Is Washington Apple Health considered Medicare?
Asked by: Lynn Kohler MD | Last update: October 29, 2025Score: 4.9/5 (66 votes)
Is Washington Apple Health the same as Medicare?
Medicare Savings Programs for Low-Income Medicare Enrollees
These Washington Apple Health (Medicaid) programs pay Medicare premiums and cost-sharing for very low-income individuals.
Is AppleCare the same as Medicare?
At Apple Healthcare, we only recommend treatment that is needed. However, our definition of what is “needed” and Medicare's willingness to cover treatment may be different. This can leave you with a surprise bill. Apple Care helps cover services that Medicare does not cover.
How do I know if my insurance is Medicaid or Medicare?
Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income.
What is Medicare called in Washington state?
Apple Health is the name given to the Medicaid program administered by the state of Washington. While Medicare and Medicaid cover similar needs, Medicare is primarily designed for Americans age 65 and older, while Medicaid is mostly for those facing financial hardships or a disability regardless of age.
Understanding Your Washington Apple Health Coverage
What is the difference between Medicare and healthcare?
Original Medicare does not have an out-of-pocket maximum. This means there is no cap on how much healthcare may cost due to copays for services. In 2025, the maximum out-of-pocket limit for private health insurance plans, such as Medicare Advantage, is $9,200 for one person and $18,400 for a family.
What is Washington state health insurance called?
In Washington State, Medicaid is called Apple Health.
How do I know if I am on Medicare?
You can visit Medicare.gov or call the toll-free number 1-800-MEDICARE (1-800-633-4227) or the TTY number 1-877-486-2048 for the latest information about Medicare.
Is Medicare and Medicaid basically the same?
While they are both government-run health insurance programs, they generally help two different groups of people: Medicare provides health coverage to those older than 65 and to some younger individuals with certain disabilities, at any income level. Medicaid provides health coverage for people with low incomes.
Does Medicare cover 100% of hospital bills?
Whether you're new to Original Medicare or have been enrolled for some time, understanding the limitations of your coverage is important as you navigate decisions about your healthcare. One of the main reasons why Original Medicare doesn't cover 100% of your medical bills is because it operates on a cost-sharing model.
Does AppleCare count as insurance?
AppleCare+ is an insurance policy covering you during the policy period for repairs or replacement of your covered Apple device (Apple Watch, HomePod, iPad including Apple Pencil, iPhone, iPod or Headphones) in the event of accidental damage or battery depletion and it gives priority access to telephone technical ...
Does AppleCare+ work internationally?
Worldwide coverage is provided as long as the covered device is returned to Apple, an authorised reseller or a service provider. Claims made in a different country require compliance with import/export laws, with the user responsible for associated taxes and charges.
What are the benefits of Apple Health in Washington state?
- Behavioral health. Behavioral health includes benefits such as: ...
- Dental care. Dental benefits are paid by Apple Health (Medicaid) (using your ProviderOne services card). ...
- Vision care. Children and youth under age 21 get: ...
- Pharmacy and prescription drugs. ...
- Your Care Plan. ...
- Healthy Rewards.
What is the cheapest health insurance for seniors over 70?
Medicaid is the most affordable plan for seniors and retirees who have low incomes. Medicaid offers free health insurance to people who earn a low income.
Is Medicare free at age 65?
Premium-Free Medicare Part A Based on Age
To be eligible for premium-free Part A on the basis of age: A person must be age 65 or older; and. Be eligible for monthly Social Security or Railroad Retirement Board (RRB) cash benefits.
Does everyone have to pay $170 a month for Medicare?
Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.
Is it better to be on Medicare or Medicaid?
While Medicare is the primary payer for medical needs, Medicaid can cover costs that Medicare coverage does not. When you visit a provider that takes both Medicare and Medicaid, Medicare pays first for the cost of your care. Medicaid pays second, covering copays and other costs not covered.
Do you automatically get Medicare with Social Security?
If you are age 65 or older and receive Social Security benefits, you will be automatically enrolled in Part A.
How do I know if I have Medicaid or Medicare?
Medicare is federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities or conditions. Medicaid is a joint federal and state program that gives health coverage to some people with limited income and resources.
What are the 6 things Medicare doesn't cover?
- Eye exams (for prescription eyeglasses)
- Long-term care.
- Cosmetic surgery.
- Massage therapy.
- Routine physical exams.
- Hearing aids and exams for fitting them.
What are the three requirements for Medicare?
Eligibility rules are based on citizenship, age and disability. Workers pay into the program to accumulate credits but also pay premiums. Expect prescription, Medigap premium or Medicare Advantage expenses.
Is WA Apple Health Medicare?
In Washington State, D-SNP is now known as Apple Health Medicare Connect. This name change better communicates that Apple Health Medicare Connect is only available to clients who are enrolled in both Apple Health (Medicaid) and Medicare coverage (referred to as dual-eligible).
Is Washington. Apple Health part of the Affordable Care Act?
The Affordable Care Act (ACA)
In Washington, health care reform has allowed more than half a million adults who were previously uninsured to enroll in Apple Health (Medicaid).
Which health insurance is best in Washington state?
Kaiser Permanente has the best health insurance in Washington state. Kaiser Permanente got a perfect star rating of 5 out of 5 from HealthCare.gov. That makes it the highest-rated company in Washington state. Star ratings measure plan quality, customer satisfaction and plan management.