Dual eligible (Medicare + Medicaid) · state
Apple Health Medicare Connect (D-SNP)
WA Health Care Authority
Apple Health Medicare Connect is a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) offered through HCA's contracted managed care plans. It is designed for individuals who are dually eligible for Medicare and Apple Health (Medicaid), allowing care coordination between Medicare-covered services (primary medical care) and Apple Health-covered services (behavioral health, long-term services and supports, dental, hearing, vision, transportation). The plan integrates benefits across both programs through a single managed care organization.
Who qualifies
Must be dually eligible, entitled to or receiving Medicare (Part A and Part B), and enrolled in Apple Health Medicaid (typically full-benefit dual eligibles). Specific eligibility and enrollment details on the Apple Health Medicare Connect program page.
What it covers
Coordinated Medicare Advantage + Apple Health benefits: medical, behavioral health (including BHSO), prescription drug (Part D), and integration with LTSS where applicable. Plan provides care management to bridge Medicare and Medicaid services.
Cost
For full-benefit dual eligibles, premiums and most cost-sharing are covered between Medicare and Apple Health (including via QMB).
How to apply
Enroll via the Apple Health Medicare Connect program page on hca.wa.gov, or contact SHIBA for help comparing D-SNP plan options.
Source www.hca.wa.gov/free-or-low-cost-health-care/i-need-medical-dental-or-vision-care