Family Planning Only

Find information about free family planning services from the Family Planning Only program.

What is Family Planning Only?

Family Planning Only is a program that provides individuals coverage for family planning services to help them take charge of their lives and prevent unintended pregnancies. For more information on the program view the Family Planning Only coverage brochure.

Am I eligible?

You may be eligible if you have annual household income at or below the Medicaid standard (see income chart below)* and are:

  • Uninsured and not eligible for Apple Health (Medicaid) coverage.**
  • Insured and seeking confidential family planning services.

Program

Single person

2-person
household

3-person
household

4-person
household

5-person
household

6-person
household

7-person
household

8-person
household

Family Planning Only

$3,002
monthly

$4,044
monthly

$5,086
monthly

$6,129
monthly

$7,171
monthly

$8,213
monthly

$9,256
monthly

$10,298
monthly

 
*The income standards listed in these examples are subject to change annually every April. 
**You can also make an informed choice to waive your right to apply for Apple Health.  Learn more about Apple Health coverage.

How do I apply?

First, go to Washington Healthplanfinder to see if you are eligible for Apple Health coverage or a subsidized Qualified Health Plan. If you're eligible, sign up for one of those plans. They provide full health care coverage, which includes family planning.

If you're a teen you may be eligible for Apple Health coverage on your own. Call Washington Healthplanfinder at 1-855-923-4633 to find out if you're eligible. Read more information about health coverage for teens and young adults.

If you're not eligible for Apple Health, make an informed choice to waive your right to apply for Apple Health, or you need confidential services, contact your Apple Health provider and apply for benefits over the phone or in-person with an eligible Apple Health provider.

You can also apply by fax (1-866-841-2267), email (apple@hca.wa.gov), telephone with HCA (1-800-562-3022 ext. 12533) or mail (HCA MEDS, PO Box 45531, Olympia, WA 98504-5531) without provider assistance. In that case, you should securely transmit or mail the Application for Family Planning Only services. Family Planning Only programs services are available through any Apple Health provider.

What services are covered?

Family planning and related services cover:

  • Family planning education and risk reduction counseling.
  • All FDA approved birth control methods including: pills, patches, rings, shots, IUDs, implants, diaphragms, cervical caps, condoms, and spermicides (foam, cream, and gels), and emergency contraception.
  • Education and supplies for natural family planning and abstinence.
  • Permanent methods: tubal ligations ("tubes tied"), hysteroscopic sterilization, and vasectomy.
  • Limited screening and treatment for sexually transmitted infections (STIs, STDs).
  • Screening for cervical cancer and a well woman physical exam.
  • Office visits directly related to a family planning problem when medically necessary.

Family Planning Only does not cover:

  • Vaccinations.
  • Mammograms.
  • Services unrelated to family planning, such as: follow-up of abnormal Pap smears, pregnancy care, evaluation and treatment of health problems like diabetes, asthma, or high blood pressure.

Where can I get services?

Services are available at any eligible Apple Health provider.  

Condoms and spermicides (contraceptive foam, cream, gel) are available at pharmacies without a prescription.

Emergency Contraception is available at any eligible Apple Health provider or directly from a pharmacist. For more information, visit the Emergency Contraception website.  

Where can I get more information about birth control methods?

Ask your health care provider for information about birth control methods.

Other resources are available for:

If you live in King County visit:

Waiver authority for the program

On May 9, 2018 the Health Care Authority (the Agency) received approval for renewal of the Section 1115 Family Planning Only Demonstration Waiver for five years (through June 2023). The approval letter, Special Terms and Conditions, and Expenditure Authority can be found on CMS’s website under Washington Family Planning Only Program and then clicking on “Demonstration Approval.”

The Health Care Authority intends to submit an application to extend the Section 1115 Family Planning Only Demonstration Waiver for five years (through July 2028). The current waiver expires on June 30, 2023, and covers limited family planning and family planning-related services for people who are in need of contraceptive care and are enrolled in the Family Planning Only programs. The purpose, client eligibility requirements, and benefit package will remain the same. The only potential change is the elimination of the Family Planning pregnancy-related program, due to the implementation of the After-Pregnancy Coverage program. This change will take effect when the end of the federal Public Health Emergency (PHE) is declared. There is currently no established end date for the PHE.