FAQs | Washington Healthplanfinder

Open enrollment is November 1st through December 15th.

FAQs

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How Do I Renew My Coverage? 

If you’re enrolled in a Qualified Health or Dental Plan through Washington Healthplanfinder, you’ll need to renew your coverage each calendar year to stay covered. Customers who are auto-renewed into the same or similar plan for the upcoming coverage year will have information presented to them when they sign in to their account. If you like your auto-renewed plan, all you need to do is make your payment. During this time, you can shop and compare new health plans and even add new dental coverage. You can use a shopping tool called “Smart Planfinder” to make sure your plan next year is the best value for you or your family, and that your prescriptions, doctors or clinics are covered.

Near open enrollment, you’ll receive a renewal message that will give you the steps to finalize your coverage for the coming year. If your current plan is unavailable, this message will also include details about a new plan we’ve picked for you so you don’t have a gap in coverage. During open enrollment, you should browse and shop to make sure that you have the best coverage for your needs and budget.

You can shop and compare coverage options for next year starting November 1.

Make sure to finalize your coverage by December 15th for coverage that starts January 1st!


Renew Online
Sign in to your account to renew your coverage today!

Washington Apple Health Can Be Renewed Year-Round
You can expect to get a letter about your annual health coverage renewal 60 days before the end of your certification period. Washington Apple Health coverage must be renewed each year to maintain health coverage.

Sign In

 

Renew In-Person

Get in-person assistance from a Navigator or Broker.

Navigators are trained to help you complete an application and answer any questions as you enroll. You can get assistance in-person and over-the-phone from a Navigator.

Find a Navigator Near You


Registered brokers are licensed professionals that often live in and support their local communities. Brokers can help you fill out the application and can recommend a plan for you. Brokers may charge a small fee, unless they help you enroll into a Washington Apple Health plan.

Find a Broker Near You

 

Renew through the WAPlanfinder app
Download our mobile app, WAPlanfinder, and renew directly from your phone.

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Renew Over-the-Phone
Contact customer support toll-free at 1-855-923-4633
TTY/TDD 1-855-627-9604

 

 

How Do I Reset My Password?

  1. Click "Sign In"
  2. Select "Forgot Your Password"

Sign In

Password Tips:

  • You'll need to make your password at least 8 characters long.
  • You can't use a previous password.

Our password requirements have been tough – that’s because Washington Healthplanfinder keeps some sensitive information. But after many of you noted to us that the password rules were too strict and that your password expires too quickly, we’ve made some changes.

Now, when you create or update your password, you can’t use a previous password and you’ll need to make it at least 8 characters long. That’s it. No more need for at least one uppercase character, lowercase character, special character, or any other special rule. It’s all up to you! And, we’ve provided a handy password strength indicator to help.

The best part? Your password no longer expires. Ever.

 

 

How Do I Report a Change?

  • To update your account information, sign in to your account and select “Report a Change”.
  • Answer the questions that apply to you and follow the pages to update your information.
  • You can do this at wahealthplanfinder.org or through WAPlanfinder, our mobile app.
  • Make sure to finish the application by electronically signing and submitting it to apply the changes.

Sign In

 

Washington Apple Health Changes
In addition to reporting a change through your account, Washington Apple Health clients can report changes by emailing AskMAGI@hca.wa.gov or by calling Washington Healthplanfinder customer support at 1-855-923-4633 to report a Washington Apple Health change.

 

Eligibility Can Change
After you make your updates and submit your application, you’ll get a new eligibility result that will explain:
 

  • What You Need to Know
    • For Washington Apple Health, you must report changes within thirty days of when the change happened.
    • For other plans, you must report changes to your account by the 15th of the month for your coverage to begin the next month.
       
  • Why it's important to report changes
    • If your income estimate goes up or you lose a household member:
      • You may qualify for less savings than you’re getting now. If you don’t report the change, you could have to pay money back when you file your federal tax return.
         
    • If your income estimate goes down or you gain a household member:
      • You could qualify for more savings than you’re getting now. This could lower what you pay in monthly premiums.
      • You could qualify for free or low-cost coverage through Washington Apple Health.

 

Download the WAPlanfinder App to Update Your Information

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How Do I Cancel My Coverage?

Cancel for all household members
If you want to cancel your qualified health plan for all household members, click “Cancel Coverage” under “My Coverage” on your dashboard. 

 

Cancel for some household members
If you want to cancel coverage for someone in your household, click “Report a Change in Income or Household."

Choose the household member who no longer needs coverage and select “No” to the question “Is this person applying for coverage?”. Resubmit your application.

 

Cancel Washington Apple Health
If you want to cancel your Washington Apple Health coverage, contact the Health Care Authority by emailing AskMAGI@hca.wa.gov or by calling Washington Healthplanfinder customer support at 1-855-923-4633 to report a Washington Apple Health change.

Sign In

 

If you need help, call our Customer Support Center at 1-855-923-4633.

 

 

How Do I Submit a Document?

Use the WAPlanfinder Mobile App
Download our mobile app to submit your documents with the snap of a photo. Sign in to your account, go to Document Center, upload your documents and you’re done.

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Online
Submit your documents by visiting your account.

Sign In

 

Fax or Mail
You can also fax or mail a copy of your documents. We can’t return original copies to you.
Mailing documents will delay processing.

Fax number:
360-841-7620

Address:
Washington Healthplanfinder
P.O. Box 946, Olympia, WA 98507

IMPORTANT! Don’t mail your documents if your deadline is less than 2 weeks away.

 

Washington Apple Health clients can also turn in documents in these additional ways:

Email:
apple@hca.wa.gov

Fax number:
1-855-867-4467

Upload Your Documents Online

Learn More About Documents Required

 

 

Can I get a Qualified Health Plan or Qualified Dental Plan if I’m on Medicare? 

It is against the law for Washington Healthplanfinder to issue you a Qualified Health Plan knowing that you have Medicare. However, if you are already enrolled in a QHP, you can choose to continue QHP coverage. Individuals who begin receiving Medicare Part A are no longer eligible for financial assistance such as tax credits and cost-sharing reductions. 

If you want coverage designed to supplement Medicare, you can find out more about Medigap policies.

For prescription drug coverage, you can buy a Medicare Part D drug plan.

If you choose not to enroll in Medicare, if you are eligible, you will lose your tax credits.

You can’t currently purchase a stand-alone Qualified Dental Plan through Healthplanfinder. However, if you are currently enrolled in a QDP, you can keep this coverage. However, there are other options to consider such as purchasing a Medicare Advantage Plan.

Find out more information regarding Medicare and coverage through a Marketplace Exchange.

 

 

Now that I am 65 or older, or I have Medicare coverage, do I still qualify for Apple Health coverage?

You may still be eligible for Washington Apple Health Classic Medicaid coverage, even if you have Medicare coverage. 

This coverage could include free coverage, help paying for Medicare premiums, or long-term services and supports. 

Eligibility for Apple Health Classic coverage is determined by your household’s income and resources, except for Washington Apple Health for Workers with Disabilities. Apply online at www.washingtonconnection.org.

If I have Medicare, do I need other coverage?

While Medicare covers many medical expenses, it does not cover everything. If you meet the income and resource limits, Washington Apple Health may help pay for any expenses Medicare does not.

To get help with information about Medicare in your area, visit www.insurance.wa.gov/medicare.

Once I am receiving Medicare, can I keep my same provider?

Check with your provider to see if they accept your new Medicare coverage. Some providers may not accept your new coverage.

Any Washington Apple Health coverage you are approved for when you are receiving Medicare will work as a secondary insurance to Medicare. This means that Medicare will pay first, and other coverage will pay after that.

Find More Information on medicare

See if You Qualify

 

 

I have a Health Plan, Now What?

Make an appointment, find a provider, what if I have an emergency? Here is a list of how to get started using your plan. Make sure to check with your provider when getting started. Your insurance provider will provide you all the details you need when using your coverage.

Get Started

 

 

How Do I View My 1095-A Tax Form? 

Sign in to your account and select Message Center to view your tax form.

Customers enrolled in a Qualified Health Plan will receive a 1095-A tax form in the mail and message center by early February. If you were enrolled in more than one plan during the year, you’ll get a 1095-A for each plan. Customers enrolled in a catastrophic health plan will not receive a 1095-A. 

If you’re having trouble viewing your Washington Healthplanfinder messages, including your 1095-A, try updating your internet browser or using a different browser (for example, Chrome).

Sign In and View

You can also go to or download the WaPlanfinder mobile app and select Message Center to view your tax form.

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Find Information on 1095-A

 

 

How Do I View My 1095-B Tax Form?  

Everyone who receives minimum essential Washington Apple Health (Medicaid) coverage for one or more months of the last tax year will receive an IRS tax form 1095-B. The form is not available in your message center on Washington Healthplanfinder. Request a copy of your 1095-B from Health Care Authority below. 

Request Your 1095-B

Find Information on 1095-B Tax Form

 


Can't find the answer to your question? Use the FAQ Search feature at the top of the screen.

 

 

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Washington Healthplanfinder has a network of customer support across Washington State to help you enroll in coverage that meets your needs and budget. Whether you prefer to receive assistance online, over the phone, or in-person, trained representatives are available to help educate you about your options and walk you through the enrollment process.

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