Apple Health phone lines down Thursday, April 18
The Apple Health customer service phone lines will be down Thursday, April 18, from 11:30 a.m. to 2:30 p.m. We apologize for the inconvenience. View other ways to contact Apple Health.
The Apple Health customer service phone lines will be down Thursday, April 18, from 11:30 a.m. to 2:30 p.m. We apologize for the inconvenience. View other ways to contact Apple Health.
Find information about free family planning services from the Family Planning Only program.
Apply for Apple Health (Medicaid) or other low-cost health coverage through:
Family Planning Only provides coverage to individuals for family planning services to help them take charge of their lives and prevent unintended pregnancies.
Family Planning Only coverage brochure | Cobertura solamente para planificación familiar (Spanish brochure)
Family Planning Only covers:
You may be eligible if you have annual household income at or below the amounts below* and are:
Program |
Single person |
2-person |
3-person |
4-person |
5-person |
6-person |
7-person |
8-person |
---|---|---|---|---|---|---|---|---|
Family Planning Only |
$3,326 |
$4,514 |
$5,702 |
$6,890 |
$8,078 |
$9,266 |
$10,454 |
$11,642 |
*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 on the Family Planning Only application.
First, go to Washington Healthplanfinder or call 1-855-923-4633 to learn if you are eligible for Apple Health coverage or a subsidized Qualified Health Plan with full health care coverage, which includes family planning.
If you're a teen you may be eligible for Apple Health coverage on your own. Read more information about health coverage for teens and young adults. Visit the Department of Health's (DOH) Teen Hub for other questions related to reproductive health and resources.
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. There are many assisters across the state that can help with navigating health care coverage. Learn how to get help with coverage.
You can also apply by:
You can reapply for Family Planning Only coverage every 12-months as long as you are eligible.
You have the option to select that you are seeking confidential family planning services when applying for Family Planning Only coverage. Selecting this will put you under a protected status where you:
Services are available from any eligible Apple Health provider. Find a provider who accepts Apple Health. Your provider will help you fill prescriptions at the pharmacy of your choice.
Contraception (also commonly referred to as birth control), including all FDA-approved contraceptive methods, such as pills, patch, intrauterine devices also known as long-acting reversible contraception (IUDs, LARCs), and more are covered.
HCA reimburses certain over the counter (OTC) family planning supplies without a prescription. Per Apple Health policy, the following OTC contraceptives may be dispensed without a prescription:
Read the FAQ on OTCs for Apple Health clients.
Emergency contraception is a covered benefit and can be provided by any Apple Health provider. Apple Health also covers over-the-counter emergency contraception from pharmacies without a prescription. For more information on emergency contraception, visit the Washington State Department of Health (DOH) Birth control methods webpage.
Prescriptions, except Emergency Contraception, can be filled in a 12-month supply unless indicated otherwise by prescriber or by the client. Supply may vary by pharmacy.
View the Family Planning billing guide for more coverage details.
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.
HCA Family Planning Only
Phone: 1-800-562-3022 ext. 12533