Health Benefit Plans
Making Healthcare More Affordable
At Columbia Basin Health Association, we are committed to supporting a healthy community. There are many health benefit programs outside of private insurance that allow patients to gain access to affordable, high-quality services. Members of our patient services staff can help you select and enroll in insurance programs you are eligible for.
An outline of some of these plan options are below. If you are unsure of which plan is right for you and your family, call to make an appointment with a member of our staff.
Call 509-488-5256 to schedule an appointment with our patient benefits team.
Washington Apple Health for Kids
Apple Health for Kids is the Medicaid Managed care program for families with income at or below 312-percent of the federal poverty level. Apple Health for Kids offers eligible families medical, dental, vision, and mental-health coverage among other benefits.
Children’s Health Program
The Children’s Health Insurance Program (CHIP) provides free medical coverage to non-citizen children under the age of 19, with family income at or below 210-percent Federal Poverty Level (FPL). This program is for children ineligible for Medicaid due to immigration status.
The program also offers premium-based medical coverage to non-citizen children under the age of 19, with family income between 210-percent FPL and 312-percent of FPL.
Apple Health for Adults
The Affordable Care Act increased Washington Apple Health (Medicaid) eligibility limits, bringing healthcare coverage to more adults ages 19 to 65. To qualify, adults must earn up to 138-percent of the federal poverty level. (For a single person, this is an annual income of $16,248.)
This program offers several packages, including those for non-citizens, adults, and elderly patients among others. Enrollees can access preventive care screenings; treatment for diabetes and high blood pressure; and dental, behavioral health, and pregnancy services as well as many other offerings.
Health Benefit Exchange
The Health Benefit Exchange is a part of the Affordable Care Act and created a marketplace for each state to offer health benefits to individuals and families. The state of Washington’s version of the exchange consists of 10 Community Partners. Each community partner employs In-Person Assisters or Navigators that assist clients with enrollment into Washington’s version of Affordable Care Act program, or Apple Health.
Affordable Care Program
In agreement with the Patient Protection and Affordable Care Act, CBHA offers discount fee charges to qualified patients based on family size and annual income. Patients that apply for CBHA’s Affordable Care Program must be registered CBHA patients and meet income eligibility requirements. Services not eligible for discount include certain supplies, pharmaceuticals or injectables, and special procedures.
Medicare Part D
Medicare Part D is a stand-alone insurance supplemental plan for prescription drug coverage offered to patients already eligible for Medicare. This plan allows patients to pay a premium for the plan they choose, and receive specific benefits and coverage for medications.
Alien Emergency Medical (AEM)
Alien Emergency Medical (AEM) is an emergency Medicaid program for patients who do not meet the citizenship requirements, or eligibility standards of other DSHS medical programs, and experience an emergent or emergency medical need.
In Washington State, patients who meet the following criteria are eligible:
- An emergency Medicaid program for persons who do not meet the citizenship requirements or other DSHS medical programs and are experiencing an emergent medical need.
- Must be a non-citizen that meets Medicaid eligibility requirements except for citizenship.
- Immigrant status is not an issue
- Applicants are not eligible for any other medical assistance program
BREAST AND CERVICAL HEALTH PROGRAM
Washington State’s Breast and Cervical Health Program (WBCHP) is part of the National Breast and Cervical Cancer Early Detection Program, a nation-wide chronic disease-prevention initiative implemented by the Federal government.
In Washington State, women who meet the following criteria are eligible:
- Age 40 to 64 years
- Household income at or below 250% of the Federal Poverty level
- Uninsured or have insurance that doesn’t cover the full cost of health check-ups or services like mammogram or Pap test