Insurance for children under 19 years of age (Washington state only)
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Good News! More children qualify for free or low-cost health coverage!
Flyers available in Adobe PDF and Microsoft Word formats:
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* To open the MS Word version of the Amharic and Tigrinya flyers, you will need to do a search online to download and install the Geez Unicode font to your computer.
** To open the MS Word version of the Khmer flyer, you will need to do a search online to download and install the Limon S1 font to your computer.
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How to find out if you qualify
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Step 1 - Expenses:
| Write down your family's monthly income (before tax) |
$
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| Subtract any monthly work-related child care or adult care expenses you pay. |
$
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| Subtract all monthly court-ordered child support payments you pay for a child living outside the home. |
$
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| Subtract $90 for each working adult in the household |
$
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Step 2 - Compare to see if you qualify:
Even if you have been denied before, your children may qualify now. If your family's monthly income is at or below the following standards, your children may qualify for medical coverage.
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Total number in family (including yourself)
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Monthly income limit for free coverage
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Monthly income limit for low-cost coverage*
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1
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$ 1,915
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$ 2,873
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2
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$ 2,585
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$ 3,878
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3
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$ 3,255
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$ 4,883
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4
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$ 3,925
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$ 5,888
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5
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$ 4,595
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$ 6,893
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6
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$ 5,265
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$ 7,898
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For each additional family member add:
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$670
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$1,005
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These income guidelines are effective April 1, 2013. This chart deals with health insurance for children under age 19 only. Other programs may be available for families and pregnant women.
*Small monthly premiums will apply.
Download and print an application in any of the following languages (PDF):
- Application
- Consent form (PDF): This allows Public Health staff to process and follow-up on your application
- Pay stubs for last 30 days with name and address of employer(s).
Access & Outreach
Public Health - Seattle & King County
401 5th Avenue #1000
Seattle, WA 98104
Or fax the application to 206-296-0881
NOTE: SUBMITTING AN APPLICATION DOES NOT GUARANTEE YOUR ELIGIBILITY.
Access and Outreach Team:
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Seattle, North & East King County
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South King County
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