Federal Way seniors who meet income and asset limits may qualify for no-cost health insurance through Apple Health, the state’s Medicaid program. This program is jointly funded by the state and federal government and provides preventive care, including cancer screenings, treatment for high blood pressure and diabetes, routine doctor’s office visits and hospital stays. In addition to this, it covers some personal services for seniors who reside in state-licensed assisted living facilities that accept Medicaid payments.
Apple Health also provides financial assistance for assisted living through a waiver program, which is detailed below.
Qualifying for Apple Health
To qualify for Apple Health, applicants must meet financial guidelines for SSI. Single applicants can have an income of no more than $771 per month with $2,000 in countable assets. The combined monthly income of married applicants can’t surpass $1,157, and they can have no more than $3,000 in resources.
Countable assets include cash, bank accounts, investments and personal property beyond what’s necessary for self-support. A senior’s primary dwelling and the land it sits on, one vehicle, burial spaces for immediate family and burial funds as well as household goods aren’t countable assets. Other exemptions may apply if only one spouse needs Medicaid.
Apple Health is an entitlement program, which means that all who qualify are guaranteed benefits.
Community Options Program Entry System
The state covers assisted living expenses for eligible seniors through a 1915(c) Home and Community-Based Services waiver called the Community Options Program Entry System. This waiver covers personal care services, adult day health care, environmental modifications, skilled nursing and nonemergency medical transportation.
Acceptance into COPES is based on care needs, income and assets. Qualifying seniors are those who require help with two or more activities of daily living, have a monthly income of no more than $2,313 and no more than $2,000 in countable assets. Married applicants may have a combined monthly income of up to $4,626 and up to $3,000 in countable assets. Funding for COPES is limited, and eligible applicants may be placed on a waiting list.
There are several ways to apply for Apple Health. Seniors can apply online through Washington Connection. Alternatively, a paper application can be submitted in person at the local Department of Social and Health Services office, or seniors can apply over the phone by calling (877) 501-2233.