Washington Health Benefit Exchange and Apple Health

The Washington Healthplanfinder (English | Spanish) is a service of the state’s health insurance exchange that can help you: 

• Find out if you may be eligible for federal or state financial help to pay premiums or out-of-pocket costs, such as copays.     
• Browse plans and compare what your costs may be and the doctors and hospitals available with each plan. 
• Enroll in a health plan.

Types of individual and family insurance plans

When you shop through the Washington Healthplanfinder, you’ll be asked for information about your family and income to see what coverage you qualify for.

Based on the information you enter, you’ll be able to view and compare the coverage and costs (if applicable) for: 

• Apple Health (Medicaid) plans
• Washington Health Exchange plans 
• Apple Health Expansion plans

Other good-to-know facts about health insurance

• All Washington residents, regardless of immigration status, can access coverage through Washington Healthplanfinder. Coverage has expanded to undocumented immigrants (foreign-born who lack valid documentation to be in the United States).
  • Receiving health coverage through Washington Healthplanfinder – including Washington Apple Health will not affect your or a family member’s immigration status or citizenship application.
  • When you apply for coverage through Washington Healthplanfinder, citizenship or immigration status information is only used to determine health plan eligibility. Federal and state laws protect your privacy. This information is not used for immigration enforcement.

Option 1-Apple Health (Medicaid): You can enroll any time during the year. For adults 19 or older. This allows individuals and households with countable income under 138% Federal Poverty Table (FPL) to enroll.

Option 2-Washington Health Exchange: Open enrollment ended on January 15^th, 2025.  There is opportunity to enroll in a qualified health plan. A special enrollment period (SEP) allows an individual to enroll if they have a qualifying life event. The SEP period is open every year outside of open enrollment. The Exchange market is designed for individuals  who do not have employer-sponsored health insurance or are eligible for Apple Health. 

Option 3-Apple Health Expansion: For adults 19 or older, regardless of immigration status. This allows individuals and households with countable income under 138% Federal Poverty Table (FPL) to enroll. The enrollment limit for Apple Health Expansion has been met for all age groups. For more information click here. 

You won’t pay anything for certain services — such as preventive care visits, certain cancer screenings and many vaccinations — with health plans available through the exchange. For many other services, you may be responsible for some or all the costs. 

That’s why it’s wise to take your time checking your options and making a choice. Here are three questions to ask yourself before you choose a health plan: 

• What services will you need? – Review what the plans cover for services you expect you may use. Some examples are doctor’s office and urgent care visits, prescriptions, children’s care (including dental and vision services), maternity and birth care, and emergency room visits. 

• Are my doctors in the network? – Check to see if doctors, hospitals and other healthcare providers you visit (or plan to visit) are in the plan’s network. Confirm with both the plan and the healthcare providers. Some plans do not cover any costs if you visit out-of-network providers. 

• What’s ahead for me and my family next year? – Think over if there are any needs you may have in the coming year, such as plans to add a child to your family, a need for ongoing treatment for cancer or a chronic disease, or a scheduled surgery. Compare your costs under each plan you consider. 

UW Medicine is "in-network" for several health insurance plans offered through the exchange, the Washington Healthplanfinder. That could matter to you when choosing a plan. 

Generally, you pay less out of pocket when you visit healthcare providers that are in-network. Going out-of-network may require you to pay more toward your deductible or in a copay – or may not be covered at all.

CY2025 Exchange plans with UW Medicine in network

BRIDGESPAN HEALTH COMPANY

• BRIDGESPAN CASCADE BRONZE
• BRIDGESPAN CASCADE SILVER
• BRIDGESPAN CASCADE GOLD
• BRONZE ESSENTIAL 8500

COMMUNITY HEALTH PLAN OF WASHINGTON (AUTHORIZED SPECIALTY CARE ONLY DOES NOT INCLUDE PRIMARY CARE)

• COMMUNITY HEALTH PLAN OF WASHINGTON CASCADE SELECT BRONZE
• COMMUNITY HEALTH PLAN OF WASHINGTON CASCADE SELECT SILVER
• COMMUNITY HEALTH PLAN OF WASHINGTON CASCADE SELECT GOLD

LIFEWISE HEALTH PLAN OF WASHINGTON

• MEMBERS CAN RECEIVE PRIMARY CARE AT UW MEDICINE LOPEZ ISLAND CLINIC ONLY WITH THE CASCADE SELECT AND ESSENTIAL PLANS

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (AUTHORIZED SPECIALTY CARE ONLY DOES NOT INCLUDE PRIMARY CARE)

• KAISER PERMANENTE CASCADE BRONZE 
• KAISER PERMANENTE CASCADE SILVER 
• KAISER PERMANENTE CASCADE GOLD 
• BRONZE HSA 
• VISITSPLUS BRONZE 
• VISITSPLUS SILVER 
• VISITSPLUS GOLD 
• BASICS PLUS CATASTROPHIC

MOLINA HEALTHCARE OF WASHINGTON

• MOLINA CASCADE BRONZE
• MOLINA CASCADE SILVER
• MOLINA CASCADE GOLD
• CONSTANT CARE SILVER 1

PREMERA BLUE CROSS

• PREMERA BLUE CROSS CASCADE BRONZE
• PREMERA BLUE CROSS CASCADE SILVER
• PREMERA BLUE CROSS CASCADE GOLD
• PREMERA BLUE CROSS PREFERRED BRONZE EPO 6650
• PREMERA BLUE CROSS PREFERRED BRONZE HSA EPO 6800
• PREMERA BLUE CROSS PREFERRED SILVER EPO 4500
• PREMERA BLUE CROSS PREFERRED GOLD EPO 1500

REGENCE BLUECROSS BLUESHIELD OF OREGON

• CLARK COUNTY RESIDENTS WITH THE INDIVIDUAL AND FAMILY NETWORK PLANS

REGENCE BLUESHIELD OF WASHINGTON

• REGENCE CASCADE BRONZE
• REGENCE CASCADE SILVER
• REGENCE CASCADE GOLD
• BRONZE ESSENTIAL 8500
• BRONE HSA 7000
• GOLD 2300

UNITED HEALTHCARE OF OREGON, INC.

• UNITEDHEALTHCARE OF OREGON, INC. CASCADE BRONZE
• UNITEDHEALTHCARE OF OREGON, INC. CASCADE SILVER
• UNITEDHEALTHCARE OF OREGON, INC. CASCADE GOLD
• UHC BRONZE VALUE HSA
• UHC SILVER COPAY FOCUS
• UHC GOLD ADVANTAGE

Apple Health plans with UW Medicine in network 

APPLE HEALTH (MEDICAID)

UW Medicine is in network with these Medicaid plans, with some exceptions. Ask the health plan about your coverage for services through UW Medicine.

• COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW) APPLE HEALTH 
  • Harborview, UW Medical Center, and UW Physicians: authorized specialty care only, except primary care covered at Lopez Island clinic 
  • Valley Medical: authorized facility services only
• COORDINATED CARE APPLE HEALTH 
• MOLINA (MHC) APPLE HEALTH 
• UNITED HEALTHCARE COMMUNITY (UHC) APPLE HEALTH
• WELLPOINT (FORMERLY AMERIGROUP) APPLE HEALTH

APPLE HEALTH EXPANSION

UW Medicine is in network with these plans, with some exceptions. Ask the health plan about your coverage for services through UW Medicine.

• COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW) APPLE HEALTH 
  • Harborview, UW Medical Center, and UW Physicians: authorized specialty care only, except primary care covered at Lopez Island clinic
  • Valley Medical: authorized facility services only
• COORDINATED CARE APPLE HEALTH
• MOLINA (MHC) APPLE HEALTH
• UNITED HEALTHCARE COMMUNITY (UHC) APPLE HEALTH