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After-Pregnancy Coverage
Find eligibility requirements for Washington Apple Health After-Pregnancy Coverage (APC).
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.
On this page
After-Pregnancy Coverage es una cobertura integral de Apple Health (Medicaid) para que las personas accedan a los servicios de atención médica en cualquier momento durante los 12 meses posteriores a la finalización del embarazo. Obtenga más información sobre APC y cómo aplicar.
What is After-Pregnancy Coverage (APC)?
APC is comprehensive Apple Health (Medicaid) coverage for individuals to access health care services any time in the 12 months after their pregnancy ends.
Am I eligible?
To be eligible for this program a person must:
- Have been pregnant within the last 12 months.
- Reside in Washington.
- Have countable income equal to or below 210 percent of the Federal Poverty Level.**
- Not be eligible for a different Apple Health program.
Immigration status does not affect eligibility.
|
Program |
1- Person household |
2- Person household |
3- Person household |
4- Person household |
5- Person household |
6- Person household |
7- Person household |
|---|---|---|---|---|---|---|---|
|
After-Pregnancy coverage |
$2,698 |
$3,662 |
$4,626 |
$5,590 |
$6,554 |
$7,518 |
$8,482 |
* The income standards listed in these examples are subject to change annually every April.
** Income limit in table includes the 5% income disregard.
What services are covered?
APC provides complete major medical coverage which include services that a person receives during their pregnancy coverage.
For more information visit: Program benefit packages and scope of services.
How do I apply?
Enrolled in Apple Health coverage
If you are already on an Apple Health (Medicaid) program and a pregnancy is reported, coverage for APC will begin the first day of the month following the date the pregnancy ends.
APC is automatic if the pregnancy is reported with the estimated or actual pregnancy end date. It continues up to 12 months regardless of a change in income or the number of household members living at home during enrollment.
Not enrolled in Apple Health coverage
Individuals not enrolled on an Apple Health program during their pregnancy can apply for APC through Washington Healthplanfinder if their last pregnancy ended within the past 12 months.
Report a change in pregnancy status
Current Apple Health clients should continue to report changes in their pregnancy status (including estimated due date). Without this information we cannot guarantee an additional 12 months of APC, starting the month after your pregnancy ends.
Learn how to report a change.
Where can I go for more information?
- Eligibility requirements for pregnant individuals
- Find a provider
- Program benefit and scope of services
Update to Deferred Action for Childhood Arrivals recipients and other people with qualifying immigration statuses
Due to a recent federal change, Deferred Action for Childhood Arrivals (DACA) recipients and other people with qualifying immigration statuses can now access increased federal savings through Washington Healthplanfinder as of November 1, 2024.
These individuals are no longer eligible for Apple Health Expansion because they now qualify for qualified health plan (QHP) with tax credits. Currently enrolled Apple Health Expansion clients who are affected by this change will not transition to a QHP unless they update their application or no longer qualify for other eligibility reasons.
This change does not affect other Apple Health (Medicaid) programs.
Read answers to frequently asked questions to learn more.