FAQs | Washington Healthplanfinder

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FAQs

What is a Special Enrollment Period? 

A special enrollment period (SEP) is a time outside the yearly open enrollment period when you can sign up for qualified health and dental coverage. You qualify for a special enrollment period if you’ve had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child. The special enrollment period does not apply to free or low-cost Washington Apple Health coverage. If you qualify, you can get free or low-cost coverage Washington Apple Health year-round.

If you qualify for an SEP, you usually have up to 60 days following the event to enroll in a plan. If you miss that window, you have to wait until the next open enrollment period to apply.
 

You may qualify for a special enrollment period if you or anyone in your household had certain life changes in the past 60 days:

  • Got married
  • Had a baby, adopted a child, or placed a child for foster care
  • Got divorced or legally separated and lost health insurance. (Divorce or legal separation without losing coverage doesn’t qualify you for a special enrollment period.)
  • Loss of member in your household. You’ll be eligible for a special enrollment period if someone dies and as a result you’re no longer eligible for your current health plan
  • Moving from a location outside of Washington state or moved counties within Washington State
  • Tribal membership
  • Getting released from jail or prison
  • A change in citizenship or lawful presence status
  • Loss of other health coverage
  • Other life change

See if You Qualify 

 


How Do I Renew My Coverage? 

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.

Renew Washington Apple Health Online
Sign in to your account to renew your free or low-cost Washington Apple Health coverage. 

Sign In

 

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

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

 

The Renewal period for 2019 Qualified Health Plan coverage has ended.
You may still qualify for a special enrollment period or Washington Apple Health if you had certain life changes.

See if You're Eligible

 


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 calling 1-800-562-3022.

 

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 calling 1-855-923-4633.

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 Needed

 


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 Medicare Information and Washington Apple Health

See if You Qualify for Washington Apple Health 

 


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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More Information on 1095-A 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. 

Request Your 1095-B

More Information on 1095-B Tax Form

 


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