COFA Islander programs

Compact of Free Association (COFA) Islander programs provides health and dental coverage for eligible COFA islanders.

COFA Islander program questions? 

Apple Health (Medicaid) and COFA Islanders

Washington Apple Health (Medicaid) was restored in December 2020 for individuals from the Federated States of Micronesia, the Republic of Palau, and the Republic of the Marshall Islands through the Consolidated Appropriations Act, 2021. The Health Care Authority (HCA) transitioned eligible COFA Islanders living in Washington to Apple Health coverage.

COFA islanders seeking coverage should continue applying for COFA Islander programs through Washington Healthplanfinder.

More information

About the program

HCA pays the monthly premiums and out-of-pocket expenses for silver level qualified health plans and qualified dental plans for eligible COFA islanders.

COFA islanders include people from the Republic of the Marshall Islands, the Federated State of Micronesia, and the Republic of Palau.

Program requirements

COFA Islander Health Care

COFA Islander Health Care

You may be eligible for COFA Islander Health Care if you:

  • Are a COFA islander
  • Have income less than 133 percent of the federal poverty level (FPL)*
  • Live in Washington
  • Enroll into a silver level qualified health plan
  • Agree to file federal taxes (even if you do not meet tax filing requirements)
  • Not receiving other federal or state medical coverage

COFA Islander Health Care fact sheet | Chuukese | Kosraean | Marshallese | Palauan | Pohnpeian | Yapese

COFA Islander Dental Care

COFA Islander dental care

You may be eligible for COFA Islander Dental Care if you enroll in a qualified dental plan and:

  • Have COFA Islander Health Care or if you have Medicare and:
    • Are a COFA islander
    • Have income less than 133 percent of the federal poverty level (FPL)*
    • Live in Washington

COFA Islander Dental Care fact sheet | Chuukese | Kosraean | Marshallese | Palauan | Pohnpeian | Yapese

Income standards
Household Size

Single person

2-person household

3-person household

4-person household

5-person household

Monthly Income $1,507 $2,030 $2,553 $3,076 $3,599
Household Size 6-person household

7-person household

8-person household

9-person household

10-person household

Monthly Income $4,122 $4,645 $5,169 $5,692 $6,215

*The income standards listed in these examples are subject to change every November.

How to apply

Submit applications for coverage during open enrollment or apply for a special enrollment period throughout the year. If you have Medicare, you can enroll in dental without a special enrollment period.

Things you'll need to apply

When you're ready to apply, you'll need this information:

  • Your household monthly income
  • The Social Security numbers and dates of birth for each member of your household
  • Your immigration information

How to use your benefits

Learn how to use your COFA Islander Health Care benefits:

Learn more about how your Navia Benefits Card covers your out-of-pocket costs:

Educational events

Still have questions about Apple Health and COFA Islander programs? Attend one of Pacific Islander Health Board of Washington's education and enrollment events to learn more.

Date Time Location Details
Thursday, November 10, 2022 11 a.m. - 4 p.m. 2316 12th St
Everett, WA 98201
Enrollment event
Saturday, November 12, 2022 11 a.m. - 4 p.m. 1901 7th Ave SE
Olympia, WA 98501
Enrollment event
Friday, November 18, 2022 11 a.m. - 4 p.m. 714 S Pine Rd 
Spokane Valley, WA 99206
Enrollment event
Saturday, November 19, 2022 11 a.m. - 4 p.m. 820 S Buntin St
Kennewick, WA 99336
Open enrollment event
Friday, December 2, 2022 12 - 4 p.m. 3873 S 66th St 
Tacoma, WA 98409
Resource fair and open enrollment event

Get virtual enrollment assistance: schedule one-on-one time with a navigator for enrollment help. Sign up online.