Questions you might have
What’s the dierence between Washington Apple
Health and Medicaid?
Washington Apple Health is the name for Medicaid in
Washington State. Your provider or the receptionist may
call it Medicaid.
What is managed care?
Most Apple Health clients have “managed care” which
means Apple Health pays a health plan a monthly fee for
your coverage.
What is Apple Health without a managed care
plan?
Apple Health coverage without a managed care plan
(also known as fee-for-service) is when Apple Health
pays your provider directly. Most Apple Health clients are
enrolled in managed care.
Apple Health pays your provider directly for some
benets, even if you are enrolled in managed care. This is
known as fee-for-service.
Clients enrolled in Apple Health without a managed
care plan can find a provider online at https://fortress.
wa.gov/hca/p1findaprovider or call 1-800-562-3022.
Can I access services before I have my ProviderOne
services card?
You can see a doctor or ll prescriptions before your cards
arrive by:
• Visiting the ProviderOne client portal at
https://www.waproviderone.org/client to get
your ProviderOne ID number. Give that to the
provider or pharmacist.
• Tell a provider or pharmacist your name, date of
birth, and Social Security number. They can look you
up in their systems.
What if I lose my health plan card?
• Call your health plan and request a new card.
How do I check my Apple Health enrollment?
Check your Apple Health enrollment:
• Online: https://www.waproviderone.org/client
• Phone: 1-800-562-3022
Do I have to be enrolled in a health plan?
Yes, with few exceptions. For more details see your
Welcome to Washington Apple Health booklet
available online at hca.wa.gov/ah-client-booklets. If
you’re not sure which booklet to read, call the Apple
Health Customer Service Center at 1-800-562-3022 for
assistance.
Can I see any provider?
No, you must see providers in your health plan’s network,
unless your plan gives you written permission to see a
specialist. If you want to use a specic provider, ask what
health plans they network with.
Does everyone in my household need to have the
same health plan?
Yes, everyone in your household has the same health
plan, unless they are American Indian or Alaska Native.
What is the dierence in the plans?
All plans cover the same basic services, but have
dierences in how they deliver services and their
provider networks.
• Learn more about the basic covered services:
hca.wa.gov/apple-health-services.
How do I renew my coverage?
Your Apple Health coverage usually lasts for one year.
We will send you a letter to remind you to renew your
coverage, so it’s important to keep your mailing address
updated. Learn more about renewing your coverage
online at hca.wa.gov/apply-or-renew-coverage.
What do I do if I have private health care coverage?
If you have other medical or dental coverage available
to you through an employer, spouse/domestic partner,
or parent, Apple Health can pay for deductibles, co-pays,
and any out-of-pocket cost for qualied covered services.
Report your other health care coverage one of the
following ways:
• Report insurance or a change online at https://
fortress.wa.gov/hca/p1contactus/
.
• Call Apple Health customer service at
1-800-562-3022.
If you are enrolled with a managed care plan, also
report your other insurance to your plan.