On Thursday, April 17 from 11:30 a.m. to 3 p.m., the Apple Health (Medicaid) customer service phone lines will be down. We apologize for any inconvenience! View other ways to contact Apple Health.
Find information about free family planning services from the Family Planning Only program.
Apple Health Expansion enrollment update
You can apply for Apple Health (Medicaid) coverage year-round.
Apple Health Expansion is one of the few Apple Health programs with limited enrollment.
The enrollment limit for Apple Health Expansion has been met. If you have not applied, you can still complete your application for Apple Health Expansion to be considered if space opens in the program.
If you applied for coverage and were denied because the cap was met, there are no additional steps you need to take. There is still a possibility you may be randomly selected to enroll if space opens in the program. You will receive an eligibility notice if you are selected for enrollment.
View the enrollment announcement for regular updates. Send questions about what this means for you and your family, and what to expect over the coming months to the Apple Health Expansion inbox.
Apply for Apple Health (Medicaid) or other low-cost health coverage through:
Family Planning Only provides coverage to individuals for family planning services to help them take charge of their lives and prevent unintended pregnancies.
Family Planning Only coverage brochure | Cobertura solamente para planificación familiar (Spanish brochure)
Family Planning Only covers:
Not covered services
Family Planning only does not cover:
You may be eligible if you have annual household income at or below the amounts below* and are:
|
Program |
Single person |
2-person |
3-person |
4-person |
5-person |
6-person |
7-person |
8-person |
|---|---|---|---|---|---|---|---|---|
|
Family Planning Only |
$3,456 |
$4,672 |
$5,886 |
$7,099 |
$8,316 |
$9,529 |
$10,743 |
$11,959 |
*The income standards listed in these examples are subject to change annually every April.
**You can also make an informed choice to waive your right to apply for Apple Health on the Family Planning Only application.
First, go to Washington Healthplanfinder or call 1-855-923-4633 to learn if you are eligible for Apple Health coverage or a subsidized Qualified Health Plan with full health care coverage, which includes family planning.
If you're not eligible for Apple Health, make an informed choice to waive your right to apply for Apple Health, or you need confidential services, contact your Apple Health provider and apply for benefits over the phone or in-person. There are many assisters across the state that can help with navigating health care coverage. Learn how to get help with coverage.
If you're a teen, you may be eligible for Apple Health coverage on your own. Read more information about health coverage for teens and young adults. Visit the Department of Health's (DOH) Teen Hub for other questions related to reproductive health and resources.
You can also apply by:
You can reapply for Family Planning Only coverage every 12 months, as long as you are eligible.
You have the option to seek confidential family planning services when applying for Family Planning Only coverage. Selecting this option will put you under a protected status in which you:
Services are available from any eligible Apple Health provider. Find a provider who accepts Apple Health. Your provider will help you fill prescriptions at the pharmacy of your choice.
Contraception (commonly referred to as birth control), including all FDA-approved contraceptive methods, such as pills, patches, intrauterine devices also known as long-acting reversible contraception (intrauterine devices (IUD), long-acting reversible contraceptives (LARCs)), and more are covered.
HCA reimburses certain over the counter (OTC) family planning supplies without a prescription. Per Apple Health policy, the following OTC contraceptives may be dispensed without a prescription:
Read the flyer on how to access OTCs for Apple Health clients.
Emergency contraception is a covered benefit and can be provided by any Apple Health provider. Apple Health also covers over-the-counter emergency contraception from pharmacies without a prescription.
Hormonal contraception, prescriptions, and OTC can be filled in 12-month supplies unless indicated otherwise by prescribers or clients. Supply may vary by pharmacy.
To access contraceptive supplies at the pharmacy, you will need to go to the pharmacy counter (not the retail counter) with your Apple Health ProviderOne services card or use the mobile app.
View the Family Planning billing guide for more coverage details.
On May 9, 2018, the Health Care Authority (the Agency) received approval for renewal of the Section 1115 Family Planning Only Demonstration Waiver for five years (through June 2023). The approval letter, Special Terms and Conditions, and Expenditure Authority can be found on CMS’s website under Washington Family Planning Only Program and then clicking on “Demonstration Approval.”
The Health Care Authority intends to submit an application to extend the Section 1115 Family Planning Only Demonstration Waiver for five years (through July 2028). The current waiver, which expired on June 30, 2023, covers limited family planning and family planning-related services for people in need of contraceptive care and enrolled in Family Planning Only program. The purpose, client eligibility requirements, and benefit package will remain the same. The only potential change is the elimination of the family planning pregnancy-related program, due to implementation of the After-Pregnancy Coverage program.
WIC Nutrition Program
The WIC Nutrition Program provides access to no-cost healthy food, health screenings, nutrition education, breast and chest feeding support and more, to people who are pregnant or recently pregnant, infants, and children under age five through an easy-to-use WIC card. See if you're eligible for WIC and learn how to apply. You can also find a WIC clinic online or call 1-800-322-2588.
HCA Family Planning Only
Phone: 1-800-562-3022 ext. 12533