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COFA Islander Health Care


The Compact of Free Associations (COFA) is an economic and military treaty between the United States and the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau. Individuals from these nations can come and go freely from the United States without work permits nor visas.


Washington Apple Health-Medicaid

The Consolidated Appropriations Act, 2021, (Sec. 208) restored Medicaid benefits for individuals from the Republic of Palau, the Federated States of Micronesia, and the Republic of the Marshall Islands.

COFA islanders receive Apple Health (Medicaid) as qualified non-US citizens who are exempt from the 5-year bar.

Income eligibility for individuals under 65 and without Medicare

2023-2024 Income Eligibility for Washington Apple Health
  1 2 3 4 5
APPLE HEALTH FOR ADULTS
(adults age 19 up to age 64) (138%)
$1,677
monthly
$2,268
monthly
$2,859
monthly
$3,450
monthly
$4,041
monthly
APPLE HEALTH FOR
PREGNANT PEOPLE (198%)
N/A $3,254
monthly
$4,102
monthly
$4,950
monthly
$5,798  monthly
APPLE HEALTH FOR KIDS
(free for children up to age 19) (215%)
$2,612
monthly
$3,533
monthly
$4,454
monthly
$5,375
monthly
$6,296
monthly
APPLE HEALTH FOR KIDS with premium
($20 monthly premium per child;
$40 family maximum) (265%)
$3,220
monthly
$4,355
monthly
$5,490
monthly
$6,500
monthly
$7,614
monthly
APPLE HEALTH FOR KIDS with premium
($30 monthly premium per child;
$60 family maximum) (317%)
$3,852
monthly
$5,209
monthly
$6,537
monthly
$7,925
monthly
$9,283
monthly

**Age 65 and older or have Medicare must apply for Apple Health via Washington Connection

 

What if you don't qualify for one of the Apple Health programs (above)?

Washington Healthplanfinder offers health insurance with prices that are based on your income. A special enrollment period is a period of time outside the open enrollment period when you can enroll in a new health insurance plan or change your current plan. There are several circumstances where you may qualify for a special enrollment period. To find out if you qualify, call Community Health Access Program (CHAP) 206-284-0331 or 800-756-5437 or visit our assistance page.

Opportunities to buy low-cost insurance on Washington Healthplanfinder:

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