Apple Health (Medicaid)
You will receive all your free or low-cost Apple Health (Medicaid) benefits for physical and behavioral health (mental health and substance use disorder treatment services). This includes care from a primary care provider (PCP) you choose and help with prescription drugs. Being healthy is about more than just doctor visits. The benefits and services you receive are designed to make a difference in your life.
What you receive through Apple Health (Medicaid)
The road to good health starts with having quality doctors and health benefits to turn to when you’re sick.
Your Apple Health (Medicaid) benefits include things like:
- Care from a primary care provider (PCP) you choose
- Mental health services
- Substance use disorder treatment services
- Preventive care, like checkups and screenings
- Specialist referrals
- Emergency care
- Prescription medicine
- X-rays, labs and other tests
- Immunizations (shots)
- Eye exams
- Family planning services
- Quit for Life stop smoking program
- Disease management for asthma, diabetes and other conditions
- Case management for those with certain chronic conditions
- Medically Intensive Children’s Program (MICP) — nursing support for children with complex medical needs
- And more
To learn more about Apple Health (Medicaid) benefits, see our member handbook/visit the Health Care Authority (HCA) website. There are no copays or coinsurance for services included in your plan.
What you receive through Amerigroup
We’re about more than just doctor visits. We give our members a lot of free extras to help support their whole health and well-being.
- Eyeglasses — one pair, up to $100 per year (for members ages 21–64)
- A smartphone through SafeLink Wireless® — includes monthly minutes, data, and unlimited text messages
- Acupuncture treatments — seven sessions per year from a doctor in our plan
- GED testing for members ages 17 and older
- Light box — helps prolong daylight in the winter time (for members ages 19 and older with seasonal affective disorder (SAD)
- Emotional Well-being Resources — access to web and mobile online community designed to help members cope with emotional health issues such as depression, anxiety, stress, chronic pain, insomnia, and managing drugs or alcohol
- Peer support — we pay the registration and annual fees for members who want to become or renew as peer support counselors
- Industry certification assistance for members needing employment certifications
- Free laptop computer for members incarcerated in the previous 12 months who are seeking employment or furthering education
- $300 internet services package for members incarcerated in the previous 12 months who are seeking employment or furthering education
- A $50 gas card and a $50 Lyft or Uber card (for members ages 17 and older who complete an Initial Health Screener)
- WW® (formerly called Weight Watchers) — one WW voucher that covers a sign-up fee, 13 weeks of classes, and 14 weeks of digital tools (for members ages 18 and older with a doctor’s permission)
- EX Program by Truth Initiative* — a program to help members quit smoking (for members ages 18 and older)
- Boys & Girls Club membership for kids ages 6-18 (at participating clubs)
- 4-H membership (for kids ages 5–18)
- Sports physicals for members ages 7-18
- Healthy Families program — support, nutrition, and exercise coaching (for families with children ages 7–17)
- YMCA membership to the YMCA in Wenatchee and Cowlitz County (for ages 19 and younger)
- Tutorial services for youth ages 5–18 at risk of failing a grade, a subject, or who are involved with the juvenile justice system
- Calm app — members under age 18 can access age-appropriate meditations and sleep aids to help calm the mind and body
- Choose Healthy — access to over 1,000 resource materials including videos, articles, and self-care tools
- LiveHealth Online — video chat with a doctor, therapist, psychologist, or psychiatrist using a smartphone, tablet, or computer
- Costco Gold Star membership (one per family)
- First-aid and dental hygiene kits when you fill out a personal disaster plan online
- Flu pandemic prevention kit
- Membership to one of four national disability advocacy organizations:
- American Association of People with Disabilities (AAPD)
- Autistic Self Advocacy Network (ASAN)
- National Council on Independent Living (NCIL)
- Life transition kit — includes first-aid supplies, a travel toothbrush, toothpaste, mouthwash, an emergency blanket, and more (for members who are either homeless, moving out of an institution and into the community, or enrolled in a local employment program)
- Community Resource Link find jobs, housing, food, and other things you may need
- Fitness coach program — online exercise classes, information about fitness and exercise topics, and extra resources for those with special needs
Taking Care of Baby and Me® rewards program — earn rewards just for going to your prenatal and postpartum checkups on time:
- $20 for completing a prenatal visit in your first trimester or within 42 days
- $5 per visit for completing up to six prenatal visits (for a total of $30)
- $25 for completing a postpartum visit 7–84 days after delivery
- Free Electric breast pump — several brands and options to choose from
- Baby essentials bundle — select up to 2 options from a customized catalog filled with essential baby items such as:
- High chair
- Booster seat
- Portable crib
- Car seat
- Breastfeeding support kit
- Safe sleep kit
- Microwave sterilizer
- Microwave steam bags
- Baby monitor video camera
- Baby-proof items — plug protectors, doorknob covers, cabinet and drawer latches
- Infant/preemie car seat
- Two weeks of home-delivered meals for members on bed rest or postpartum members recently discharged
- Circumcision for your newborn (up to $150)
You can redeem some benefits online through your secure account. View the extra benefits you’re eligible for on the Benefit Reward Hub or call Member Services toll free at 800-600-4441 (TTY 711).
Log in to get started today.
You’ll get most of your health care from your PCP. He or she will get to know you and your health history and refer you to any specialists you need to see.
Your PCP’s name is listed on your ID card. If you’re not happy with him or her, you can switch anytime unless you’re in the Patient Review and Coordination program. To find a PCP in our plan near you, use our Find a Doctor tool. To change your PCP, log in to your secure account or call Member Services at 1-800-600-4441 (TTY 711).
As long as the provider is in our plan, you may choose any of the following to be your PCP:
- Family physician
- General practitioner
- Nurse practitioner
- Physician assistant
- Pediatrician (for kids)
- Internal medicine doctor (mostly for adults)
- Geriatrician (for elderly adults)
Behavioral health issues are very common. Dealing with all of the tasks of a home and family can lead to stress. And stress can lead to:
- Family, marriage, and/or parenting problems
- Substance use disorder
Your behavioral health benefits include:
- Evaluation and assessment
- Group counseling
- Peer support
- Education about mental health, treatments and medications
- Rehab case management
- And more
Your substance use disorder treatment services include:
- Withdrawal management (detox)
- Individual and group counseling
- Case management
- And more
To learn more about these benefits Health Care Authority (HCA) website.
If you need behavioral health or substance use disorder care, you can get it from:
- Your PCP
- A plan Community Mental Health Center or substance use disorder agency
- Another behavioral health or substance use disorder provider in your plan
You don’t need a referral from your PCP to see a behavioral health specialist in your plan. There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor.
Always show your Amerigroup ID card when you get these services.
If you need help in a crisis, call our North Central Washington Crisis Line at 1-800-852-2923 (TTY 711). We’re available 24/7.
You can also call the visit the Washington Recovery Help Line website at 1-866-789-1511 for 24-hour help with mental health and substance abuse issues.
We work with CarelonRx to provide your pharmacy benefits. We offer a wide range of prescriptions and many over-the-counter medicines (with an order from your doctor). There are no copays for your pharmacy benefits.
Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered.Go to Pharmacy page
Your dental benefits are paid by Apple Health (using your ProviderOne services card). To learn about these benefits, see the member handbook.
Children and youth under age 21 get:
- Eye exams every 12 months.*
- Glasses, contact lenses and fittings (these benefits are paid by the state using your ProviderOne services card).
Adults age 21 and older get:
- Eye exams every 24 months.*
- Glasses — one pair per year for members ages 21-64 (up to a $100 value).
*Eye exams can be more frequent if medically needed.
You can receive rides to and from nonemergency medical appointments. These benefits are paid by the state (using your ProviderOne services card). To learn more, see the member handbook.
We put tools and technologies in your hands to make it easier to access care and services. Your Care Plan is a tool for Apple Health (Medicaid), Apple Health (Medicaid) and Behavioral Health Services Only (BHSO) Case Management members to help you:
- Stay connected with your care coordinator
- Get your care coordinator’s phone number and email address
- Send secure messages about diagnoses, goals, medicines, services and more
- View your goals and objectives
- Check due dates and statuses of goals and objectives
To use this tool:
- Choose Go to Your Care Plan below
- Log in or register if you don’t have an account
Healthy Rewards is a wellness program for eligible members at no cost to them. Amerigroup Washington, Inc. Medicaid members can receive incentives for completing health screenings, well-visits, prescription refills, and other health-related activities. Earn rewards while you receive the care you need to create your healthy lifestyle. You can redeem the rewards you earn with gift cards to retailers like Amazon and Barnes & Noble.
You can earn rewards* for eligible activities like:
- $100 for getting your COVID-19 vaccine
- $20 for getting a flu shot once a year
- $25 for child and adolescent well-visits
- $25 for completing your child’s vaccines on schedule
- $75 for a chlamydia screening
- $50 for a breast cancer screening
- $50 for cervical cancer screening
- $25 for a A1c control screening with < 8 results
- Up to $40 for filling your high blood pressure or asthma prescription
- Up to $40 for filling your child’s ADHD prescription
- $25 for seeking help for a substance use disorder following a visit to the emergency department
- $25 for follow-up visits with your behavioral health provider after a hospital visit
- $25 for follow-up visits with your behavioral health provider after an emergency department visit
- Up to $40 for antidepressant or mental health medication refills
Pregnant individuals and new parents can get:
- $20 for completing a first prenatal appointment
- Up to $30 for attending ongoing prenatal visits
- $25 for completing a postpartum checkup between 7–84 days after delivery
*Annual limit of $200 per member per year.
Enroll now to earn your rewards
To find out what you’re eligible to earn, enroll in Healthy Rewards through your secure account and visit the Benefit Reward Hub. You can also enroll or learn more by calling Healthy Rewards at 888-990-8681 (TTY 711) Monday through Friday from 6 a.m. to 5 p.m. Pacific time.
If you need help setting up your Amerigroup online account, you can call Member Services at 800-600-4441 (TTY 711).
Certain services may require a referral and/or preapproval. To learn more, visit our referrals and preapprovals page.
Your member resources
We know health care can be confusing. So here are some tools to help you keep track.
The handbook is your go-to guide for all the benefits included in your plan. Read it to learn about:
- The benefits you get through Amerigroup.
- The benefits you get through the state (using your ProviderOne services card).
- Your ID cards
- Important phone numbers
- Your member rights and responsibilities
- How we protect your privacy
- How to file complaints, appeals and administrative hearings
- And more
You can read your member handbook below:
Personalized treatment plan form
Did you know most doctor appointments only last 15 minutes? To get the most of your time, it’s good to be prepared. Fill out this form and bring it with you to your appointment.
An Ombuds is a person who can provide free and confidential help related to your behavioral health services. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. They can help if you have a behavioral health grievance, appeal or fair hearing. The Ombuds is independent from Amerigroup Washington.