Everyone who has an Apple Health plan will have a Blue ProviderOne card like this one.
Apple Health is Washington State’s free or low-cost health insurance program, also known as Medicaid. It helps eligible residents get important health care services without high costs.
Read our Washington Apple Health FAQ for general Apple Health facts and information. To learn more or to find out if you’re eligible for Apple Health, Unity Care NW has Enrollment Specialists standing by to help.
What is Apple Health insurance? Is it the same as Medicaid?
Yes, Apple Health is another name for Medicaid in Washington state. It provides the same benefits and protections as Medicaid as a free or low-cost insurance program. You may also hear Apple Health referred to by the name one of the five Managed Care Organizations like Molina or UnitedHealthcare Community Plan, that offer Apple Health plans.
How does Apple Health work?
When you qualify for Apple Health, you’ll receive a ProviderOne services card. Your care will be managed by one of five Managed Care Organizations (MCOs): Amerigroup Washington, Community Health Plan of Washington, Coordinated Care of Washington, Molina Healthcare of Washington, and UnitedHealthcare Community Plan. The MCO may send you an additional insurance card.
From there, using your Apple Health coverage is similar to that of any insurance company—you find an in-network care provider such as Unity Care NW, make an appointment and see your doctor or health care provider.
Who can get Apple Health?
Apple Health is available to:
- Adults aged 19-64 with income at or below 138% of the federal poverty level
- Parents or caretakers
- Pregnant individuals
- Children
- Non-citizens
- People aged 65 and older, or those who are blind or disabled
Income limits are updated each year.
Which Apple Health plan is best?
Each MCO offers different benefits. Some focus on pediatric care, while others specialize in managing chronic illnesses. All MCOs are overseen by the Washington State Health Care Authority. The best plan depends on your and your family’s health needs.
What does Apple Health cover?
Apple Health covers a wide range of services, including:
- Primary care
- Emergency visits
- Pediatric care
- Dental visits
- Maternity care
- Vision care
- Prescriptions, and more
The goal of Apple Care is to provide necessary medical care to those with limited income.
Does Apple Health cover dental and vision?
This is one of the most frequently asked questions about Apple Health and we understand why — according to the American Dental Association, there are an estimated 2 million visits to emergency rooms each year for dental pain. The good news is that Apple Health does indeed cover adult and pediatric dental care.
Unlike many standard insurance policies which require a separate vision policy, vision coverage is included as part of Apple Health.
Does Washington Apple Health cover therapy?
Yes, Apple Health covers mental health services like therapy, inpatient care for crises, and specialized services for American Indians and Alaska Natives.
Can I use Washington Apple Health out of state?
Generally, Apple Health is for Washington residents and doesn’t cover services in other states. If you’re temporarily out of state and need medical care, contact your MCO or the Health Care Authority’s Medical Assistance Customer Service Center for guidance.
Need more help?
Unity Care NW has Enrollment Specialists ready to answer your questions and assist with eligibility, enrollment, and renewal. Contact Unity Care at (360) 788-2669 or request an appointment online with an Enrollment Specialist today.