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Washington Apple Health (Medicaid) and health plans

Looking for free or low-cost health coverage? Our UnitedHealthcare Community Plan that works with Washington Apple Health (Medicaid) can help.

All Washingtonians deserve affordable health care, including you. Our plans cover adults, seniors, children, people with disabilities and pregnant individuals.

Get important updates on new Apple Health (Medicaid) requirements and community resources

Starting in 2027, changes are coming to Apple Health (Medicaid). This means some adults may need to:

  • Renew their Apple Health (Medicaid) coverage 2 times a year
  • Show that they are working, going to school or job training or helping in their community
  • Provide information to the Department of Health and Human Services (DHHS) to renew coverage

Community resources are available for work, school, job training and local support.

Learn more about renewals and community resources (Opens in a New Tab)

Get important updates on new Apple Health (Medicaid) requirements and community resources

Starting in 2027, changes are coming to Apple Health (Medicaid). This means some adults may need to:

  • Renew their Apple Health (Medicaid) coverage 2 times a year
  • Show that they are working, going to school or job training or helping in their community
  • Provide information to the Department of Health and Human Services (DHHS) to renew coverage

Community resources are available for work, school, job training and local support.

Learn more about renewals and community resources (Opens in a New Tab)

See why Washington chooses UnitedHealthcare

We offer more ways to use your member benefits and get the most out of your plan.

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24/7 Virtual Visits

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UnitedHealthcare Healthy First Steps®

Learn how we can help you have a healthy pregnancy and baby1

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Find plans

Medicaid plans

Washington Apple Health (Medicaid)

Our plan offers a range of physical and behavioral health benefits if you meet income and eligibility requirements for Apple Health (Medicaid). We serve pregnant individuals, children and adults.

View details
Find a provider

Washington Apple Health (Medicaid) Behavioral Health Services Only (BHSO)

Our BHSO plan offers many behavioral health benefits, including support for mental health, substance use treatment and help with stress, depression or anxiety.

You may qualify if you meet income and eligibility requirements for Apple Health (Medicaid) but receive physical health services from somewhere else.

View BHSO details
Find a BHSO provider

Dual Special Needs plans

Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. Dual plans cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either Original Medicare or Medicaid.
View D-SNPs

Individual & Family ACA plans

UnitedHealthcare offers Individual & Family ACA plans in Washington. They’re designed to give you the coverage you need without breaking the bank.

Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.

See Individual & Family plans (Opens in a New Tab)

Apple Health Expansion plans

WA Apple Health Expansion plans offer medical care, behavioral health and prescription drug benefits — at no cost to you,

To qualify, you must:

  • Live in Washington and be 19 years or older
  • Not get other government health programs due to your immigration status
  • Have a low income (less than 138% of property level)
  • Not be pregnant or expecting a baby
See WA Apple Health Expansion plans
Find a provider

Eligibility and enrollment

Already a member?

Sign in to learn more about your benefits and manage your plan.

Eligibility

The Washington Apple Health (Medicaid) plan provides medical coverage free or at no cost to blind and disabled people, pregnant individuals and children who meet income requirements.

Enrollment

Join or switch to UnitedHealthcare community plan. Applying for Medicaid is easy and can be done in-person, by phone, or online. Open enrollment for WA Medicaid and D-SNP is available year-round.

Renewals

Don’t lose benefits

Your health plan renewal date might be coming soon. If you haven't already, you may need to renew your UnitedHealthcare coverage to keep receiving Medicaid benefits.

Help me renew (Opens in a New Tab)

Benefits and features

We want to help you live healthier lives and to have the best possible member experience. Explore our many member benefits, including live chat that let’s you skip the call and connect with an agent online.

Get the Calm Health app for no-cost mental health support

With the Calm Health app, there's an easier way to care for your mental health and well-being. As a member of UnitedHealthcare Community Plan, you can use it anytime at no cost. The app offers:

  • Mental health screening
  • Self-guided digital programs
  • Support for your emotional well-being

To get started, download the UnitedHealthcare app and go to Coverage & Benefits to find the Calm Health app.

Behavioral health services

Behavioral health is just as important as physical health. That’s why coverage includes both mental health and substance use disorder treatment services for problems like:

  • Stress
  • Depression
  • Anxiety
  • Use of drugs or alcohol
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Hearing and vision care services

UnitedHealthcare Community Plan covers hearing and vision care services like:

  • Hearing: screenings, check-ups and hearing aids
  • Vision: eye exams and eye glasses for children ages 20 and younger
mom-with-infant-looking-at-cell-phone mom-with-infant-looking-at-cell-phone

Pregnancy care

We help individuals:

  • Find a provider and a pediatrician
  • Get an OB/GYN, nurse-midwife or doula
  • Schedule rides for doctor visits

Healthy First Steps® offers: 

  • Baby scripts™ pregnancy app  
  • Baby and breastfeeding supplies  
  • Doula support and more
Extra member benefits Extra member benefits

Care for conditions

If you have asthma, diabetes or another health condition, our plan helps you get the care you need. Covered benefits include:

  • Asthma and COPD care: exams, testing and supplies
  • Diabetes support: medicine, needles and more
  • Kidney disease care: dialysis, medicine and treatments
  • Mental health: testing, medication and treatments
  • Personal care manager: if you qualify, get personal help managing health conditions
  • Residential care: brief stay at a care facility while you recover from sickness or injury
Extra member benefits Extra member benefits

Additional benefits

Sometimes you need a little additional help. That’s why we give you options for your care and well-being at no cost to you. This includes:

  • Member rewards
  • Up to $100 credit towards a single pair of frames and lenses every two years (age 21 and older)
  • Car seat at no cost1,2

Download the member newsletter

Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.

You can read it whenever, wherever you want.


Disclaimer information

(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Special Needs plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. Benefits, features and/or devices may vary by plan/area.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only. Access to this service is subject to terms of use.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2026.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.