Kaiser Permanente participates in Washington Apple Health through Molina Healthcare of Washington, a Medicaid Managed Care Organization (MCO). In order to choose Kaiser Permanente as your healthcare provider, you must qualify for Washington Apple Health, be assigned to Molina Healthcare as your MCO, and live in a Kaiser Permanente Medicaid service area.
Full Answer
Does Kaiser Permanente Washington accept Medicaid?
Free or low-cost coverage All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment.
Can I go to Kaiser with Medi-Cal?
Qualify for Kaiser Permanente You may be able to become a Medi-Cal Managed Care member with Kaiser Permanente. You must qualify for Medi-Cal and live in a county where Kaiser Permanente has a contract to provide Medi-Cal Managed Care services.
Can I use my Washington Medicaid in another state?
Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.
Is Medicaid the same as Washington Apple Health?
In Washington State, Medicaid is called Apple Health. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services.
Does Kaiser Medi-Cal have dental?
Dental benefits may be included or purchased with some Kaiser Permanente plans. For a list of dental providers visit the Delta Dental website. Dental benefits may be included or purchased with some Kaiser Permanente plans.
Does Kaiser Medi-Cal cover vision?
All Medi-Cal members are eligible for a routine eye exam, which checks the health of the eyes and tests for an eyeglass prescription. Only members under 21 years old and residents of a nursing home receive coverage for eyeglasses (frames and lenses).
Which state is best for Medicaid?
States with the Best Medicaid Benefit ProgramsRankStateUnemployment Rate1New York14.5%2New Hampshire16.3%3Wisconsin14.1%4Minnesota8.1%46 more rows•Jun 16, 2020
Can I use my Washington health insurance in another state?
You'll need a new health plan. When you move to a new state, you can't keep a health insurance plan from your old state. To make sure you stay covered, report your move to the Marketplace as soon as possible. This way you can enroll in a new plan and avoid paying for coverage you won't be able to use in your new state.
What is the income limit for Washington Apple Health 2022?
Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2022 that translated to about $18,754 for a single person or $38,295 for a family of four.
What is Medicaid called in WA state?
Washington Apple Health (Medicaid) is free or low-cost health care coverage for individuals who meet the eligibility requirements. Apple Health covers physical and behavioral health services, including mental health and substance use disorder treatment services.
How does Medicaid work in Washington state?
Medicaid does not pay money to you. It sends payments directly to your health care providers. Medicaid can pay for medical services in your own home or if you live in a residential care facility that takes Medicaid residents. Learn more about how to apply for Medicaid.
Does Medicaid pay for assisted living in Washington state?
Assisted Living Medicaid Policy Washington is one of the few states where Medicaid directly covers the cost of assisted living facilities for eligible seniors. Certain facilities are directly contracted by Apple Health to provide care to older adults who qualify.
Do you have to pay Medi-Cal back?
The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal members. Repayment only applies to benefits received by these members on or after their 55th birthday and who own assets at the time of death. If a deceased member owns nothing when they die, nothing will be owed.
What is the income limit for Medi-Cal in California?
Income-based Medi-CalYour family size:1 2 3 4 5 6 7 8 9 10 11 12$12,880$4,540Income-based Medi-Cal, adults (138% FPG)$18,754Income-based Medi-Cal, children (266% FPG)$36,1496 more rows
How do I qualify for Medicaid and be assigned to Kaiser Permanente?
You must qualify for Medicaid and live in a county where Kaiser Permanente has a contract to provide Medicaid medical services. You will need to request assignment to Kaiser Permanente through your Managed Care Organization and receive Washington Apple Health coverage. If there are no open providers during enrollment, you must also meet one of the following criteria:
How to check if you are covered by Kaiser Permanente?
If you are eligible for Medicaid and choose to receive your care from Kaiser Permanente, your medications are included. To check if your medication is covered, please contact Member Services: 1-800-813-2000 1-800-813-2000 (toll-free) or TTY 711 711. Hours.
What is Medicaid?
Medicaid is a federal and state program that provides health care coverage to those who meet eligibility requirements. In Washington State, Medicaid is called Washington Apple Health. On January 1, 2014, Washington expanded Medicaid to a larger and more diverse group of people, including adults and children below certain income levels.
How do I qualify for Medicaid?
To qualify for Medicaid, you must meet certain requirements. For instance, you must have a certain income based on the Federal Poverty Level Guidelines.
What if I am not eligible for Medicaid?
If you do not qualify for Medicaid, you might still be eligible for federal financial assistance. Visit wahealthplanfinder.org for more information and to apply.
Do I have to pay for care that I get through Medicaid?
Most individuals who qualify for Medicaid will have no monthly premium, no copay, and no out-of-pocket cost for most covered services. Depending on your income and the eligibility rules, you may have to pay a share of the cost of your care.
Should I bring my Molina ID card and my Kaiser ID card when I come in to get services?
Southwest WA Clark/Cowlitz counties – Please be sure to bring both your Molina ID card and your Kaiser ID card any time you receive services.
What are the guiding principles of Kaiser Permanente?
Kaiser Permanente supports the following Medicaid guiding principles: Coverage: All Americans should have access to affordable, high-quality health care. Medicaid enrollment processes should be streamlined, coverage gaps should be minimized, and people should not lose access to care as a result of financial burdens.
How does Medicaid support whole person care?
Care for the whole-person, including social needs: The Medicaid program should support “whole-person care” by providing access to services and resources that address Medicaid recipients physical health, mental health, and social needs. Ensuring access to transportation, healthy food, and housing support services improves overall wellness, reduces the use of emergency care in nonemergency situations, and improves overall productivity.
Does Kaiser Permanente have Medicaid?
Kaiser Permanente’s participation in Medicaid is core to our mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. This critical program provides health coverage to over 1 in 5 Americans, including 1 out of every 3 children. Millions of eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities depend on Medicaid for their health coverage.