Income limit increasing for Apple Health pregnancy programs November 1, 2024

Senate Bill 5580 directs and funds an increase in the income eligibility limit for Apple Health pregnancy and postpartum programs, including Apple Health for Pregnant Individuals and After-Pregnancy Coverage (APC).

The income limit for Apple Health for Pregnant Individuals and APC will change from 193 percent to 210 percent of the federal poverty level (FPL).

This upcoming change expands access to more people based on income and will take effect November 1, 2024. Apple Health eligibility systems will reflect this change October 1, 2024.

How much can clients earn to qualify?

Income limits starting November 1, 2024. Above income limits include 5% disregard.
Program 1-Person household 2-Person household 3-Person household 4-Person household 5-Person household 6-Person household 7-Person household
Apple Health for Pregnant Individuals and After-Pregnancy Coverage (APC) $2,698
monthly		 $3,662
monthly		 $4,626
monthly		 $5,590
monthly		 $6,554
monthly		 $7,518
monthly		 $8,482
monthly

Who should apply for Apple Health pregnancy programs?

People who need coverage during or after their pregnancy can apply for these programs to see if they qualify. Individuals previously denied an Apple Health pregnancy program for being over income should reapply.

How to apply

Online: Go to wahealthplanfinder.org - select the "Apply Now" button.
Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633
Mobile app: Download the WAPlanfinder app​ – select “sign in” or “create an account”.
Paper: Submit an Application for health care coverage (18-001P).
In-person: Local resources who, at no additional cost, can help you apply for health coverage.

What if someone is not eligible?

If a client does not qualify and needs health coverage, they may look for other health care coverage options by purchasing a qualified health plan. To apply during special enrollment, visit Washington Healthplanfinder or call Washington Healthplanfinder Customer Support Center at 1-855-923-4633.