Washington Medicaid Program & Eligibility
Coverage, eligibility, and how to get Medicaid help in Washington.
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Medicaid Expansion
State Coverage
Medicaid in Washington
There are two main types of Apple Health coverage:
- Apple Health: Covers adults ages 19–64, children, parents and caretakers, and pregnant individuals.
- Classic Medicaid: Covers adults who are 65 or older, blind, or living with a qualifying disability, and those who need long-term services and supports.
WA Medicaid Eligibility
- You live in Washington State
- You are a U.S. citizen, national, or a qualified immigrant (including refugees, asylees, and lawful permanent residents)
- Your household income is at or below the limit for the specific program that applies to you
Applying for Medicaid
For adults without children, parents/caretakers, children, and pregnant individuals:
- Online: Apply through Washington Healthplanfinder at wahealthplanfinder.org
- By phone: Call Washington Healthplanfinder Customer Support at 1-855-923-4633
- By mail: Complete and mail in an Application for Health Care Coverage
- In person: Local enrollment assisters can help you apply at no cost. Find local enrollment assistance at wahealthplanfinder.org
For people who are 65+, blind, or living with a disability:
- Online: Apply through Washington Connection at washingtonconnection.org
- By phone: Call 1-877-501-2233 to request an application be sent to you
- By mail: Complete and mail in an Application for Aged, Blind, Disabled/Long-Term Care Coverage
- In person:
- For Aged, Blind, or Disabled coverage: Visit your local DSHS Community Services Office
- For Long-Term Services and Supports: Visit your local DSHS Home and Community Services Office
For your application, you should have the following information handy for yourself and anyone in your household (even if they don’t need coverage):
- Dates of Birth
- Social Security Numbers
- Visa, green card, or immigration documents, if applicable
- Proof of household income (such as pay stubs, tax returns, benefit letters)
- Current insurance coverage, if any (policy numbers for any current health insurance plans covering members of your household)
After Applying
After you apply, Washington State will review your application and notify you of your eligibility.
While your application is under review: You may be asked to provide additional documentation such as proof of income or identity. Respond promptly to avoid delays.
If you’re approved:
- Coverage begins on the first day of the month in which you submitted your application.
- You'll receive a ProviderOne services card in the mail within about two weeks. Bring it to all medical appointments.
- You will be enrolled in an Apple Health managed care plan. You can choose your plan online, or you will be auto-enrolled.
Staying enrolled:
- Report any changes in income, household size, address, or family status as soon as possible.
- Your coverage must be renewed annually. Watch for renewal notices and respond promptly to avoid losing coverage.
Income Limits
Income limits for Medicaid (Apple Health) depend on your household size and what program applies to you.
What’s Covered
Doctor and Hospital Visits
Laboratory Services
Mental Health and Substance Use Treatment
Prescription Drugs
Maternity and Newborn Care
Dental and Vision Services
Long-Term Care (for eligible individuals)
Emergency Transportation Services
Need help with Medicaid in Washington?
Below are some of the most commonly asked questions.
Medicaid in Connecticut is a public health insurance program that provides free or low-cost health coverage to eligible low-income individuals and families. In Connecticut, Medicaid is also known as HUSKY Health.
If your income is too high for Medicaid (HUSKY), you may still qualify for free state health coverage through the Covered Connecticut program. If your income exceeds Covered Connecticut's limits, you may still be able to enroll in an affordable paid plain through Access Health CT.
How you apply depends on your age and situation:
- Adults under 65 typically apply through Access Health CT
- Seniors (65+) and people with disabilities usually apply through their local Department of Social Services (DSS)
Applications can be submitted online, by phone, by mail, or in person.
Filling out government forms (paper or digital) can be confusing. We know the anxiety of missing important mail from the state. We built Fortuna to take the stress out of health plan coverage.
We provide your own dedicated navigator available by phone and chat to help you out!
For most people, Medicaid in Connecticut (HUSKY) has no monthly premium and very low or no out‑of‑pocket costs. Some services may require small copayments, but many groups (such as children and pregnant individuals) are exempt.
Medicare is health insurance that generally covers people aged 65+. Medicaid covers people of all ages if you make below a certain income or face hardship based on other circumstances like disability.
Fortuna focuses on Medicaid. If you need Medicare support, we can help you enroll onto a Medicare-Medicaid program.
Yes, if Fortuna is available through our partner health plan and providers. Please contact your insurer or provider for more information.
Yes, Fortuna is only available through providers and insurers. Please contact us at info@fortunahealth.com for more information.
Ready to renew or start your coverage?
Take the next step and keep your Medicaid benefits active with Fortuna’s simple, guided process.
