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Age 65 and older or Medicare eligible

Find information about Apple Health eligibility when you are age 65 or older, or are eligible for Medicare. 

Frequently asked questions (FAQ)

You may still be eligible for Washington Apple Health Classic Medicaid coverage, even if you have Medicare coverage. 

This coverage could include Apple Health coverage, help paying for Medicare premiums, or long-term services and supports.

Most Apple Health Classic coverage is determined by your household’s income and resources. 

Check with your provider to see if they accept your new Medicare coverage. Some providers may not accept your new coverage.

Any Apple Health coverage you are approved for when you are receiving Medicare will work as a secondary insurance to Medicare. This means that Medicare will pay first, and other coverage will pay after that. 

If you are not eligible for Medicare, you may be eligible to purchase a Qualified Health or Dental Plan through Washington Healthplanfinder. You can explore your options:

While Medicare covers many medical expenses, it does not cover everything. If you meet the income and resource limits, Apple Health may help pay for any expenses Medicare does not.

To get help with information about Medicare in your area, visit www.insurance.wa.gov/medicare.

How do I apply for Apple Health Classic Medicaid coverage?

Coverage options 

Program

Coverage type

How to apply

Apple Health Medicare Savings Programs *

Help paying for Medicare premiums, deductibles, and coinsurance

Washington Connection (DSHS)

Apple Health Long-Term Services **

Nursing facility, adult family homes, and in-home care

Washington Connection (DSHS)

Apple Health Aged, Blind, or Disabled **

Either full or spenddown Medicaid coverage

Washington Connection (DSHS)

Apple Health for Parent/Caretaker Relative **

Coverage for parent/caretakers of children age 19 or under

Washington Healthplanfinder

Health and dental plans ***

Enroll in health and dental plans

Washington Healthplanfinder

Legend

* Must be entitled to or receiving Medicare
** Does not require Medicare entitlement
*** Cannot be entitled to or receiving Medicare

Important—additional considerations: 

  • Apple Health eligibility is determined by income and resource limits
  • You may have other private coverage options such as Medicare Supplemental insurance, Tri-Care, or insurance from a former employer. For help deciding on options that may work for you, contact SHIBA at the number below.

    Need help?

    If you need assistance in understanding your health coverage options, contact:

    • Statewide Health Insurance Benefits Advisors (SHIBA)
      For questions about enrolling in Medicare, or if you have other insurance options and need help deciding what is best for you:
      Phone: 1-800-562-6900
      Online: Visit the SHIBA webpage

    • Health Care Authority 
      For questions about Washington Apple Health:
      Phone: 1-800-562-3022

    • Washington Healthplanfinder   
      For questions about enrolling into a Qualified Health or Dental Plan:
      Phone: 1-855-923-4633  

    • DSHS Community Services Division  
      For help applying for health coverage:
      Phone: 1-877-501-2233
    • DSHS Home and Community Services 
      For questions about long-term services and supports (if you need nursing home or help with personal care needs):
      Phone: 1-800-422-3263