Washington Certificate of Group Health Plan Coverage

State:
Multi-State
Control #:
US-332EM
Format:
Word; 
Rich Text
Instant download

Description

This certificate provides evidence of prior health insurance coverage.

How to fill out Certificate Of Group Health Plan Coverage?

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FAQ

This document explains the health benefits you and your dependents have under the plan. It details the services that will and will not be covered. Services that are not covered are called exclusions.

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. Apple Health is available year-round.

Who is eligible for Washington Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2023 that translated to about $20,121 for a single person or $41,400 for a family of four.

Confirmation of Coverage means the accompanying document that outlines Your benefits and Maximum Benefit amounts.

A certificate of coverage (CoC) is a contract that lists an individual's health insurance coverage with their payor.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Every Woman Counts 2023 Income Eligibility Guidelines Number of Persons Living in HouseholdMonthly Gross Household IncomeAnnual Gross Household Income1$2,430$29,1602$3,287$39,4403$4,143$49,7204$5,000$60,0005 more rows ?

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Washington Certificate of Group Health Plan Coverage