Broker Check

WA Health Exchange Background Information

The Affordable Care Act 

Beginning 10/01/2013 Washington state residents seeking individual health insurance can do so through the Washington Health Exchange for coverage beginning 1/1/2014. 

While open to all, some consideration should be given towards applying for health insurance this way as it requires a great deal of personal information be given before any discount is presented or applied. If a person does not fall under qualifying standards for the federal discount programs, they might be better served privacy wise by using the Right Now Online link and directly applying for the same coverage offered through the Washington Health Exchange, but with less personal information.

What are the qualification requirements for premium assistance?

The guideline for premium assistance is based on the Federal Poverty Level (FPL)

FPL %Annual Income: IndividualAnnual Income: Family of 4
100%$11,490*$23,550
138%$15,856$32,499
250%$28,72558,875
300%$34,470$70,650
400%$45,960$94,200

* Each additional person in the household adds $4,020 to this baseline. ($11,490)

For an adult without children, if your income level is below 138% of the FPL, you are eligible for Washington Apple Health.

Also eligible is a child who is below 200% of the FPL, go to Washington Apple Health for Children

Children between 200% and 300% of the FPL are eligible for CHIP

Who is best served by the Washington Health Exchange?

If you or your family fall between 138% and 399% of the FPL, the option of the Health Insurance Premium Tax Credit becomes available.

This helps by reducing premiums cost.

If you or your family fall between 138% and 249% of the FPL, there is a cost sharing reduction provided for out of pocket costs.

Click on >  Calculate your premium savings

Would you like personal help with your interest in participating with the Washington Health Exchange?

Click on > Washington Healthcare Exchange Help

Or visit  www.wahealthplanfinder.org

Remember when you visit the exchange to enroll to select Larry Gilmore, Marysville,  as your broker. That way I can help you complete your application and monitor it's progression through the Exchange Website.