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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:
- Native Americans and Alaska Natives (who are enrolled in a federally recognized tribe) can enroll at any time.
- Healthplanfinder's Special Enrollment Period information.
- COFA Islanders who are income eligible can now enroll in Apple Health at any time.