Senate Bill 5580 is a new law that will help more people access health care during and after pregnancy. Specifically, it raises the income limit for programs like Apple Health for Pregnant Individuals and After-Pregnancy Coverage (APC).
Starting November 1, 2024, more individuals will qualify for these programs because the income limit will increase from 193% to 210% of the federal poverty level. This means that if your income is within this new limit, you’ll be able to get health coverage through Apple Health.
The updated eligibility rules will be available in the Apple Health system starting October 1, 2024. This change aims to provide better access to health care for more pregnant individuals and new parents.
How much can clients earn to qualify?
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1 Person Household $2,698 Monthly
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2 Person Household $3,662 Monthly
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3 Person Household $4,626 Monthly
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4 Person Household $5,590 Monthly
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5 Person Household $6,554 Monthly
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6 Person Household $7,518 Monthly
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7 Person Household $8,482 Monthly
Who should apply for Apple Health pregnancy programs?
People who need coverage during or after their pregnancy can apply for these programs to see if they qualify. Individuals previously denied an Apple Health pregnancy program for being over income should reapply.
How to apply
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Online: Go to wahealthplanfinder.org – select the “Apply Now” button.
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Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633
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Mobile app: Download the WAPlanfinder app – select “sign in” or “create an account”.
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Paper: Submit an Application for health care coverage (18-001P).
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In-person: Local resources who, at no additional cost, can help you apply for health coverage.
What if someone is not eligible?
If a client does not qualify and needs health coverage, they may look for other health care coverage options by purchasing a qualified health plan. To apply during special enrollment, visit Washington Healthplanfinder or call Washington Healthplanfinder Customer Support Center at 1-855-923-4633.
