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  • Standard Health Questionnaire For Washington State - Wship

Get Standard Health Questionnaire For Washington State - Wship

To whom you are applying, or go to www.wship.org. Washington State Health Insurance Pool. 1. 10-01-09 (CX072109) .

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How to fill out the Standard Health Questionnaire For Washington State - Wship online

Completing the Standard Health Questionnaire for Washington State is an essential step for individuals applying for health coverage. This guide provides clear and supportive instructions to help you navigate the online form efficiently.

Follow the steps to complete the questionnaire with ease.

  1. Click 'Get Form' button to obtain the questionnaire and open it for online completion.
  2. Begin by providing personal information in the designated boxes, including your name, date of birth, height, weight, contact number, and mailing address. Ensure accuracy as this information is crucial for your application.
  3. Review the exemptions section. Answer the questions to determine if you are exempt from completing the questionnaire. If you answer 'Yes' to any of the exemption questions, you may proceed without filling out the rest of the form.
  4. If not exempted, read the definitions provided in the questionnaire to understand the medical terms used in subsequent sections.
  5. Move on to Part 2 of the questionnaire. In each section, answer the Yes/No questions as accurately as possible. If you answer ‘Yes’, mark all relevant medical conditions listed in that section.
  6. If your condition is not listed, write it down in Section L and select the applicable time frame. Be thorough in your responses to ensure proper scoring.
  7. Once all sections are completed, proceed to Part 3, where you must sign and date the form. If you are completing the form for a minor, ensure that you select the appropriate guardian option.
  8. After reviewing your responses, you may save your changes, download a copy for your records, print the form for submission, or share it as needed.

Start completing your Standard Health Questionnaire online today to ensure you meet your health coverage needs.

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Apple Health is the name for Medicaid in Washington. Apple Health is free or low-cost health insurance coverage for those who qualify. Covered services include primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more.

Some programs have more eligibility requirements than others. Learn more about Apple Health eligibility requirements online....Who is eligible for Washington Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

What is the SHQ? The Standard Health Questionnaire (SHQ) is used by health carriers to determine eligibility of people applying for private, individual medical coverage. Carriers may turn applicants down if their score on the SHQ is 325 or more points.

Income & Asset Limits for Eligibility 2023 Washington Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (one spouse applying)Medicaid Waivers / Home and Community Based Services$2,742 / month†$2,742 / month for applicant†Regular Medicaid / Aged, Blind, Disabled$914 / month$1,371 / month2 more rows • Jan 3, 2023

Apple Health for Adults: Adults aged 19-64 may qualify for Apple Health. To qualify, you cannot be on Medicare and you must have monthly household income under 138% of the FPL (in 2022: $1,563 for one person, $2,106 for two people).

Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

In approximately half of the states, ABD Medicaid's income limit is $914 / month for a single applicant and $1,371 for a couple. In the remaining states, the income limit is generally $1,215 / month for a single applicant and $1,643 / month for a couple.

If you have a small business (1-50 employees), you're not required to offer your employees health insurance. If you do, you might qualify for tax credits.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232