State/Federally Funded Insurance Programs

The following low-cost insurance programs are available to uninsured children and adults who qualify.

Click on each program"s name to obtain more information about eligibility and registration. Also, ask insurance carriers in your county if they offer low-cost coverage for young adults.

Aged, Blind and Disabled Medical Programs
The Community Services Office of the Economic Services Administration provides a monthly cash grant to people who are age 65 or older, blind, or have a long-term medical condition. If you have income at or below the Supplemental Security Income (SSI) income standard, you may be eligible for "Categorically Needy" coverage. If you have income over the SSI income standard, you may be eligible for "Medically Needy" with spend-down coverage.

Apple Health (Medicaid)
In Washington State, Medicaid is called Apple Health. Apple Health provides free and low-cost health coverage and preventive services to low income residents who are eligible. Medicaid is the federally matched medical aid program under Title XIX of the Social Security Act (and Title XXI of the Social Security Act for the Children’s Health Insurance Plan) that covers the Categorically Needy (CN) and Medically Needy (MN) programs.

Apple Health for Kids
Your child may be eligible for Apple Health for Kids free or low-cost coverage (with a low premium) if your income is at or below the Medicaid standard.

Apple Health for Workers with Disabilities (HWD) Program
Healthcare for Workers with Disabilities (HWD) allows people who meet federal disability requirements and who are working full or part time to purchase medical coverage by paying a monthly premium that is based on their income.

Breast, Cervical and Colon Health Program
This program provides free breast, cervical, and colon cancer screening to eligible people in Washington State. Eligibility for the BCCHP is primarily based on health insurance status, income, and age. The Washington State Department of Health administers the program through grants from the Centers for Disease Control and Prevention (CDC), state funding, and support from Susan G. Komen® (Puget Sound and Portland/Southwest Washington Affiliates).

Early Intervention Program (Washington State"s AIDS Drug Assistance Program)
EIP is Washington State"s AIDS Drug Assistance Program (ADAP). EIP provides services to help eligible persons with HIV get the medications and assistance with insurance premium payments they need to improve and maintain their health.

Evergreen Health Insurance Program
The Evergreen Health Insurance Program can pay medical insurance premiums for Washington State residents with eligible low to moderate incomes, enabling them to maintain access to vital health care.

Medicare
Medicare is federal health insurance for people age 65 and older, and those who are under age 65 on Social Security Disability Income, or diagnosed with certain diseases. Statewide Health Insurance Benefits Advisors (SHIBA) offers free, unbiased Medicare counseling. Call SHIBA at 800-562-6900.

The Assistance Fund
The Assistance Fund is an independent nonprofit patient assistance organization that helps patients with serious and chronic diseases and their families facing high out-of-pocket medical costs by providing financial assistance for their co-payments, coinsurance, deductibles, and other health-related expenses.

Washington State Health Insurance Pool
The Washington State Health Insurance Pool (WSHIP) is an independent, non-profit health plan created by the Washington State Legislature. WSHIP is the high risk health insurance pool for the state of Washington and provides a mechanism to ensure the availability of comprehensive health insurance to persons unable to obtain such insurance coverage on either an individual or group basis directly under any health plan.

Washington Women In Need Health Care Gap Fund Grant
Health Care Gap Fund Grants fund selected health care services for women which are not covered by Apple Health or Medicare insurance coverage. Once WWIN has received and approved invoices for completed authorized services, WWIN pays the provider.


For Veterans:

TRICARE West
TRICARE is the health care program for uniformed service members, retirees, and their families. TRICARE provides comprehensive coverage to all beneficiaries, which includes health plans, special programs, prescriptions, and dental plans. Most TRICARE health plans meet the requirements for minimum essential coverage under the Affordable Care Act and is managed by the Defense Health Agency.

Apple Health for Veterans and family members
The Washington State Department of Veterans Affairs (WDVA) works with Washington State’s Veterans Benefit Enhancement Program (VBEP) to assist veterans, their family members and survivors in connecting to the benefits they earned through their military service.