Pregnant individuals

Program requirements

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

• Are pregnant.
• Live in Washington State.
• Have income at or below 210 percent of the Federal Poverty Level (FPL) (see income chart below).*

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

*The income standards listed in these examples include the 5% income disregard and are subject to change annually every April.
** Household includes the unborn child. For example, a single individual expecting one child is a 2-person household.

This program provides coverage to pregnant individuals with countable income at or below the Apple Health standard, regardless of citizenship or immigration status. Your household size includes yourself, the unborn children, and additional household members such as a spouse and children.

Confidential services

If you are a teen (up to age 19) and you want your pregnancy-related services to be kept confidential, you may apply for coverage through a paper application process.

Download and complete the application. Then send HCA the completed application through one of the following ways:

• Mail the completed application to:
  • Health Care Authority
    MEDS
    P.O. Box 45531
    Olympia, WA 98504-5531
     
• Fax the completed application to 1-360-725-1898

After-Pregnancy Coverage

If you are enrolled in Apple Health coverage and are pregnant, your coverage will automatically transition to After-Pregnancy Coverage (APC) once your pregnancy ends. APC lasts for 12 months, starting the first day of the month after your pregnancy ends. For example, if your pregnancy ended June 10, your health care coverage would continue through June 30 of the following year.

You may be eligible for APC if you were pregnant in the last 12 months and were not on Apple Health during the pregnancy. After you are enrolled in APC, changes to your income will not affect your APC coverage regardless of how your pregnancy ends.

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:

• 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 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. Learn more about enrollment next steps.

If you are pregnant and already enrolled in an Apple Health managed care plan, contact your managed care plan to get more information about covered pregnancy services.

If you are pregnant and on Apple Health without a managed care plan, contact the Health Care Authority to let us know that you are pregnant. This will ensure you receive the most coverage during your pregnancy and for 12 months following the end of the pregnancy.