Health pregnancy programs?
People who need coverage during or after their pregnancy can apply for these programs to see if they qualify. Individuals previously denied an Apple Health pregnancy program for being over income should reapply.
How to apply
Online: Go to wahealthplanfinder.org - select the "Apply Now" button.
Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633
Mobile app: Download the WAPlanfinder app – select “sign in” or “create an account”.
Paper: Submit an Application for health care coverage (18-001P).
In-person: Local resources who, at no additional cost, can help you apply for health coverage.
What if someone is not eligible?
If a client does not qualify and needs health coverage, they may look for other health care coverage options by purchasing a qualified health plan. To apply during special enrollment, visit Washington Healthplanfinder or call Washington Healthplanfinder Customer Support Center at 1-855-923-4633.