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Washington Apple Health Application

Washington Apple Health Application for Aged, Blind, Disabled /Long- Term Care Coverage Use this Application to see what Health care coverage you qualify for if: You need to apply for Long-Term Care Services (nursing home care, assisted living facility, adult family home or in-home care programs) You or someone in your household is age 65 or older You or someone in your household has Medicare You need help paying Medicare premiums or coinsurance costs You or someone in your household has a disability Note: If you need to apply for family , children s, pregnancy or new adult medical contact Healthplanfinder at: or call 1-855-923-4633 Apply faster online You can submit the online Application at information you will need to apply: Social security numbers Birthdates Immigration status Income inform

Note: If you need to apply for family, children’s, pregnancy or new adult medical contact Healthplanfinder at: wahealthplanfinder.org or call 1-855-923-4633 Apply faster online • You can submit the online application at washingtonconnection.org Information you will need to apply: • Social security numbers • Birthdates • Immigration status

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