How to appeal a health insurance denial; How a small pharmacy can appeal a reimbursement decision; Find companies & agents; Fraud. See if you qualify for or renew your Apple Health managed care. Washington residents can expect to pay an average of $420 per person* for a basic major medical individual health insurance plan. Over the last five years, Washington state has built a public-private marketplace in a bipartisan manner that has been operating successfully to serve over 1,700,000 people. Health insurance | Washington state Office of the Insurance Commissioner In 2018, NCQA rated more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. Will my homeowners policy cover flood damage?". Now that the ACA has been implemented, all health insurance plans are guaranteed issue, largely eliminating the need for risk pools. Washington State Department of Health to provide interim support to Island County Department of Health announces all regions will remain in Phase 1 COVID-19 vaccine distribution update from the Washington State Department of Health Choose your state and household size and we’ll tell you if your state has expanded and if you may qualify.. Where to apply for health coverage We are certified as “in-person assisters” by the Washington State Health Benefit Exchange. During this time, Washington residents can find, compare and enroll in new health plans through the state’s official health insurance marketplace at wahealthplanfinder.org. Gov. Health insurance plans, provided by private or government health insurers, cover everything from doctor and hospital visits to behavioral health care, physical therapy, and medical supplies. We are able to forward inquires to licensed health insurance agencies and their agents who are qualified to discuss the health coverage options available in your state. Washington State Health Insurance Pool (WSHIP) This plan was created to offer insurance coverage to residents who have previously been turned down for insurance benefits because of medical reasons. Washington Medigap Coverage. If you are a biller, provider, or partner: visit our Billers, providers, and partners webpage. The health fee is not an insurance plan. 2 As of 2019, 7% of Washington’s 7.2 million residents are uninsured. Explore health plans for you and your family, including short-term gap coverage and more. Find information here to help you make a decision about health insurance. Learn about delivery driver coverage during the COVID-19 pandemic. The overarching goal of the ACA is to move our health system from treating disease to preventing it. Reviews on Health Insurance Broker in Seattle, WA - Mutual Benefits Insurance, Pro Benefits of Washington, Achieve Alpha Insurance, Essential Benefits, Ken Williams,CHFC CLTC CLU, Ann Miller Insurance Services, Core Concepts Insurance, Belltown Insurance Group, Premera Blue … Find information about how different types of insurance coverage may be affected by coronavirus. In order to be eligible, you must prove your residency along with your rejection for coverage based on your health questionnaire. Washington residents spend an average of $7,913 per year on health care expenditures, slightly less than the national average. Learn about flood insurance and where you can buy it. Usually, you will need to enroll in health insurance and renew your coverage during an open enrollment period. Losing other health coverage (i.e., job loss, divorce, loss of Washington Apple Health or WSHIP coverage, etc.) Other students have the option to stay on their parents’ insurance or purchase a plan through the Washington Health Benefit Exchange. We administer insurance for international students, eligible graduate student assistants, and graduate and professional students in health sciences. Find frequently asked questions about your health insurance and coronavirus. Click a plan name for a detailed analysis. The number of Washingtonians without health insurance fell by half since the passage of the Affordable Care Act (ACA) in 2010. Even caregivers may be eligible for coverage. File a complaint or check your complaint status, How a small pharmacy can appeal a reimbursement decision, Report insurance fraud in Washington state, Washington Disaster Resiliency work group, Surprise billing and the Balance Billing Protection Act, Continuing education (CE) - for providers, Pre-licensing education (PLE) - for providers. eHealth is a private, online health insurance exchange where you can shop for individual, family, and small business health insurance plans. Some states have expanded their Medicaid programs to cover more people. Get an online quote today. New 2021 health plans are available, including Cascade Care plans. Washington is set to become the first state to offer a public health care option with legislation that has been called the first step toward universal health care by the state’s governor. Knowing what your health insurance options are can help save you time, money and frustration. State Medicaid expansion. Children who do not receive a TANF grant may also qualify for free or low-cost medical coverage through the Washington Apple Health program. Washington Health Plans is a privately operated, independent marketing website, and is not part of or directly associated with any health insurance company or provider . What are my insurance rights during the pandemic?”. Annual long-term care (LTC) compliance filing form, Certification, clearance and court-certification letters, Designated responsible licensed person (DRLP), Laws and rules affecting licensees and providers, Appointments: new, cancel, renew or print certificates, E-Tax: File, amend and view premium taxes, Submit independent review organization (IRO) requests and decisions, Look up an insurance company or agent to find licensing, complaint, and financial information, Designated statistical agents in Washington state, Permitted accounting practice instructions, Performance standards letter to companies (PDF, 583KB), P&C, life, disability and title company admissions, Registering as a pharmacy benefit manager (PBM), Registering as a direct primary health care practice, Resources for insurance industry innovators, Market Conduct Annual Statement (MCAS) instructions, Anti-fraud annual report form (Word, 71KB), Certifying as an independent review organization (IRO), Independent review reporting for independent review organizations (IROs), Independent review reporting for carriers, Independent review organization (IRO) process questions, concerns and complaints, Fixed payment policy survey explanation and instructions, Special liability report instructions, forms and historical data, Title insurer data-reporting requirements for direct underwriters, Security breach notification requirements, Health insurer responsibilities under the Balance Billing Protection Act, Technical assistance advisories and emergency orders, Service of legal process for other regulated entities (PDF, 662KB), Uniform consent to service of process for insurers (PDF, 179KB) (www.naic.org). Enrollment for the purchase of health insurance opens this year on Nov. 1 and runs through Dec. 15 for coverage beginning Jan. 1, 2021. Health care costs vary quite a bit from person to person, based primarily on these factors: Plan type How do I sign up for email or text updates? But Washington has also maintained their pre-ACA high-risk pool (WSHIP, the Washington State Health Insurance Pool), and it serves as an option for disabled Medicare beneficiaries (WSHIP’s non-Medicare plans have been closed to new enrollees since 2014, as the ACA eliminated the need for a high-risk pool in the non-Medicare market). Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. What determines your health insurance rates in Washington? Renew or Enroll today. Children who receive a TANF grant are eligible to receive free medical coverage. State Health Insurance Assistance Program (SHIP) A state program that gets funding from the federal government to provide free local health coverage counseling to people with … ... Washington State Office of the Insurance Commissioner Insurance. Prices will vary and premiums can be lower if … Learn about what homeowners policies will cover for wind and falling tree damage. Nearly one out of every four Washington citizens turns to the Department of Social and Health Services' Economic Services Administration for assistance with cash, food, child support, child care, disability determination, transition to employment, and other services. File a complaint or check your complaint status, How a small pharmacy can appeal a reimbursement decision, Report insurance fraud in Washington state, Washington Disaster Resiliency work group, Surprise billing and the Balance Billing Protection Act, Continuing education (CE) - for providers, Pre-licensing education (PLE) - for providers. A marketplace for health and dental insurance coverage for individuals and families. ", Sign up for updates from the OIC about rules, legislation, industry and consumer news, File a complaint or check complaint status, Look up an insurance company or agent to find licensing, complaint and financial information, Find individual health plans and premiums, Learn about health, dental, auto, home, life and other types insurance, Talk to an insurance specialist: Call 800-562-6900, Companies contact us with your insurance innovation idea, Kreidler bill to ban insurers from using credit scores goes to Senate Jan. 14, Regence parent company pays $10,000 fine to Washington state, Look up an insurance company or agent to find licensing, complaint, financial and contact information. Report insurance fraud in Washington state; Criminal Investigations Unit (CIU) Current issues. Can I stay on my employer-sponsored health plan?”, Learn about COBRA (the Consolidated Omnibus Budget Reconciliation Act). Washington isn't alone in pursuing a public or state-sponsored health insurance option. Find out what plans are available in your county and how much they will cost. Annual long-term care (LTC) compliance filing form, Certification, clearance and court-certification letters, Designated responsible licensed person (DRLP), Laws and rules affecting licensees and providers, Appointments: new, cancel, renew or print certificates, E-Tax: File, amend and view premium taxes, Submit independent review organization (IRO) requests and decisions, Look up an insurance company or agent to find licensing, complaint, and financial information, Designated statistical agents in Washington state, Permitted accounting practice instructions, Performance standards letter to companies (PDF, 583KB), P&C, life, disability and title company admissions, Registering as a pharmacy benefit manager (PBM), Registering as a direct primary health care practice, Resources for insurance industry innovators, Market Conduct Annual Statement (MCAS) instructions, Anti-fraud annual report form (Word, 71KB), Certifying as an independent review organization (IRO), Independent review reporting for independent review organizations (IROs), Independent review reporting for carriers, Independent review organization (IRO) process questions, concerns and complaints, Fixed payment policy survey explanation and instructions, Special liability report instructions, forms and historical data, Title insurer data-reporting requirements for direct underwriters, Security breach notification requirements, Health insurer responsibilities under the Balance Billing Protection Act, Technical assistance advisories and emergency orders, Service of legal process for other regulated entities (PDF, 662KB), Uniform consent to service of process for insurers (PDF, 179KB) (www.naic.org), When health insurers can ask you about your health, The Washington State Health Insurance Pool (WSHIP), Insurance coverage for prescription contraceptives, Request a speaker from Consumer Protection, Call us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday, Consumer Help Center – Find answers to insurance FAQs, What medical providers need to know about health insurance, What medical providers need to know about offering discounts to patients, Medical providers and the Balance Billing Protection Act, Look up an insurance company or agent to find licensing, complaint, financial and contact information. Agents or brokers - what's the difference? Do I need a commercial auto insurance policy?". Apple Health outreach staff help spread the word about free and low-cost health insurance Apple Health and community partners help improve the health of the Latino population in Washington Apple Health brings stability to lives of young couple Washington health insurance costs and rate factors. ... our team is frequently called upon to participate in panel discussions and provide counsel regarding health care delivery in Washington State. Agents or brokers - what's the difference? The Washington State Health Insurance Pool (WSHIP) is an independent, non-profit health plan created by the Washington State Legislature. Find Washington health insurance options at many price points. Health insurance consumers can search the Office of the Insurance Commissioner's database of individual and small group health insurance rate requests. Washington Healthplanfinder vs. eHealth. 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