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Alien Emergency Medical Programs

AEM is for individuals who have a qualifying medical emergency and do not qualify for any other Apple Health program due to citizenship/immigration requirements. This includes qualified aliens who have not met the 5-year and are not exempt from the 5-year bar, nonpregnant nonqualified aliens, and undocumented individuals.

Qualifications

To qualify for AEM, an individual must have or need at least one of the following:

  • A qualifying emergent medical condition such as emergency room care, inpatient admission, or outpatient surgery
  • A cancer treatment plan
  • Dialysis treatment
  • Antirejection medication for a postorgan transplant or on long-term care services (LTC)
  • Assessment and treatment for the COVID-19 virus

Income qualifications

Income qualifications are determined by the eligibility requirements and income listed below:

Modified Adjusted Gross Income (MAGI) Medicaid, Processed by the Washington State Health Care Authority (HCA)

  • Individual is age 19 through 64
  • Individual is not eligible for Medicare; and
  • Follows MAGI rules established through the Healthplanfinder.
Total number in family (including yourself) Monthly income limit
for free coverage		 Annual income limit
for free coverage
1 $1,732 $20,784
2 $2,350 $28,200
3 $2,970 $35,640
4 $3,588 $43,056
5 $4,206 $50,472
6 $4,826 $57,912

Classic Medicaid, processed by the WA State Dept. of Social and Health Services

  • Individual is age 65 or older and is not a caretaker for a child under age 19;
  • Individual is eligible for Medicare; or
  • Individual is receiving long-term care services and not relatable to a MAGI program.
  Single Eligible Eligible Couple
Income $943 $1,415
Resources $2,000 $3,000
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