How to apply for Need help applying?
Washington Apple Health Community-based enrollment specialists
These specialists from the Health Care
Online Authority are located in hospitals, clinics, health
Applying online will quickly show you departments, and community outreach centers
whether you’re eligible for free health around the state. See the list at:
coverage through Washington www.hca.wa.gov/hcacommunitystaff
Apple Health (Medicaid). You can apply
In-person assisters or navigators
anytime, year-round. Get started at
Trained to use the Washington Healthplanfinder,
www.wahealthplanfinder.org these assisters/navigators are located in many
communities. Find one by calling
You’ll need this information before you 1-855-923-4633. TTY/TDD users, please call
begin: 1-855-627-9604.
• Household monthly income. Community partners
• Social Security number and date of birth Staff or volunteers at local community-based
of each household member applying for organizations—health centers, hospitals, and
Apple Health. non-profit organizations—can help you apply.
• Immigration information, if that applies
to you. Your county health department
Call to see what’s available in your area.
SHIBA volunteers
Volunteers through SHIBA (Statewide Health
Insurance Benefit Advisers) provide you free,
unbiased, and confidential help with health care
It’s never been
Other ways to apply
Call (toll free) 1-855-923-4633
choices. Call 1-800-562-6900.
easier or faster
to find free or
TTY/TTD 1-855-627-9604 If you need an accommodation, or require documents
In-person assister/navigator in another format or language, please call
1-800-562-3022 (TRS: 711).
Call the toll free phone number above to
find an in-person assister, or go to low-cost health
www.wahealthplanfinder.org and click
on the Customer Support link. coverage
Mail
Download the application form at
www.hca.wa.gov/assets/free-or-low-
HCA administers Washington Apple Health (Medicaid).
cost/18-001P.pdf and follow the mailing
www.hca.wa.gov/apple-health
instructions.
HCA 19-003 (3/20)
Are you eligible? Important Reminders
Apple Health for Adults If you’re eligible for Apple Health, you can sign up anytime, year-round, at
You may be eligible if: www.wahealthplanfinder.org.
• You are between 19 and 65 years old. Even if you’re not eligible for Apple Health, you can explore low-cost private insurance options
• You are a Washington resident. that may work for you. You can also learn the dates for annual open enrollment.
• You are a U.S. citizen or meet Medicaid
immigration requirements.
• You are not incarcerated. You may qualify 2020 Income Eligibility Table, Washington Apple Health (Medicaid)
for ...
• Your annual household income is at or Single 2-Person 3-Person 4-Person 5-Person 6-Person 7-Person 8-Person
Person Household Household Household Household Household Household Household
below the amounts shown in the Income
$1,468 $1,983 $2,498 $3,013 $3,529 $4,044 $4,559 $5,074
Eligibility Table at right. Apple Health for monthly monthly monthly monthly monthly monthly monthly monthly
Adults
Apple Health for Pregnant Women (adults age 19 $17,609 $23,792 $29,974 $36,156 $42,339 $48,521 $54,704 $60,886
This program provides coverage to pregnant up to age 65) yearly yearly yearly yearly yearly yearly yearly yearly
women with countable income at or below $2,845 $3,584 $4,323 $5,063 $5,802 $6,541 $7,280
198 percent of the federal poverty level monthly monthly monthly monthly monthly monthly monthly
Apple Health for
Pregnant Women N/A
without regard to citizenship $34,136 $43,006 $51,876 $60,747 $69,617 $78,488 $87,358
yearly yearly yearly yearly yearly yearly yearly
or immigration status. See the Income
Eligibility Table at right. Apple Health $2,287 $3,089 $3,892 $4,695 $5,497 $6,300 $7,103 $7,905
monthly monthly monthly monthly monthly monthly monthly monthly
for Kids
Apple Health for Kids (free for children up to $27,434 $37,066 $46,698 $56,330 $65,962 $75,594 $85,226 $94,858
Coverage is free to children in households age 19) yearly yearly yearly yearly yearly yearly yearly yearly
with income at or below 215 percent of the
Apple Health for Kids $2,818 $3,808 $4,797 $5,786 $6,776 $7,765 $8,754 $9,744
federal poverty level and available for a low with premium monthly monthly monthly monthly monthly monthly monthly monthly
monthly premium to children in households ($20 monthly premium
per child; $40 family $33,814 $45,686 $57,558 $69,430 $81,302 $93,174 $105,046 $116,918
with income at or below 317 percent of the maximum) yearly yearly yearly yearly yearly yearly yearly yearly
federal poverty level. See the Income Eligibility Apple Health for Kids $3,371 $4,555 $5,738 $6,922 $8,105 $9,289 $10,472 $11,656
Table at right. with premium monthly monthly monthly monthly monthly monthly monthly monthly
($30 monthly premium
per child; $60 family $40,450 $54,651 $68,853 $83,054 $97,256 $111,458 $125,659 $139,861
maximum) yearly yearly yearly yearly yearly yearly yearly yearly
For each additional person, add to monthly income:
Adults $516 Apple Health for Kids with $20 Premium $990
Pregnant Women $740 Apple Health for Kids with $30 Premium $1,184
Apple Health for Kids $803 Income amounts effective April 1, 2020, through March 31, 2021.
HCA complies with all applicable federal and Washington state civil rights laws
and is committed to providing equal access to our services.
