COFA Islander programs

Apple Health (Medicaid) and COFA Islanders

Washington Apple Health (Medicaid) was restored in December 2020 for individuals from the Federated States of Micronesia, the Republic of Palau, and the Republic of the Marshall Islands through the Consolidated Appropriations Act, 2021. The Health Care Authority (HCA) transitioned eligible COFA Islanders living in Washington to Apple Health coverage in July 2021. Learn how COFA islanders can apply for coverage.

More information

• Apple Health for COFA Islanders
  • Apple Health fan itan kich chon COFA (Chuukese)
  • Apple Health nuh sin mwet ke COFA Islanders (Kosraean)
  • Apple Health nan armej in COFA (Marshallese)
  • Apple Health el mo ra rechad e ra COFA (Palauan)
  • Apple Health ong towe mehlel en COFA (Pohnpeian)
  • Apple Health ko girdii nu Wa'ab (COFA Islanders) (Yapese)
• Apple Health restoration for COFA Islanders
  • Akawor sefanin ewe Apple Health ngeni kich chon ekkewe fonuwan COFA (Chuukese)
  • Sifil pac fohlohkihnyukyak Apple Health nuh sin COFA Islanders (Kosraean)
  • Emoj an rooltok Apple Health nan armej in COFA (Marshallese)
  • Smechel a Apple Health el mo ra rechad er a COFA (Palauan)
  • Insurens en Apple Health pilehu mweimwei ong towe mehlel en COFA (Pohnpeian)
  • Apple Health e kunib ni fal'eg biyay ni fan ko girdii nu Wa'ab (COFA) (Yapese)
• Apple Health managed care frequently asked questions
  • Ekkoch kapas eis kich mei chok ekeis fan itan tumunuch (Chuukese)
  • Kuhtuh Ma Mwetuh Oacna Siyuk ke Managed Care (Kosraean)
  • Kajitõk ko ikijen maroñ im jibañ (Marshallese)
  • Blechoel ker el kirel a Managed Care (Palauan)
  • Iren kalelepek tohto me pid Managed Care (Pohnpeian)
  • Boch e duw’er ni maranga’agen e ayuw ko pulwon e taflay (Yapese)
• Medicare and Apple Health Classic Medicaid
  • Medicare me Apple Health Classic Medicaid (Chuukese)
  • Medicare ac Apple Health Classic Medicaid (Kosraean)
  • Medicare im Apple Health Classic Medicaid (Marshallese)
  • Medicare ma Apple Health Classic Medicaid (Palauan)
  • Medicare and Apple Health Classic Medicaid (Pohnpeian)
  • "Medicare" nge "Apple Health Classic Medicaid" (Yapese)

About the program

HCA pays the monthly premiums and out-of-pocket expenses for silver level qualified health plans and qualified dental plans for eligible COFA islanders.

Program requirements

COFA Islander Health Care

If you applied and were denied Apple Health (Medicaid), you may be eligible for COFA Islander Health Care, if you:

• Are a COFA islander
• Have income less than 133 percent of the federal poverty level (FPL)*
• Live in Washington
• Enroll into a silver level qualified health plan
• Agree to file federal taxes (even if you do not meet tax filing requirements)
• Not receiving other federal or state medical coverage

COFA Islander Health Care fact sheet | Chuukese | Kosraean | Marshallese | Palauan | Pohnpeian | Yapese

COFA Islander Dental Care

If you applied and were denied Apple Health (Medicaid), you may be eligible for COFA Islander Dental Care if you enroll in a qualified dental plan and:

• Have COFA Islander Health Care or if you have Medicare and:
  • Are a COFA islander
  • Have income less than 133 percent of the federal poverty level (FPL)*
  • Live in Washington

COFA Islander Dental Care fact sheet | Chuukese | Kosraean | Marshallese | Palauan | Pohnpeian | Yapese

Income standards

Household Size	Single person	2-person household	3-person household	4-person household	5-person household
Monthly Income	$1,669	$2,265	$2,862	$3,458	$4,054

Household Size	6-person household	7-person household	8-person household	9-person household	10-person household
Monthly Income	$4,651	$5,247	$5,843	$6,439	$7,009

*The income standards listed in these examples are subject to change every November.

How to apply

Submit applications for coverage during open enrollment or apply for a special enrollment period throughout the year. If you have Medicare, you can enroll in dental without a special enrollment period.

• Online: Go to Washington Healthplanfinder to apply for coverage
• Mobile app: Download the WAPlanfinder app
• Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633
• Paper: Submit an application for health care coverage
• In-person: Find a local resource who, at no additional cost, can help you apply for health coverage at Health Benefit Exchange Navigator

Things you'll need to apply

When you're ready to apply, you'll need this information:

• Your household monthly income
• The Social Security numbers and dates of birth for each member of your household
• Your immigration information

How to use your benefits

Learn how to use your COFA Islander Health Care benefits:

• Welcome to COFA Islander Health Care booklet
• How to use COFA Islander Health Care
  • Ifa usun omw kopwe weweti COFA Islander Health Care (Chuukese)
  • Orekmakinyuck fukah COFA Islander Health Care (Kosraean)
  • Elemen kejerbal COFA Islander Health Care (Marshallese)
  • Mekerang a mousbech er a COFA Islander Health Care (Palauan)
  • Duwen doadoahngki COFA Islander Health Care (Pohnpeian)
  • Urogon e murweliy e COFA Islander Health Care (Yapese)
• Important tax filing information for COFA Islanders
  • Auchean porous fan itan tax ngeni chon fonuach kewe seni COFA (Chuukese)
  • Mwe ahkkahlemye ke tax nuh sin mwet ke COFA (Kosraean)
  • Naan in rōjañ ikijjeeñ tax nan ri aelōñ ko jen COFA (Marshallese)
  • Klou a ultutelel el tekoi er a tax el mo er a rechad er a COFA el beluu (Palauan)
  • Ire kesempwal me pid tax ong tohn COFA (Pohnpeian)
  • Marngagen e tax nirib ga’fan ko COFA Islanders (Yapese)

Learn more about how your Navia Benefits Card covers your out-of-pocket costs:

• Navia online registration instructions
• Navia Benefit Solutions Card
  • Nounou noumw na Navia benefits card (Chuukese)
  • Orekmakinyen Navia benefit card (Kosraean)
  • Kilen kejerbal Navia card eo (Marshallese)
  • Omtech er a mousbech er a Navia card er kau (Palauan)
  • Doadaohngki noumw kard en sawas sang Navia (Pohnpeian)
  • Murwel ko Navia card rom (Yapese)