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Pregnant individuals

Find eligibility requirements for Washington Apple Health for pregnant individuals.

Apply for or renew Apple Health coverage through:

Washington Healthplanfinder

Program requirements

You may be eligible for Apple Health for Pregnant individuals coverage if you:

  • Are pregnant.
  • Have income at or below the Medicaid standard (see income chart below).*

Program

Single
person

2-person household

3-person household

4-person household

5-person household

6-person household

7-person household

Apple
Health
for
Pregnant Individuals

n/a

$2,845
monthly

$3,584
monthly

$4,323
monthly

$5,063
monthly

$5,802
monthly

$6,541
monthly

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

This program provides coverage to pregnant individuals with countable income at or below the Medicaid standard, without regard to citizenship or immigration status. Your household size includes yourself, the number of unborn children, and the number of additional household members. (e.g. an individual living alone and pregnant with twins is considered a three-person household).

Once enrolled in Apple Health for Pregnant Individuals, you'll be covered for 60 days after your pregnancy end date, plus whatever days are left during the month in which the 60-day period ends. (So, for example, if your pregnancy ended June 10, your health care coverage would continue through August 31).

This coverage will be in effect regardless of any change in your income, and you receive this postpartum coverage regardless of how your pregnancy ends.

Individuals who apply for Pregnancy Medical after the baby’s birth may not receive postpartum coverage, but they may qualify for help paying costs related to the baby’s birth if they submit the application within three months after the month in which the child was born.

Family Planning Only coverage

You're eligible to receive 10 months of Family Planning Only coverage after your pregnancy coverage ends, regardless of how it ends (miscarriage, termination, or until your baby is one year old). This includes all forms of birth control, permanent methods to stop having children, and health checkups related to receiving birth control. This coverage is automatic.

Confidential services

If you're a teen (under age 19) and you want your pregnancy-related services to be kept confidential, you may apply for coverage through a paper application process. You may also call the WithinReach Family Health Hotline at 1-800-322-2588 for help with the confidential application process.

Applying for Apple Health coverage

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 this information:

  • Your household monthly income.
  • The Social Security numbers and dates of birth for each member of your household.
  • Your immigration information, if that applies to you.

Enrollment next steps

If you're accepted, you'll receive a 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. 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. The Washington Healthplanfinder website or WAPlanfinder app will help you with that.