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Learn about Medicaid with Kaiser Permanente in Washington State

Medicaid provides free or low-cost health coverage to low-income individuals and their families. In Washington State, the Medicaid program is called Washington Apple Health. On January 1, 2014, Washington State expanded their Medicaid program (Washington Apple Health) to a larger and more diverse group of people, including adults and children below certain income levels.

Free or low-cost coverage

Most individuals who qualify for Medicaid will have no monthly premium, no copay, and no out-of-pocket cost for most covered services. Depending on your income and the eligibility rules, you may have to pay a share of the cost of your care.

Kaiser Permanente participates in Washington Apple Health through Molina Healthcare of Washington, a Medicaid Managed Care Organization (MCO).

Note: As of June 1, 2023, Kaiser Permanente Washington is closed to all new Molina Apple Health patients.

Medicaid in Washington State provides a core set of health benefits, including doctor visits, hospital care, immunization, and pregnancy-related services. The Affordable Care Act ensures all Medicaid health plans offer what are known as Essential Health Benefits (EHB). These comprehensive services include the following categories:

Primary and Specialty care

Get care from a healthcare provider such a nurse, doctor or specialist – including appointments, exams, and treatment.

Pediatric services

Your child can get regular check-ups, dental care, vision care and immunizations.

Medication

Get prescriptions that are covered by your plan.

Hospital care

If you have to go to a hospital, you can get the services you need, including x-rays and lab tests.

Emergency care

If you need to make an emergency room visit, you can get emergency services.

Laboratory services

Lab tests are covered.

Maternity and Newborn care

Regular maternity care appointments, newborn screenings, immunizations, and more are covered.

Rehabilitative & Habilitative Services

Services and devices to help you recover from an injury, disability or chronic condition. Examples may include physical and occupational therapy.

Preventive and wellness services

Care you need to stay healthy, such as physical exams, counseling, screening, vaccines and chronic disease management.

Please note: Some services may require preauthorization. Visit www.MolinaHealthcare.com or call Molina Member Services at 1-800-869-7165 for full details.