After-Pregnancy Coverage
Find eligibility requirements for Washington Apple Health After-Pregnancy Coverage (APC).
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After-Pregnancy Coverage es una cobertura integral de Apple Health (Medicaid) para que las personas accedan a los servicios de atención médica en cualquier momento durante los 12 meses posteriores a la finalización del embarazo. Obtenga más información sobre APC y cómo aplicar.
What is After-Pregnancy Coverage (APC)?
APC is comprehensive Apple Health (Medicaid) coverage for individuals to access health care services any time in the 12 months after their pregnancy ends.
Am I eligible?
To be eligible for this program a person must:
- Have been pregnant within the last 12 months.
- Reside in Washington.
- Have countable income equal to or below 193 percent of the Federal Poverty Level.**
- Not be eligible for a different Apple Health program.
Immigration status does not affect eligibility.
|
Program |
1-Person household |
2- Person household |
3- Person household |
4- Person household |
5- Person household |
6- Person household |
7- Person household |
|---|---|---|---|---|---|---|---|
|
After-Pregnancy coverage |
$2,485 |
$3,373 |
$4,260 |
$5,148 |
$6,036 |
$6,923 |
$7,811 |
*The income standards listed in these examples are subject to change annually every April.
** Income limit in table includes the 5% income disregard.
What services are covered?
APC provides complete major medical coverage which include services that a person receives during their pregnancy coverage.
For more information visit: Program benefit packages and scope of services.
How do I apply?
Enrolled in Apple Health coverage
If you are already on an Apple Health (Medicaid) program and a pregnancy is reported, coverage for APC will begin the first day of the month following the date the pregnancy ends.
APC is automatic if the pregnancy is reported with the estimated or actual pregnancy end date. It continues up to 12 months regardless of a change in income or the number of household members living at home during enrollment.
Not enrolled in Apple Health coverage
Individuals not enrolled on an Apple Health program during their pregnancy can apply for APC through Washington Healthplanfinder if their last pregnancy ended within the past 12 months.
Report a change in pregnancy status
Current Apple Health clients should continue to report changes in their pregnancy status (including estimated due date). Without this information we cannot guarantee an additional 12 months of APC, starting the month after your pregnancy ends.
Learn how to report a change.