Frequently Asked Questions

QUESTION: Is Apple Health for Kids free?

ANSWER: Apple Health for Kids is free for children in families below 200 percent of the Federal Poverty Level ($36,620 for a family of three). Families above that level may be eligible for the same coverage at low cost: $20 a month per child for families below 250 percent of poverty and $30 a month per child for families below 300 percent of poverty. (The premiums max out at two per family, so no family would pay more than $60 a month in premiums.)

Q: How do I know what the Federal Poverty Level is or whether I meet the guidelines?

A: An easy-to-read table is available on the 'Am I Eligible' page. It lets you compare your monthly or annual income with the federal guidelines and should tell you whether or not your children qualify for Apple Health for Kids coverage.

Q: If I pay premiums, will the coverage be different?

A: All Apple Health for Kids coverage is the same. It covers major medical with special preventive benefits for children, including dental coverage.

Q:  What services are covered?

A: 

  • Ambulance
  • Urgent or Emergent Care
  • Eye exams
  • Well child checkups
  • Home health care
  • Hospital care
  • Immunizations (shots)
  • Lab services
  • Maternity Care
  • Medical supplies & equipment
  • Office visits
  • Oxygen/Respiratory therapy
  • Pharmacy/Prescriptions
  • Physical therapy, occupational therapy, speech therapy
  • Surgery
  • Specialty Care
  • X-ray



Q: One of my children is a citizen because he was born in the United States, but his two sisters are not. Can I get health coverage for all three?

A: Yes. Apple Health for Kids is available to both citizens and non-citizens who are 18 or younger.

Q: I know where my child was born and that he is a citizen, but I don’t have his birth certificate. Can I still apply?

A: Yes! We will help you track down a birth certificate and pay the costs of getting a copy of it. Although citizenship is not required for Apple Health for Kids, the federal government will help Washington State pay the costs of coverage for citizen children. That means it is in the state’s interest to verify citizenship for all children who are citizens.

Q: Our family’s income varies from month to month. Should we average out what we make?

A: No, Apple Health for Kids income eligibility must be based on actual income, not averages. Use your actual payroll stubs or other proof of income to calculate your most recent monthly or annual income. (A table on the “I Want to Apply” page lists the income eligibility for families with different numbers of children.)

Q: Is there someone I can talk to about this in my own county? I’d like to find out more before I apply.

A: Yes. We have contractors in each county in the state who will contact you and answer your questions. Go to the 'I Want To Talk To Someone' page and click on your county. You will be connected by e-mail to our county contractor, and a representative will get in touch with you.