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Instructions to submit a Public Records Request

Free or low-cost health insurance for pregnant women

Who is eliglble

You are eligible for the pregnancy medical program if:

  • You are pregnant (regardless of your age), and
  • You live in Washington State, and
  • You meet income requirements.
Income and resource requirements

The pregnancy medical program has no resource limits. Your income eligibility is determined by your family's income and the number of people in your family. Your unborn child counts as a family member.

Number of people in family
Monthly income limit
1
N/A
2
$2,247.75
3
$2,823.10
4
$3,400.30
5
$3,977.50
6
$4,552.85
more
Add $577 for each additional family member

How long will benefits last?

Once you are found eligible for pregnancy medical benefits, you will remain eligible throughout your pregnancy regardless of changes of income or who lives in your home or until the pregnancy ends. After your pregnancy ends, you will receive 2-months post-partum care. Then you will receive 10-months of family planning coverage.

How to apply
  • Maternity application (PDF)
  • Consent form (PDF)
  • Verification of pregnancy: Get from a doctor or you can write a statement verifying you are pregnant and include the estimated due date.
  • Social Security Number (if applicable)
  • Income verification for the last 30 days
    • If you have no income, write a letter indicating how you provide for your needs.
    • If you are living with someone, have the person you are living with write a letter verifying current living situation and include their name, address & contact phone number.
Health clinics
How to send in your application

What to send:

  • Completed application (printed and signed)
  • Consent form (this allows Public Health staff to process and follow-up on your application)
  • Proof of income
  • Proof of pregnancy

Where to send your application:

Access & Outreach
Public Health - Seattle & King County
401 5th Avenue #1000
Seattle, WA 98104

NOTE: SUBMITTING AN APPLICATION DOES NOT GUARANTEE YOUR ELIGIBILITY.

Where to get help

Access and Outreach Team:

Seattle, North & East King County
South King County
Penny Lara (English/Spanish)
206-263-8372
Carmen Olvera (English/Spanish)
206-296-3948
Brett Downey (English/Spanish)
206-263-8373
Carolina Marx (English/Spanish)
206-296-3943
Callista Kennedy (English)
206-263-8368
Cindy Mai (English/Vietnamese)
206-296-3949
Luis Salazar (English/Spanish)
206-263-8261
Miguel Urquiza (English/Spanish)
206-296-9875

How to get help: