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The Academy of Pediatric Dentistry recommends all children see a dentist by 12 months of age. Apple Health Medicaid pays for covered dental services for adults 21 years and older.

DentistLink has an up-to-date Apple Health dental provider list. You can search for a dentist through our Find a Dentist directory , or you can receive a referral by contacting our DentistLink referral specialist team. You can also complete our form, and one of our referral specialists will reach out during business hours. Once connected to a referral specialist, you will receive contact information for a dentist in your area that meets your needs.

Apple Health Medicaid covers Medical too. Find an Apple Health Dentist. List of Apple Health Eligibilities. List of Premiums by Eligibility. Apply for Apple Health. Complete List of Covered Services. Questions about Apple Health? Contact the Health Care Authority. Questions about DentistLink? Consider this page your ultimate guide to Apple Health, the Washington Medicaid program.

Since Medicaid is both a federal and state program, Washington Medicaid is required to cover the same essential benefits as every other state Medicaid plan but does include some additional benefits. The basic benefits included are:. There are no premiums, copayments, or deductibles for any of these services.

Apple Health for Kids may require a low monthly premium depending on your income, but will not charge any copayments or deductibles either. Washington Medicaid includes a very comprehensive mental and behavioral health program. You can get coverage for everything from gambling addiction support groups to psychiatric hospital care. Your plan will be with you every step of the way from assessing your needs to case management post-hospital stay.

Medicaid covers most prescription drugs but requires prior approval for some. It is up to your doctor to prescribe generic drugs whenever possible and to use the Washington Medicaid preferred drug list.

If your doctor wants to prescribe you a non-generic or non-preferred drug, he or she will have to seek approval from the Medicaid program first. Washington Medicaid pays for dental services for eligible members, but children and adults get different coverage. Kids can get:.

Adults can get coverage for all of those services plus front teeth root canals, dentures, oral surgery, gum disease treatment, and nitrous oxide laughing gas.

Adults do not have coverage for crowns, implants, bridges, or orthodontics. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. The plans are not all available in every area. Use this map to find out which of the five are available in your area.

There are two Coordinated Care of Washington plans. The adult plan includes a cell phone program with unlimited texting, and both plans include a comprehensive rewards program:.

The Molina Healthcare of Washington plan includes a virtual urgent care clinic at no cost. UnitedHealthcare offers a few different types of WA Medicaid managed care plans. You can download the application here and either take it to your local CSO Community Services Office , fax it to , or mail it to the address on the application. We recommend applying online to for the easiest approach and the fastest results. Unlike Medicare and private health insurance plans, there is no enrollment period for Medicaid.

You can enroll in Medicaid at any time of the year. You can use your WA Health Plan Finder account to apply for coverage, renew your current coverage, report a change new household members, new baby, income change, etc.

Medicaid eligibility is mostly based on your monthly household income compared to your household size. You also must be a legal resident of Washington State and the United States to qualify. Some legal aliens who have severe medical needs may be able to qualify as well.

Eligibility requirements per household are slightly different for kids, so your child may qualify for Apple Health for Kids even if your family is not eligible for full Medicaid. The aged, blind, and disabled WA Medicaid program has slightly different income requirements than the adult Medicaid program. Your premium would not exceed 7.

We have licensed Medicare agents in Washington state that can lay out all of your DSNP options and help you figure out which one makes the most sense for you.

For help, call or send us a message now.

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