We’re a managed care organization (MCO). That means we provide health benefits for individuals and families who qualify for Apple Health.
What is Apple Health?
In Washington State, Medicaid is called Apple Health. It is available to certain individuals and families who meet the eligibility requirements. To find out if you are eligible for Wellpoint, visit our eligibility page.
Will I receive an ID card from Wellpoint?
Yes, our members get a member ID card in the mail soon after they enroll. Members should bring their Wellpoint ID card and their ProviderOne card every time they receive healthcare services.
You can find out using our Find a Doctor tool. Or call Member Services and a member of our team can tell you.
Can I change my PCP?
Yes, once you’re enrolled in our plan you can change your PCP at any time (unless you’re in the Patient Review and Coordination program). To change your PCP, log in to our secure website and click on Change PCP. Or call Member Services and a member of our team can help you.
How do I choose a doctor or other provider to be my PCP?
Choose from a list of plan providers using our Find a Doctor tool. It lets you search by name, specialty and distance from your home. It also tells you if he or she is accepting new patients.
As long as the provider is in our plan, you may choose any of the following as your PCP:
If your PCP is in our plan, you can keep seeing him or her. Call Member Services and tell us the name of the provider you want as your PCP.
If your PCP is not in our plan, call Member Services. We can ask him or her to join our plan or help you find a new PCP.
What if I go to a doctor who doesn’t work with Wellpoint?
You may have to pay for healthcare services you get from a doctor who isn’t in our plan. Before you get medical services, always show your Wellpoint ID card to the doctor’s office. They should be able to tell you if they don’t accept your insurance.
Have more questions?
We’re just a call away. Call Member Services toll free at 833-731-2167 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Pacific time.