Medicaid and Health Care Assistance


Medicaid is a program funded by the federal and state governments, which pays for medical care for those who can’t afford it. Your local DSHS Community Service Office (CSO) can provide you with details about these services and how to apply for them.

Medical Programs

Apple Health for Kids

Medical Programs providing coverage for children living in Washington State

Basic Health

Health Care coverage at a reduced rate for individuals and families who are Washington residents, and income qualify

Healthcare for Workers with Disabilities (HWD) Program

Program that allows people with disabilities who are working to purchase medical coverage by paying a monthly premium that is based on their income.

Family Medical

Medical coverage for families with children

Medicare Savings Programs

Programs to help Medicare recipients pay for all or part of their Medicare premiums

Alien Emergency Medical Program

Emergency medical program for persons who do not meet the citizenship requirements for other DSHS medical programs

Pregnancy Medical Program

Medical program for pregnant women

Aged, Blind and Disabled Medical Program

Medical coverage for aged, blind or disabled persons

What isWashingtonHealth?

Since 1993, the Basic Health Plan has provided affordable health care coverage forWashingtonStateresidents. The same people who brought you this lifeline now offer another option – with fewer restrictions, low cost, and just as reliable.

You and your family, asWashingtonresidents, may qualify for the Washington Health Program. This unique program offers either $75,000 or $100,000 in health insurance coverage every year. Members maintain low deductibles and, at times, no-cost coverage for basic health services. This provides coverage for those unexpected trips to the hospital. In most cases, $75,000 or $100,000 is plenty of coverage throughout the year.

Is this plan for you?

Washington Health is available to anyone who lives inWashingtonand:

  • Is not eligible for free or purchased Medicare.
  • At the time of enrollment, is not confined to an institution.
  • Is ineligible for coverage under the Washington State Health Insurance Pool (WSHIP) or qualifies to bypass the standard health questionnaire under state law.
  • Is not receiving Washington Department of Social and Health Services (DSHS) medical assistance (Medicaid) or subsidized Basic Health benefit.

It’s about choice!

Washington Health offers two options – Health 75 and Health 100. You choose the annual coverage that best meets the needs for you and your family. Washington Health provides the same benefits regardless of the option you select.

Washington Health has partnered with Community Health Plan of Washington to provide coverage to all counties throughout the state. Their extensive network includes over 1,600 primary care providers, 9,000 specialists, 300 primary care sites, and over 90 hospitals.

Still want more choices?

Washington Health is about choice – offering discounts and low copays if you choose to receive care and prescription drugs from a Community Health Plan clinic. But choosing your own doctor is important too – so you are able to select from thousands of doctors in the Community Health Plan network while still maintaining a low deductible and coinsurance. Ultimately, you have the choice to see any provider accepting your health plan. You may pay a higher coinsurance and are subject to balance billing.

Any choice you make connects you to great basic coverage such as:

  • Routine office visits and immunizations
  • 24-hour nurse line
  • Preventive screenings like mammograms and PAP smears
  • Prescription drugs
  • Emergency room and hospital care
  • Maternity
  • Diagnostic imaging and lab work
  • Help with chronic illness

 

Medical Assistance Customer Service (1-800-562-3022) telephone hours are7 a.m. to 5 p.m.on Mondays and7 a.m. to 1 p.m.on Tuesday through Friday. Many client questions can be answered quickly at any time of day through interactive telephone features.

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