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Information to clarify health plan choices for people with Medicaid and Medicare.Benefits
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Medicaid
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Washington Apple Health Medicaid
Medicaid
Our plan offers a range of benefits. View the benefits below to see all that it offers. It's for people who meet income requirements and are eligible for Washington Apple Health (Medicaid), including pregnant women, children and young adults to age 21, families and adults.
To find out if you qualify, visit wahealthplanfinder.org or call 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604.
We can also assist with interpreter services, including American Sign Language. To ask for help, please call 1-877-542-8997, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Search for behavioral health providers and resources.
Find medications covered by this plan.
Find a pharmacy near you.
Search for a vision center.
For more information on your covered dental benefits contact: Health Care Authority/ProviderOne 1-800-562-3022 To find a provider that takes Apple Health visit fortress.wa.gov
Benefits & Features
Important Information and Disclosures
Information about Renewing Your Coverage
Washington Apple Health
Have you received information asking you to take action so that you can keep getting benefits?
We’re here to help you.
Call us toll-free at
1-866-686-9323, TTY 711.
Don’t let your health care coverage end. It’s too important.
You can also renew by contacting the Washington Health Benefits Exchange.
Online: wahealthplanfinder.org
Or call: 1-855-923-4633, TTY/TDD 1-855-627-9604.
How to Contact Us
If you have questions about your health plan, please call us. Our toll-free Member Services number is 1-877-542-8997 (TTY: 711).
There will be people who can speak to you 24 hours a day, 7 days a week in English, Spanish and Vietnamese when you call.
Conversion Rights
Members have the right to obtain a conversion agreement to continue health and medical benefits upon termination of Medicaid eligibility.
If you have questions or to obtain a conversion agreement, please call us. Our toll-free Member Services number is 1-877-542-8997 (TTY: 711).
Medical Prior Authorizations
We require prior authorization on all out-of-network referrals. The request is generally processed like any other authorization request. The nurse reviews the request for medical necessity and/or service. If the case does not meet criteria, the nurse routes the case to the Medical Director for review and determination. Out-of-network referrals are generally approved for, but not limited, to the following circumstances:
- Continuity of care issues
- Necessary services are not available within network.
Out-of-network referrals are monitored on an individual basis. Trends related to individual physicians or geographical locations are reported to Network Management for review.
To find out if a prior authorization request has been approved, check with your provider or call member services, at 1-877-542-8997 (TTY: 711). If the prior authorization request is denied, you will be notified in writing, including your right to appeal this decision.
Translation Resources
UnitedHealthcare Community Plan provides member materials to you in a language or format that makes it easier for you to understand. Our provider network includes many doctors who are multilingual. Our provider directory shows which languages doctors speak. Additionally, many of our Member Services representatives speak multiple languages, so when you call they will be able to help you or connect you with our interpreter service which covers more than 170 languages.
If you have trouble hearing over the phone you can use a text telephone. This free service allows persons with hearing or speech disabilities to place and receive telephone calls. Call 711, give them the Member Services number 1-877-542-8997, and they will connect you to us. You can also get information in large print, Braille or audio tapes. We can also assist with interpreter services, including American Sign Language. To ask for help, please call 1-877-542-8997, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.
Our toll-free Member Services number is 1-877-542-8997 (TTY: 711).
Learn More
Washington Apple Health Medicaid