The plans are not all available in every area. There are five separate managed care plans: Amerigroup Washington, Coordinated Care of Washington, Community Health Plan of Washington, Molina Healthcare of Washington, and United Healthcare Community Plan. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. Most Washington Medicaid members will be enrolled in an Apple Health Managed Care Plan. Adults do not have coverage for crowns, implants, bridges, or orthodontics. Kids can get:Īdults can get coverage for all of those services plus front teeth root canals, dentures, oral surgery, gum disease treatment, and nitrous oxide (laughing gas). Washington Medicaid pays for dental services for eligible members, but children and adults get different coverage. If your doctor wants to prescribe you a non-generic or non-preferred drug, he or she will have to seek approval from the Medicaid program first. It is up to your doctor to prescribe generic drugs whenever possible and to use the Washington Medicaid preferred drug list. Medicaid covers most prescription drugs but requires prior approval for some. Your plan will be with you every step of the way from assessing your needs to case management post-hospital stay. You can get coverage for everything from gambling addiction support groups to psychiatric hospital care. Washington Medicaid includes a very comprehensive mental and behavioral health program. Does Washington Apple Health Cover Mental Health? Apple Health for Kids may require a low monthly premium depending on your income, but will not charge any copayments or deductibles either. There are no premiums, copayments, or deductibles for any of these services. Pediatric services (including dental and vision).Mental health/substance abuse treatment.Since Medicaid is both a federal and state program, Washington Medicaid is required to cover the same essential benefits as every other state Medicaid plan (but does include some additional benefits). Washington State Medicaid Eligibility for Seniors and Disabled CitizensĪpple Health is the name for the Washington Medicaid program.Choosing a Washington Managed Care Plan.Click below to learn more about WA Medicaid: You might qualify and not even know it! Consider this page your ultimate guide to Apple Health, the Washington Medicaid program. Contrary to what a lot of people believe, about 62% of those Medicaid members are working. That represents about one out of every six adults and two out of every five children in Washington. Apple Health, the Washington Medicaid Program: Ultimate GuideĪbout 22% of the Washington population is enrolled in Medicaid.
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