What is Medicaid in Washington state called?

Asked by: Dr. Vernie Considine I  |  Last update: October 18, 2025
Score: 4.1/5 (20 votes)

In Washington State, Medicaid is called Apple Health.

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 Molina Healthcare of Washington Medicaid?

Molina serves our members through Medicaid, Medicare and Health Insurance Exchange programs. Additionally, Molina owns and operates MyHealth Everett, a primary care clinic in Everett.

What is Washington state Medicaid called?

In Washington State, Medicaid is called Apple Health.

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.

How to Protect Against Medicaid Look Back Period & Preserve Assets

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Who is not eligible for Medicaid?

Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.

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).

Is Washington Medicaid free?

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 is the best health insurance 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.

Is Obama care considered Medicaid?

The most critical difference between Medicaid and Obamacare is that Obamacare health plans are offered by private health insurance companies whereas Medicaid is a government program.

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.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

Who is eligible for Medicaid in Washington state for seniors?

Income and Asset Limits

You must meet specific income and asset requirements to qualify for Medicaid in Washington State. The income limit for seniors 65 and older is 100% of the Federal Poverty Level (FPL). The asset limit is $2,000 for an individual applicant and $3,000 for a couple applying together.

Will I lose my Medicaid if I get Medicare?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

What is the best health insurance for seniors over 70?

Medicare is the best health insurance for retirees and seniors. You can choose between Original Medicare (Parts A and B) or private, bundled coverage, called Medicare Advantage.

What are the disadvantages of having 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.

Why do you get denied for Medicaid?

Income Is Too High

In most states, if you receive too much income from combined sources, you will be ineligible for Medicaid. Medicaid has strict limits, set by individual states, concerning how much money or income you can have in order to be eligible.

How much does Medicaid cost per month?

Amounts. Most states adjust premium amounts by beneficiary income, with approved possible charges ranging from approximately $5 to $74 per month. Four states (AR, AZ, MI, and MT) have approved waivers to require monthly premium payments as a percentage of income.

Can you have insurance and Medicaid at the same time?

Yes, you can maintain your employer-sponsored insurance plan as your primary coverage while also qualifying for Medicaid, which would pay for, generally speaking, any qualifying expense that your primary plan doesn't cover.

What type of insurance is Molina Healthcare of Washington?

Molina Healthcare's Basic Health Plan is low-cost managed care health coverage for Washington residents with lower income not eligible for Medicaid or Medicare.

Do all healthcare providers accept Medicaid?

INTRODUCTION. Access to primary care for Medicaid patients has long been a concern among patients and policymakers. Previous research has demonstrated that up to one-third of all physicians refuse to accept new Medicaid patients,1 and these percentages have not changed significantly over the past decade.