Apple Health Expansion for Immigrants

Apple Health Expansion for Immigrants

You may be eligible if space is available to sign up for Apple Health Expansion if you live in the state of Washington, even if you immigrated to the United States and/or are undocumented. This insurance includes medical, dental, and behavioral health services.

Visit Washington Healthplanfinder to determine eligibility and apply for other programs.

Leer en Español.

The enrollment limit for Apple Health Expansion has been met. Continue to complete an application to be considered if space opens in the program. You can review other coverage options until space becomes available.

Only one application needs to be submitted. If you have applied for Apple Health Expansion on or after June 20, 2024, and were denied because the enrollment cap was met, there are no additional steps to take. There is a possibility you may be randomly selected to enroll if space opens in the program. If selected for enrollment, you will receive an eligibility notice through your preferred communication method (email or mail).

What is Apple Health Expansion?

This is a new program to help with healthcare expenses for adults who do not have insurance and do not meet immigration requirements for other Apple Health programs. Apple Health Expansion coverage is free; there are no out-of-pocket costs or copays. This insurance will cover, with some limitations, primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more. View the list of Apple Health Expansion plans below.

Who is eligible?

You may be eligible if space is available for Apple Health Expansion coverage if you: 

  • Are a Washington state resident age 19 or older.
  • Have a countable income under 138% of the federal poverty level.*
  • Do not qualify for other Apple Health programs based on immigration status.
  • Are not pregnant or did not have a pregnancy end in the last 12 months.
  • Are not currently eligible for qualified health plans (QHP) with advance premium tax credits (APTC), or federally funded medical assistance programs.

Percentage of the Federal Poverty Level by monthly income and household size 

Household size Monthly Gross Income
1 $1,732
2 $2,351
3 $2,969
4 $3,588
5 $4,207
6 $4,825
7 $5,444
8 $6,063
9 $6,682
10 $7,300

 

*These numbers are based on the equivalent of 138 percent of the Federal Poverty Level by monthly income and household size. These are April 2024 standards. Standards are subject to change annually.

What will I need to apply if space becomes available?

  • Proof of your identity: Driver’s License, Passport, Other (See other options)  
  • Proof of your income: Pay statement or other documentation showing monthly or annual earnings 
  • Be prepared to verify your identity using documents available on the acceptable documents list (leer en Espanol). 

Will applying affect my immigration status?

No. When you apply to Apple Health Expansion, your immigration status information is only used to determine health plan eligibility. Federal and state laws protect your privacy. This information is not used for immigration enforcement.

What are my other options for health coverage?

At Washington Healthplanfinder, you can check your eligibility for other health insurance plans including Apple Health for Kids, Apple Health for Pregnancy, Alien Emergency Medical (AEM), Medical Care Services (MCS) and qualified health and dental plans.

What if I am 65 or older?

Visit Washington Connection or call 877.501.2233 for health plan options.

What coverage can I get as an immigrant?

You can review your eligibility on Washington Healthplanfinder for Apple Health Expansion as well as other Exchange insurance plans, including Cascade Care and other Apple Health plans.

Coverage Options Who is Eligible?
Washington Health Exchange Cascade Care Plans Everyone
Washington Health Exchange Cascade Care Savings Everyone
Washington Health Exchange Qualified Health Plans with Tax Credits Lawfully present immigrants¹
Washington Apple Health Lawfully present immigrants past the 5-year bar²
Washington Apple Health for Kids Everyone
Washington Apple Health Expansion Adults 19 or older (if space is available to enroll)
Limited Coverage Options³
  • Alien Medical Programs
  • Medical Care Services⁴
  • Family Planning Only
  • Washington Apple Health for Pregnant Individuals

 

¹Health coverage for lawfully present immigrants | Washington Exchange 
²Lawfully present immigrants must wait 5 years before they can enroll in federally funded programs unless they are considered exempt. 
³These plans cover certain services or situations.   
⁴This care option is available if you are eligible for a program associated with WAC 388-424-0001(4)

Which Apple Health Expansion plans include UW Medicine in-network?

UW Medicine is in network with these plans, with some exceptions. Ask the managed care program about your coverage for services through UW Medicine.

  • COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW) APPLE HEALTH (for Harborview and UW Medical Centers specialty care only, for Lopez Island UW Medicine clinic primary care only; for Valley Medical Center, facility services only)
  • COORDINATED CARE APPLE HEALTH
  • MOLINA (MHC) APPLE HEALTH
  • UNITED HEALTHCARE COMMUNITY (UHC) APPLE HEALTH

Where can I get more information?

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