Basic Health provides coverage for doctor and hospital care, emergency services, and prescription drugs. Program eligibility is based on your family size and countable income. There is a choice of health care plans in most counties.
Monthly premiums are based on age, income, family size, and the health plan chosen. There are no co payments for preventive care services. There is a $150 annual deductible, a $1500 annual out-of-pocket maximum, and a 20 percent coinsurance on some services.
Basic Health does not cover dental or vision services.
| Family Size | Monthly Income |
|---|---|
| 1 | $1,734 |
| 2 | $2,334 |
| 3 | $2,934 |
| 4 | $3,534 |
| 5 | $4,134 |
| 6 | $4,734 |
| 7 | $5,334 |
| 8 | $5,934 |
| 9 | $6,534 |
| 10 | $7,134 |
| 11+ | $600 each |
Use the Benefit Finder to see if you may qualify and fill-out an application for Basic Health.
Children under age 19 may be eligible for free health coverage through Basic Health Plus. There are no premiums, no deductibles, and no co payments. In addition to Basic Health benefits, kids on Basic Health Plus get extra services, such as dental coverage and eyeglasses. Basic Health Plus is a joint program of the Health Care Authority-Basic Health and the Department of Social and Health Services (DSHS). DSHS determines eligibility for the program. For more information, visit Basic Health.
The Maternity Benefits Program is a Department of Social and Health Services (DSHS) program for pregnant women who are Basic Health members and meet the eligibility guidelines for Medicaid. The program allows you to get extra services not covered by Basic Health, with no copays, no premiums, and no waiting period for preexisting conditions. DSHS determines eligibility for the program.
If you have questions about Basic Health or these options, call 1-800-660-9840 or visit the Basic Health website.
Use the Benefit Finder to see if you may qualify and fill-out an application for Basic Health.
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