Low-income Americans with few resources may be eligible for health care coverage through Medicaid, the national program that serves needy residents in every state, including expectant mothers, parents and their dependent children, disabled and blind adults and senior citizens.
Qualifying for Apple Health
The Washington Medicaid program, Apple Health, provides coverage for over 1.6 million state residents who meet these eligibility requirements:
- Are a U.S. citizen or legal alien
- Are at least aged 65 years old or aged 64 or younger and blind or disabled
- Have $2,313 or less in monthly income for single applicants and $4,626 for couples applying together
- Own no more than $2,000 in assets per individual or $3,000 per married couple
All sources of income count toward the above limits, but a few assets are exempt, such as personal effects, one automobile, an owner-occupied primary home and household furnishings. Seniors receiving
Supplemental Security Income are enrolled in Apple Health automatically by the Social Security Administration.
If a married senior’s spouse doesn’t apply, their income isn’t counted. They may also be eligible to keep up to $3,160.50 of the applicant’s monthly income along with up to $126,420 of the couple’s joint assets. These amounts are the maximum living and resource allowances mandated by federal law to deter
spousal impoverishment. Once these allowances are calculated and deducted, the lower income and asset levels that result may allow a Whatcom County senior who previously exceeded the limits to be approved for coverage.
Community First Choice Option Program Whatcom County seniors who qualify for Apple Health for long-term care are covered for institutional care in a nursing home. Those who’ve been assessed as able to safely live in the community can qualify for the
Community First Choice Option program. This Medicaid entitlement program allows seniors to receive care in their own homes or adult residential care facilities. The services provided are based on an individual’s needs and may include:
- Transitional assistance to move back to the community from a nursing home
- Medication administration assistance
- Respite care
- Necessary insulin injections and blood glucose monitoring by a professional nurse
- Personal emergency response systems
- Assistive technologies
Seniors can
apply for Apple Health long-term care coverage online, by visiting the
Bellingham Community Services office located at 4101 Meridian Street or by calling (877) 501-2233.
Community Options Program Entry System Waiver The
COPES waiver offers seniors with another alternative to institutional nursing home care. The home and community-based waiver provides needed supports in a senior’s own home or community setting.
To qualify for the program, Whatcom County residents must be aged 65 or older and need help performing two or more activities of daily living. Each applicant must also have less than $2,313 in monthly income and $2,000 or less in countable assets.
Those approved for the waiver need to pay their own room and board, but the program provides case management and a range of other services, such as:
- Assistance with daily living activities
- Medical supplies and equipment
- Wellness education
- Skilled nursing services
- Community support
- Nonmedical transportation
Participation in the waiver program is capped statewide, so eligible seniors may be placed on a waiting list to receive services.
For more information or to apply for the COPES waiver, seniors can contact the
Whatcom County Senior Information and Assistance center at (360) 738-2500.