Eligibility and enrollment in Apple Health (Medicaid)

Am I eligible for Apple Health coverage in Washington?


Apple Health is the name of Washington’s Medicaid program. It helps Washington residents who qualify get access to free or low-cost health insurance. You can apply for coverage either through Washington Connection or Washington Healthplanfinder. Just make sure to check what kind of coverage you or your family qualifies for.


Washington Connection is for individuals who are:


Adults ages 19 up to 65






In need of Long-term Services and Supports (LTSS) and Hospice


Washington Healthplanfinder is for:




Parents or caretakers with children


Pregnant individuals


Adults ages 18 to 64


If you’re unsure about which program to apply for, visit the Washington Health Care Authority website to learn more about eligibility requirements.


You may be eligible if you meet certain income requirements and are part of one of the following groups:


Adults ages 19 up to 65


Parents or caretakers with dependent children under age 18


Individuals who are pregnant






Individuals age 65 or older or who have blindness or a disability


Foster Care


In need of Long-term Services and Supports (LTSS) and Hospice


You may not be eligible for medical managed care, but you could be eligible for Behavioral Health Services Only (BHSO). By enrolling in BHSO, you can receive behavioral health (mental health and substance use disorder) treatment services. Check if you meet certain income requirements and are part of one of the following groups:


Dual eligible or enrolled in Apple Health Medicare Connect (enrolled in both Medicare and Apple Health)

Members with spenddown (using medical bills to reduce your income)


Individuals who are pregnant and noncitizens


Individuals living in an institution for mental disease and other Medicaid eligible long-term or residential care


To find out if you qualify for Apple Health or Behavioral Health Services Only (BHSO), go to Washington Healthplanfinder.

How do I enroll in Apple Health


If you meet the eligibility requirements, you can apply at any time. Simply follow these steps:



1. Gather important information


When you’re ready to apply, make sure you have the following information for each person applying:


Legal name, birth date and Social Security number


Most recent federal tax information (if available)


Income information


Current health insurance information, if any


Noncitizen status (if a legal permanent resident)


Your immigration information, if that applies to you


Tribal status (if registered)



2. Apply for Apple Health


Apply for Apple Health in one of three ways:


Apply on Washington Healthplanfinder’s website


Call Washington Healthplanfinder at 855-923-4633.


Use the WAPlanfinder app to apply



3. Choose your health plan


Once you’re approved, Apple Health will send you a ProviderOne services card in the mail in about two weeks. Choose your health plan by logging into your account with Washington Healthplanfinder.

Ready to apply for Apple Health coverage?


Get started on Washington Healthplanfinder’s website. 

Want to switch to Wellpoint?


If you already have Apple Health, you can change health plans at any time, unless you are in the Patient Review and Coordination program. There are several ways to change your plan. Visit Washington Healthplanfinder to learn how.


Have questions?


Check your member handbook or live chat with a representative in the Sydney Health app.