Apple Health Expansion

Learn about eligibility requirements for Apple Health Expansion.

Stay up to date on Apple Health Expansion.

What is Apple Health Expansion?

Apple Health Expansion is a new program designed to provide full-scope health care coverage to people age 19 or older with certain immigration statuses. Eligible clients include those who do not qualify for other Apple Health programs based on their immigration status. Apple Health Expansion is designed to mirror to the extent possible the services provided to individuals enrolled in Apple Health (Medicaid) managed care.

Due to program funding, the number of people who can enroll in Apple Health Expansion is limited. This will ensure clients receive the highest value care possible. View the enrollment cap announcement to learn how this impacts you.

Am I eligible?

You may be eligible for Apple Health coverage if you:

  • Are a Washington resident age 19 or older,
  • Have countable income under 138 percent of the federal poverty level,
  • Do not qualify for other Apple Health programs based on immigration status,
    • Immigrants who have not met the five-year waiting period to become eligible for Apple Health are not eligible for Apple Health Expansion.
  • Are not pregnant or did not have a pregnancy end in the last 12 months, and
  • Are not eligible for qualified health plans (QHP) with advance premium tax credits (APTC) or federally funded medical assistance programs

What is the most I can make per month to qualify?

Program Single
person
2-person
household
3-person
household
4-person
household
5-person
household
6-person
household
7-person
household

Apple Health Expansion for Adults
(age 19 and older)

$1,732
monthly

$2,351
monthly

$2,969
monthly

$3,588
monthly

$4,207
monthly

$4,825
monthly

$5,444
monthly

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

Members of a multi-person household, including pregnant people and children up to age 19, may be eligible for other Apple Health programs. View eligibility and income charts for other Apple Health programs.

Client scenarios

View client scenarios to see examples of different Apple Health Expansion application pathways. These scenarios are intended to help individuals determine if they might be eligible for Apple Health Expansion or any other Apple Health program and how they would apply depending on their age.

When can I apply for Apple Health Expansion?

You may start applying for Apple Health Expansion beginning at 8 a.m. on June 20, 2024. Sign up for email notifications and stay up to date.

How do I apply?

You have several options to apply for or renew coverage.

If you are age 19 to 64 years old:

Notice

You may have to provide documentation to verify your identity in Washington Healthplanfinder. View a list of acceptable documents you can use to prove your identity. Navigators can verify your identity without requiring you to upload documents in Washington Healthplanfinder.

If you are age 65 or older:

If you’re accepted, you'll receive a ProviderOne services card in about two weeks. Coverage will begin on the first day of the month in which the application was submitted. You'll have the option to select a managed care plan online or you'll be auto-enrolled into a plan.

Apple Health Expansion clients are enrolled in managed care, which includes preventive, primary, specialty, and other health services. This means you must see providers who are in your plan's provider network, unless prior authorized or to treat urgent or emergent care.

How can I prepare for the application opening on June 20?

The Apple Health Expansion program has limited capacity and is expected to fill quickly! Here are some tips to help you prepare for applications opening.

Mark your calendar!
  • Set a reminder for yourself to apply at 8:00 a.m. on June 20.
  • The sooner you apply the better!
Have your documents ready to help you complete your application
  • Proof of identity in the form of a driver’s license, passport, or other official documentation.
  • Immigration documentation that shows your status (visa, passport, etc.). No immigration documentation is needed if you are undocumented.
  • The income you make before taxes. If you work, this could be wage stubs, pay receipts, or other ways that show how much money you make.
Get help in person

What services are covered?

Apple Health Expansion will cover the following services:

  • Physical and behavioral health services
  • Dental services
  • Transportation to Apple Health covered appointments
  • Interpreter Services
  • Pharmacy (Over the counter and prescription drugs on the Apple Health preferred drug list)
  • Vision hardware (for clients under 21 years of age)

View a full list of services covered by Apple Health.

Pregnant individuals

If you apply for Apple Health Expansion and indicate you are pregnant, you will be moved to Apple Health for pregnant individuals. This program provides coverage to pregnant individuals with income at or below the Apple Health income standards. After-Pregnancy Coverage (APC) covers individuals for 12 months after the end of a pregnancy. These programs are available regardless of citizenship or immigration status.

What Apple Health Expansion managed care plans are available?

You can choose any one of the four available plans that serve your area when you enroll in Apple Health Expansion. Not all plans are available in all areas.

View the health plans available in your area:

What health care coverage is available for immigrants now?

Other Apple Health coverage

If you need to go to the doctor now, you can check to see if you qualify for:

Qualified Health Plans (QHP) and Cascade Care Savings options for immigrants

All Washingtonians, regardless of immigration status, may shop for and purchase qualified health and dental plans. Learn more about immigrant health care and other cost saving options.

People with income over 250% of the Federal Poverty Level (FPL) may apply for a QHP and qualified dental plans during a special enrollment period outside of open enrollment. Life events can include job loss, birth, adoption, marriage and more. To apply during special enrollment, visit Washington Healthplanfinder or call Washington Healthplanfinder Customer Support Center at 1-855-923-4633.

Privacy

The Health Care Authority (HCA) Apple Health Expansion will use existing Apple Health program data privacy and protection standards to ensure clients’ identity and information remain confidential. View HCA's notice of privacy practices for more information.

HCA does not share client information with any immigration agency, including Immigration and Customs Enforcement (ICE) or other federal agencies. Eligibility for Apple Health Expansion is exempt from the public charge test. View the announcement to learn more (Español). If you have questions or concerns about how an application for Apple Health Expansion may impact your immigration status or chances of becoming a permanent resident or citizen, contact an immigration attorney.

Getting help in your language

Language assistance services are available to Apple Health clients free of charge and include direct services by bilingual employees, interpreter services, and translation of printed materials. To learn more, download our flyer on how to access language assistance. Also available in the following languages: