Is Washington Apple Health the same as Medicaid?

Asked by: Miss Camilla Reilly  |  Last update: April 5, 2025
Score: 4.6/5 (59 votes)

Apple Health is the name for Medicaid in Washington. Apple Health is free or low-cost health insurance coverage for those who qualify.

Is Washington Apple Care the same as Medicaid?

Washington Apple Health is the name for Medicaid in Washington State. Your provider or the receptionist may call it Medicaid. What is managed care? Most Apple Health clients have “managed care” which means Apple Health pays a health plan a monthly fee for your coverage.

Is Apple Care the same as Medicaid?

In Washington State, Medicaid is called Apple Health. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services.

Is Washington Apple Health Molina Medicaid?

Molina Healthcare Apple Health (Medicaid) provides quality free or low-cost health care for your family. Find out more about your health plan, what's covered and the many programs we offer you and your family.

Is Washington Apple Health considered 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).

Learn more about Apple Health (Medicaid) renewal in 2023

32 related questions found

What is the difference between Medicaid and Medicare in Washington State?

What's the difference between Medicare and Medicaid? 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 four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

Can you have Molina and Medicaid?

Molina Healthcare offers Medicare Advantage plans designed to meet the needs of individuals with Medicare or both Medicare and Medicaid coverage.

What is the income requirement for Washington Apple Health?

Apple Health for Adults: Adults aged 19-64 may qualify for Apple Health. To qualify, you cannot be on Medicare and you must have monthly household income under 138% of the FPL (in 2024: $1,732 for one person, $2,351 for two people).

Can I use Washington Medicaid out of state?

Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your Medicaid coverage when you're temporarily visiting another state, unless you need emergency health care.

What is Medicaid in Washington state called?

Apple Health is the name for Medicaid in Washington. Apple Health is free or low-cost health insurance coverage for those who qualify. Covered services include primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more.

What type of insurance is AppleCare?

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 ...

What are the benefits of Apple Health in Washington state?

Apple Health (Medicaid) benefits
  • 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.

Can you have both Medicare and Medicaid in Washington state?

Duals have both Medicare and Medicaid. the payer of last resort if there's another insurance (i.e. an employer or retiree health plan). Once on Medicare, claims are processed FIRST by Medicare A or B or their MA plan (Part C).

Does Planned Parenthood accept Washington Apple Health?

Planned Parenthood will continue to accept most private insurance plans, including Apple Health Medicaid.

How does WA Apple Health verify income?

Eligibility for Apple Health is determined using information you entered in your Washington Healthplanfinder application. Verification through a PER may be required when the information in the application is not compatible with state or federal income databases.

How often does Medicaid check your income?

Yes, income and assets have to be verified again for Medicaid Redetermination. After initial acceptance into the Medicaid program, redetermination is generally every 12 months. The redetermination process is meant to ensure the senior Medicaid beneficiary still meets the eligibility criteria, such as income and assets.

Can you have Medicaid and other insurance at the same time?

It is possible for Medicaid beneficiaries to have one or more additional sources of coverage for health care services.

Is Molina Apple health Medicaid in Washington state?

Apple Health (Medicaid)

(“Molina”) complies with applicable Federal and Washington State civil rights laws that relate to health care services.

Does Molina Medicaid have OTC benefits?

Your coverage includes non-prescription OTC health and wellness items like vitamins, sunscreen, pain relievers, cough and cold medicine, and bandages. You can order: Online : Visit MolinaHealthcareOTC.com.

What is not covered by Medicaid?

Medicaid coverage can vary from state to state, but here are some common services and items that are typically not covered: Elective cosmetic procedures: Cosmetic surgeries and procedures, such as cosmetic dentistry and non-medical weight loss procedures, that are not medically necessary are typically not covered.

What are the disadvantages of Medicaid?

Disadvantages of Medicaid
  • Lower reimbursements and reduced revenue. Every medical practice needs to make a profit to stay in business, but medical practices that have a large Medicaid patient base tend to be less profitable. ...
  • Administrative overhead. ...
  • Extensive patient base. ...
  • Medicaid can help get new practices established.

What happens if you make too much money while on Medicaid?

If you're over the Medicaid income limit, some states let you spend down extra income or place it in a trust to help you qualify for Medicaid. If you receive long-term care but your spouse doesn't, Medicaid will allow your spouse to keep enough income to avoid living in poverty.