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First Choice Health Insurance Inc, Insurance Agency, Roseburg, OR

First Choice Health Insurance, Inc.
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"The "Original" Private Oregon Health Insurance Exchange"

Health Insurance Options to Consider in Washington

With the new open enrollment periods for children in Washington, one has to plan ahead or find alternative solutions to provide health insurance for their kids.

Open enrollment for children in an individual health insurance plan:

Parents may add their children or buy an individual health insurance policy for their child during the following open enrollment periods:

  • March 15-April 30
  • Sept. 15-Oct. 31

Individual health coverage always starts on the 1st of the month. So if you want coverage to start the next month, you'll need to apply before the 20th.

The new federal health reform law prohibits health insurers from denying coverage to children under age 19 due to health issues, but they allow restricting children to open enrollment periods. Washington Health Plan follows these guidelines except they accept enrollment of children at any time. This is an excellent policy where court ordered child support is required.

Exceptions where you can apply for individual coverage for your kids anytime include the birth or adoption of a child or if a child:

  • Is no longer eligible for a state program.
  • Loses coverage due to a divorce.
  • Loses employer-sponsored coverage (including COBRA).
  • Moves and their plan is not available where they now live.

Individual health insurance for children can be found HERE.

Washington Health Program accepts children anytime:

The Washington Health Program is a new low cost health insurance plan that accepts children on a child only or on a parent’s policy without enrollment period restrictions. Infants, children, and teens need regular well child check-ups even if they feel well. Regular check-ups help your PCP find and treat health problems. Tell your child's PCP if you have been sick or your child has been sick.

Washington Health Program covers well child care, such as well child visits and immunizations.

Well Child visits include regular check-ups and immunizations to make sure people younger than 21 years old get the preventive care they need to catch and treat health problems at an early stage.

Immunizations are shots that protect you and your child from diseases such as polio, measles, mumps, diphtheria, whooping cough (pertussis), and hepatitis B.

Well child check-ups include:

  • Immunizations
  • Complete health and development history
  • Complete physical examination
  • Needed lab and screening tests

Community Health Plan of Washington rewards members who get check-ups and preventive care on time. Children First™ is our reward program for pregnant women and children who get scheduled care.

Children from newborn to age 13 who get well child check-ups on time can get FREE rewards for every well child check-up such as:

  • Children's books
  • School backpack
  • Booster seat
  • Baby welcome kit
  • Diapers
  • Bike helmet
  • School supplies
  • Safety locks
  • Thermometer
  • School clothes
  • Dental kit
  • Car seat

Talk to your doctor to see if you are eligible.

Applying for Washington Health Program

The Washington State Health Care Authority offers Washington Health Program through Community Health Plan of Washington. If you qualify, you and your family can get comprehensive, high quality care for low premiums and cost sharing. For Community Health Center provider visits and generic prescriptions, your copay is $10. All other participating provider services have a low $500 annual deductible. You can choose a plan with an annual benefit maximum of either $75,000 or $100,000.

Get help with your application

Ehealthlink can send you an information and enrollment packet or help you through the online enrollment process. You can apply online through our website or call us at 1-888-957-5001.

In most cases, you must submit an application and a Standard Health Questionnaire (SHQ)

Most applicants applying for Washington Health coverage are required by law to complete and pass the Standard Health Questionnaire (SHQ) or health screen. Washington Health uses the SHQ to determine eligibility for coverage. Developed by the Washington State Health Insurance Pool (WSHIP), the SHQ asks about applicants' recent coverage and medical history.

After you submit an application and a completed SHQ, if you do not pass the health screen you will be denied coverage for Washington Health and referred to WSHIP for coverage. Applicants who are denied coverage may appeal to the Health Care Authority.

Washington Health Plan is available to anyone who lives in Washington and:

  • Is not eligible for free or purchased Medicare.
  • At the time of enrollment, is not confined to an institution.
  • Is ineligible for coverage under the Washington State Health Insurance Pool (WSHIP) or qualifies to bypass the standard health questionnaire under state law.
  • Is not receiving Washington Department of Social and Health Services (DSHS) medical assistance (Medicaid) or subsidized Basic Health benefit.

Community Health Plan of Washington members get services from more than 2,365 primary care providers and 13,571 specialists at more than 540 primary care clinics and more than 100 hospitals. It is a statewide, comprehensive delivery system of primary care providers who are dedicated to your health and who focus on treating the entire person.

You can find more information and enroll in the Washington Health Program HERE.

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