In the event of a federal government shutdown, individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage—and those accessing behavioral health services—will not experience a disruption in care. In addition, health care providers will continue to be paid for the services they provide.
If a shutdown occurs, we will share more information at that time.
Important: Stay covered! Are you enrolled in Apple Health (Medicaid) coverage? It may be time to complete your renewal. Make sure your address and phone number are up to date so you can stay enrolled. Report a change.
Find out about eligibility requirements for Washington Apple Health for Kids.
Apply for or renew Apple Health coverage today.
Your child may be eligible for Apple Health for Kids free or low-cost coverage (with a low premium) if they are a Washington resident and your household income is at or below the Medicaid standard (see income charts below).*
What is the most I can make per month to qualify for free coverage (free for kids up to age 19)?
|
Program |
Single |
2-person household |
3-person household |
4-person household |
5-person household |
6-person household |
7-person household |
|---|---|---|---|---|---|---|---|
|
Apple Health for Kids |
$2,613 |
$3,534 |
$4,455 |
$5,375 |
$6,296 |
$7,217 |
$8,138 |
*The income standards listed in these examples are subject to change annually every April.Â
Children eligible for free Apple Health for Kids will stay covered through the month they turn six years of age regardless of changes in household income. This is known as continuous eligibility. This change also applies to children enrolled in Children’s Institutional Medical, also known as Long-Term Family Medical (K01).
Continuous eligibility for kids enrolled in the free Apple Health for Kids program changed with Apple Health redeterminations restarting after the public health emergency ended. Some kids may lose coverage during the renewal process until systems are upgraded to support this new policy. If this happens, processes are in place to reinstate coverage.Â
Children on free Apple Health for Kids who are over the age of six or those enrolled Apple Health for Kids with premiums, regardless of age, receive twelve months of continuous eligibility
What is the most I can make per month to qualify for low-cost coverage?** (two premium levels)
|
Program |
Single |
2-person household |
3-person household |
4-person household |
5-person household |
6-person household |
7-person household |
|---|---|---|---|---|---|---|---|
|
Apple Health for Kids with premiums TIER 1 |
$3,220 |
$4,355 |
$5,490 |
$6,625 |
$7,761 |
$8,896 |
$10,031 |
|
Program |
Single |
2-person household |
3-person household |
4-person household |
5-person household |
6-person household |
7-person household |
|---|---|---|---|---|---|---|---|
|
Apple Health for Kids with premiums TIER 2 |
$3,852 |
$5,210 |
$6,568 |
$7,925 |
$9,283 |
$10,641 |
$11,999 |
*The income standards listed in these examples are subject to change annually every April.Â
**Low-cost coverage (Apple Health with premiums) is only available to children who are uninsured.
Children of public and school employees with access to, or enrolled in, health insurance coverage under the PEBB or SEBB Programs may be eligible for Apple Health for Kids with premiums.
You have many options to apply for Apple Health coverage. Visit our Apply for or renew coverage webpage to learn more.
When you’re ready to apply, you’ll need:
WithinReach has friendly, local, and knowledgeable staff there to help you understand and apply for free or low-cost Apple Health for Kids coverage. You can call their hotline at 1-877-KIDS-NOW (1-877-543-7669) or visit the ParentHelp123 website to learn more.
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 will be auto-enrolled into a plan. Learn more about enrollment next steps.
If you’re not eligible for Apple Health, you may qualify for help with your health insurance or for other health services. Visit Washington Healthplanfinder or use the WAPlanfinder app to learn if you qualify.