Program requirements
Your child may be eligible for Apple Health for Kids free or low-cost coverage (with a low premium) if they are a Washington resident and your household income is at or below the Medicaid standard (see income charts below).*
Apple Health for Kids hotline
You can call WithinReach's Apple Health hotline at 206-204-3503 (weekdays) or visit the ParentHelp123 website to learn more. WithinReach has friendly, local, and knowledgeable staff to help you understand and apply for free or low-cost Apple Health for Kids coverage.
Free Apple Health for Kids
What is the most I can make per month to qualify for free coverage (free for kids up to age 19)?
Program
|
Single
person
|
2-person household
|
3-person household
|
4-person household
|
5-person household
|
6-person household
|
7-person household
|
Apple Health for Kids
|
$2,698
monthly
|
$3,662
monthly
|
$4,626
monthly
|
$5,590
monthly
|
$6,554
monthly
|
$7,518
monthly
|
$8,482
monthly
|
*The income standards listed in these examples are subject to change annually every April.
Continuous eligibility for kids under age 6
Children eligible for free Apple Health for Kids will stay covered through the month they turn six years of age regardless of changes in household income. This is known as continuous eligibility. This change also applies to children enrolled in Children’s Institutional Medical, also known as Long-Term Family Medical (K01).
Continuous eligibility for kids age 6 and older
Children on free Apple Health for Kids who are over the age of six or those enrolled Apple Health for Kids with premiums, regardless of age, receive twelve months of continuous eligibility
Apple Health for Kids with premiums
What is the most I can make per month to qualify for low-cost coverage?** (two premium levels)
Program
|
Single
person
|
2-person household
|
3-person household
|
4-person household
|
5-person household
|
6-person household
|
7-person household
|
Apple Health for Kids with premiums
TIER 1
($20 monthly per child; $40 family maximum)
|
$3,326
monthly
|
$4,514
monthly
|
$5,702
monthly
|
$6,890
monthly
|
$8,078
monthly
|
$9,266
monthly
|
$10,454
monthly
|
Program
|
Single
person
|
2-person household
|
3-person household
|
4-person household
|
5-person household
|
6-person household
|
7-person household
|
Apple Health for Kids with premiums
TIER 2
($30 monthly per child; $60 family maximum)
|
$3,978
monthly
|
$5,400
monthly
|
$6,821
monthly
|
$8,242
monthly
|
$9,663
monthly
|
$11,084
monthly
|
$12,506
monthly
|
*The income standards listed in these examples are subject to change annually every April.
**Low-cost coverage (Apple Health with premiums) is only available to children who are uninsured.
Exceptions
Children of public and school employees with access to, or enrolled in, health insurance coverage under the PEBB or SEBB Programs may be eligible for Apple Health for Kids with premiums.
Applying for Apple Health coverage
You have many options to apply for Apple Health coverage. Visit our Apply for or renew coverage webpage to learn more.
When you’re ready to apply, you’ll need:
- Your household monthly income.
- The Social Security numbers and dates of birth for each member of your household.
- Your immigration information, if that applies to you.
Enrollment next steps
If you’re accepted, you'll receive a ProviderOne services card in about two weeks. Coverage will begin on the first day of the month in which the application was submitted. You'll have the option to select a managed care plan online or will be auto-enrolled into a plan. Learn more about enrollment next steps.