Children
Find out about eligibility requirements for Washington Apple Health for Kids.
On this page
Apply for or renew Apple Health coverage today.
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 income 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 |
2-person household |
3-person household |
4-person household |
5-person household |
6-person household |
7-person household |
|---|---|---|---|---|---|---|---|
|
Apple Health for Kids |
$2,804 |
$3,790 |
$4,775 |
$5,760 |
$6,747 |
$7,731 |
$8,716 |
*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 Apple Health for Kids
Continuous eligibility for kids enrolled in the free Apple Health for Kids program changed with Apple Health redeterminations, which restarted after the public health emergency ended. Some kids may lose coverage during the renewal process until systems are upgraded to support this new policy. If this happens, processes are in place to reinstate coverage.
Continuous eligibility for kids age 6 and older
Children on free Apple Health for Kids over the age of six, or those enrolled in 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)
Tier 1
$20 monthly per child. $40 family maximum.
|
Program |
Single |
2-person household |
3-person household |
4-person household |
5-person household |
6-person household |
7-person household |
|---|---|---|---|---|---|---|---|
|
Apple Health for Kids with premiums |
$3,456 |
$4,672 |
$5,886 |
$7,099 |
$8,316 |
$9,529 |
$10,743 |
Tier 2
$30 monthly per child. $60 family maximum.
|
Program |
Single |
2-person household |
3-person household |
4-person household |
5-person household |
6-person household |
7-person household |
|---|---|---|---|---|---|---|---|
|
Apple Health for Kids with premiums |
$4,134 |
$5,589 |
$7,041 |
$8,492 |
$9,947 |
$11,399 |
$12,851 |
*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 uninsured children.
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.
Not eligible for Apple Health?
If you’re not eligible for Apple Health, you may qualify for help with your health insurance or for other health services. Visit Washington Healthplanfinder or use the WAPlanfinder app to learn if you qualify.
What services are covered?
Apple Health provides comprehensive physical and behavioral health services coverage through managed care, or coverage without a managed care plan. View basic services covered by Apple Health.
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.
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.