Washington Apple Health Integrated Managed Care (IMC)

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Washington Apple Health Integrated Managed Care (IMC)


Our plan offers a range of benefits physical and behavioral health benefits. View the benefits below to see all that it offers. It's for people who meet income requirements and are eligible for Washington Apple Health (Medicaid) Integrated Managed Care. We serve pregnant women, children and young adults to age 21, families and adults.


This plan is available beginning 2019. 

Member Login


Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Register Now

 

Call us to learn more:
1-877-542-8997 / TTY: 711

Monday through Friday
8 am to 5 pm PT

Call us to learn more:
1-877-542-8997
TTY: 711

Monday through Friday
8 am to 5 pm PT


Have Questions? Call Us at:
1-877-542-8997 / TTY: 711

Monday through Friday
8 am to 5 pm PT

Have Questions? Call Us at:
1-877-542-8997
TTY: 711

Monday through Friday
8 am to 5 pm PT


See if your doctor, hospital or behavioral health provider is in our network. Or use this tool to find a new doctor, hospital or specialist.

This plan is available in the following counties:

King and Pierce.

To find out if you qualify visit wahealthplanfinder.org or call 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604.


We can also assist with interpreter services, including American Sign Language. To ask for help, please call 1-877-542-8997, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

Benefits & Features

Well and Sick Care

Get the assistance you and your family needs to stay healthy, to get better if you are injured or sick or — simply achieve your potential. That includes:

  • Hospitalization. You pay nothing for care in a hospital.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Therapy visits to help you recover or achieve your potential.
  • NurseLineSMSpeak with a registered nurse 24/7.
  • Well Visits. Annual checkups and screenings (for those under 21) to help keep you or your family healthy.
  • Foot Care. We cover visits to keep your feet healthy.
  • Shots and Vaccines. Routine shots help protect against illness.
  • No Copays. You pay nothing for doctor visits or prescriptions. 

Behavioral Health

Behavioral Health is as important as physical health. That’s why we have coverage for both.  You have access to mental health and substance use disorder treatment services, known together as behavioral health services. Behavioral health services can help you with personal problems that may affect you and your family. These problems may be stress, depression, anxiety or using drugs or alcohol.

Talk to your PCP today about any health or behavioral health problems you have. Your PCP will refer you to a behavioral health provider with UnitedHealthcare Community Plan. They can refer you to specialists, and other facilities, such as hospitals and substance abuse and treatment services.

You don’t need a referral from your PCP to see behavioral health specialists in your plan or to access drug and treatment services.

There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor.

Search for a Mental Health Clinician or Facility

Required care is 100% covered. If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care.

We cover:

  • Evaluation and assessment
  • Medication management and monitoring
  • Individual and group counseling
  • Peer support
  • Family counseling
  • Education about mental health, treatments and medications
  • Rehab case management
  • Withdrawal management (detox)
  • Opiate replacement treatment
  • Case management

Additional health resources can be found here. Find the balance, support and care you need to live the healthiest life possible.

You may also be eligible for additional grant funded services such as care coordination, family hardship services and recovery support services. These provide comprehensive community-based services that supplement your current benefits.

If you need help finding mental health services or if you feel that your rights have been violated, please call your Regional Behavioral Health Ombuds. An Ombuds is someone who is hired to assist you with any difficulties with your services or with getting services. Services are free and all information is kept confidential.

Member Handbook (English)
Member Handbook (Español)
Member Handbook (Russian)
Member Handbook (Chinese)
Member Handbook (Vietnamese)

Mental Health Crisis Services

What if I have a behavioral health crisis?

You are always covered for a behavioral health emergency. An emergency means a behavioral health condition that comes on suddenly, is life threatening, is painful, or other severe symptoms that cannot wait to be treated. You may have a mental health, drug, or alcohol use emergency.

Emergency services are covered anywhere in the United States. If you think you have a life threatening emergency, call 911 or go to the nearest hospital location where emergency providers can help you.

As soon as possible, call us to arrange for follow-up behavioral health care after an emergency.

A mental health crisis is a moment when someone’s behavior can put themselves or others in danger, especially if they do not get help, such as:

  • Threatens to or talks about hurting or killing themselves
  • Feels hopeless
  • Feels rage or uncontrolled anger
  • Feels trapped, like there is no way out
  • Engages in reckless behaviors
  • Feels anxious, agitated, or unable to sleep
  • Increases alcohol or drug use
  • Withdraws from friends and family
  • Encounters dramatic mood changes
  • Sees no reason for living

Crisis Services:

If you think you have an emergency, no matter where you are, call 911 or go to the nearest hospital location where emergency providers can help you. As soon as possible, call your doctor or behavioral health provider to arrange for follow-up care after the emergency is over.

If you are experiencing a mental health crisis, your ID card has a phone number to access crisis services in your area. Our list of crisis services phone numbers are available in English and Espanol.  

Here are additional Behavioral Health Services and Crisis Intervention Contacts:

For a State Crisis Lines directory, visit: https://www.dshs.wa.gov/state-mental-health-crisis-lines.

Washington Recovery Help Line: 1-866-789-1511
Online: http://www.waRecoveryHelpLine.org

Teen Link: 1-866-833-6546
Online: http://www.866teenlink.org

Suicide Prevention: 1-800-273-8255
TTY Users: 1-800-799-4TTY (4889)
Online: http://www.suicidepreventionlifeline.org

Additional health resources can be found here. Find the balance, support and care you need to live the healthiest life possible.

Member Handbook (English)
Member Handbook (Español)
Member Handbook (Russian)
Member Handbook (Chinese)
Member Handbook (Vietnamese)


A mental health crisis is a moment when someone’s behavior can put themselves or others in danger, especially if they do not get help.

Pregnancy Care

Nothing is more important than the health and well-being of you and your baby. That's why our plan benefits include:

  • Choice of Birth Center. Pick from a large network of hospitals across Washington.
  • Choice of Doctor. Find a doctor or OB/GYN you trust in our network.
  • Healthy First Steps®. Extra support to help you and your baby stay healthy. Free breast pumps available for eligible members.
  • Prenatal Visits. Care for you before your baby is born.
  • Baby BlocksTM.  Reminds and rewards pregnant women and new mothers. 9 rewards in all.

Care for Conditions

If you have asthma, diabetes or another health condition, you can depend on us. Our plan makes sure you get the care and services you need. Benefits include:

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Diabetes Support. Medicine, needles and more for managing diabetes.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.
  • Mental Health. Testing, medication and treatments are covered.
  • Personal Care Manager. If you qualify, get personal help managing health conditions.
  • Residential Care. Brief stay at a care facility while you recover from sickness or injury.

Vision and Hearing Care

Make sure your sight and hearing are at their best. Benefits include:

  • Hearing. Exams and testing are covered, as well as hearing aids for enrollees.
  • Vision. Eye exams every twenty-four months for adults and once every twelve months for children and age 21.  Eyeglasses, contact lenses, and hardware fittings are covered separately under the Apple Health fee-for-service program.

Home Care and Supplies

Get the medical care and equipment you or a family member needs to recover or live at home. Benefits include:

  • Personal Care. Someone to help with dressing, bathing and dining.
  • Equipment and Supplies. In-home medical and safety equipment is covered.
  • Home Health Care. Medical and personal care at home, if needed.

Personal Care Manager

Do you or a family member have a serious health problem? If your health needs qualify, then our care managers are in your corner. They will:

• Help manage your physical and mental health care needs.
• Work with your physician, behavioral health specialists and outside agencies.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.

Your care manager will stay with you throughout your journey. He or she will:

• Make sure you have support at home.
• Connect you to the social services you may need.
 

Advanced Directives

View Advance Directives in English and Espanol. 

Additional Benefits and Services

Get extra benefits and support. You can rely on:

  • Healthy Rewards. Earn rewards for completing important preventive services.
  • Health Education. Free coaching to help improve your health.
  • Language Help. Connect to a translator through Member Services.
  • Interpreters. Have an interpreter with you at your child’s doctor visits.
  • Programs for Kids and Teens. Free Boys & Girls Club memberships.
  • Quitting Tobacco. Coaches and supplies to help you quit using tobacco.
  • Member Services. Your benefit questions are answered 24/7.
  • Dental. Services and annual exams are covered separately.
Washington Apple Health, UnitedHealthcare Community Plan

Questions?

Ready to get started? Call us at 1-877-542-8997 TTY: 711 Monday through Friday
8 am to 5 pm PT

Questions?

Ready to get started?

Call Us:
1-877-542-8997
TTY: 711

Monday through Friday
8 am to 5 pm PT

Lookup Tools

Doctor Lookup

Search for doctors, hospitals, behavioral health and other specialists.

Download Directories
Behavioral Health Lookup

Search for behavioral health providers and resources.

View Drug List

Find medications covered by this plan.

Pharmacy Lookup

Find a pharmacy near you.

Vision Center Lookup

Search for a vision center.

Dentist Lookup

For more information on your covered dental benefits contact:

Health Care Authority/ProviderOne

1-800-562-3022

To find a provider that takes Apple Health visit fortress.wa.gov

Member Information

Member Website

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Member Handbook

More Resources

Member Page

View more news, updates and resources for members.

Member Information

Member Website

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Member Handbook

Learn More

Washington Apple Health Integrated Managed Care (IMC)