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Affordable Care Plan

Washington Apple Health Income & Resource Standards

HEALTH CARE OPTIONS

Washington Apple Health for Kids

Apple Health for Kids is the Medicaid Managed care program for families with income at or below 312% of the federal poverty level. Apple Health for Kids offers eligible families, medical, dental, vision and mental health among other benefits.

Children’s Health Program

The Children’s Health program provides free medical coverage to non-citizen children under the age of 19 with family income at or below 210% Federal Poverty Level (FPL) who are ineligible for Medicaid due to immigration status. The program also offers premium based medical coverage to non-citizen children under the age of 19 with family income over 210% FPL, but not over 312% of FPL.

Apple Health for Adults

Because of the Affordable Care Act (sometimes referred to as “Obamacare”), more people are able to get preventive care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services they need to stay healthy.

The Affordable Care Act increased Washington Apple Health (Medicaid) eligibility limits, bringing health care coverage to hundreds of thousands of adults in Washington State (ages 19 up to 65) who earn up to 138 percent of the federal poverty level. For a single person, that’s an annual income of $16,248. (The household income limit for children’s and pregnant women’s programs is much higher.)

Health Benefit Exchange

Key provision of the Affordable Care Act that creates a new marketplace for each state to offer health benefits to individuals and families

The state of Washington’s version of the Affordable Care Act consist of 10 Community Partners. Each community partner employees individuals known as In-Person Assisters or Navigators to assist clients with enrollment into Washington’s version of Affordable Care Act called Apple Health

Affordable Care Program

CBHA offers a discount on fee charges for most services to qualified patients based on their family size and annual income. Supplies, pharmaceuticals/injectables and certain procedures are not eligible for discount. Patients applying for CBHA’s Affordable Care Program must be a registered CBHA patient and meet income eligibility requirements.

Medicare Part D

Medicare Part D is insurance for prescription drug coverage; patients pay a premium for the plan they choose, and get specific benefits and coverage for medications. Patients eligible for Medicare are qualified for the Medicare Part D Prescription Drug Benefit.

Alien Emergency Medical (AEM)

  • An emergency Medicaid program for persons who do not meet the citizenship requirements or other DSHS medical programs and are experiencing an emergent medical need.
  • Must be a non-citizen that meets Medicaid eligibility requirements except for citizenship.
  • Immigrant status is not an issue
  • Applicants are not eligible for any other medical assistance program

BREAST AND CERVICAL HEALTH PROGRAM

Washington State’s Breast and Cervical Health Program (WBCHP) is part of the “National Breast and Cervical Cancer Early Detection Program.,” the first nationwide chronic disease-prevention initiative implemented by the Federal government.

In Washington State, women who meet the following criteria are eligible.

  • Age 40 to 64 years
  • Household income at or below 250% of the Federal Poverty level
  • Uninsured or have insurance that doesn’t cover the full cost of health check-ups or services like mammogram or Pap test

PATIENT BENEFITS

Call 509-488-5256 to schedule an appointment