Application forHealth Care Coverage(and to find out if you can get help with costs) Use this application to see what health care coverage you qualify for:Free or lowcost health care coverage from.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the WA HCA 18-001P online

This guide provides step-by-step instructions for completing the WA HCA 18-001P form online. You will learn how to gather necessary information and accurately fill out each section of the application for health care coverage.

Follow the steps to successfully complete your application.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the primary applicant's name, contact information, and date of birth. Ensure you provide a valid Social Security number and select your preferred contact method for correspondence.
  3. If applicable, indicate whether you would like assistance from an authorized representative. If so, fill in their contact information as well.
  4. Provide details about your household members, including their names, relationship to the primary applicant, and any applicable status regarding health care coverage.
  5. For each household member, enter social security numbers and citizenship or immigration status, making sure to highlight any non-citizen status.
  6. Complete the health insurance information section by listing any existing health coverage, including policy numbers and types of existing plans.
  7. Fill in gross income information for all household members, including employment details and any relevant self-employment income, along with a total estimate of household income.
  8. At the end of the application, read through your inputs to ensure accuracy, then sign and date the form to certify that all information provided is true to the best of your knowledge.
  9. Once completed, you can save your changes, download, print the application, or share it as required.

Complete your application for health care coverage online today for faster processing.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Application for Apple Health - Washington State...

you qualify for: • Free or low-cost health care coverage from Washington Apple Health...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

What is the income limit for Washington Apple Health?

Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2020 that translated to about $17,609 for a single person or $36,156 for a family of four.

Medicaid expansion: Building on compassion Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2020 that translated to about $17,609 for a single person or $36,156 for a family of four.

Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2020 that translated to about $17,609 for a single person or $36,156 for a family of four.

To be eligible for Washington Medicaid, you must be a resident of the state of Washington, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2020 that translated to about $17,609 for a single person or $36,156 for a family of four.

You may be eligible for Apple Health for Adults coverage if you: Are age 19 through 64. Have annual household income at or below the Medicaid standard (see income chart below). ... Are a U.S. citizen or meet Medicaid immigration requirements.

Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2020 that translated to about $17,609 for a single person or $36,156 for a family of four.

To be eligible for Washington Medicaid, you must be a resident of the state of Washington, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($17,609 for an individual; $36,156 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($69,692 per year for a family of four).

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

WA HCA 18-001P Form

This form is available in several versions. Select the version you need from the drop-down list below.

Get WA HCA 18-001P