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.
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.
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.
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.
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