Defining your Washington Health Insurance Eligibility

Define your Needs and Eligibility

Health care coverage access issues are complex. You must be sure your health care plan meets your needs.

Different types of health coverage plans are available based on your current needs, personal circumstances, and financial resources. This section will help you discover what kind of policy or plan you may need, are eligible for, and can afford.

You might need to buy health care insurance from the individual market, especially if you don't have insurance through your employer, or a spouse or parent.

Before you buy health insurance, check to see if you qualify for lower cost options. For more information, read Section 3 on "Low cost health coverage options." Real-life situations in which you may need to buy individual health insurance coverage include:

  • Your employer's health plan does not meet your needs.
  • You haven't worked long enough for your employer to qualify for a plan.
  • You have to wait for an "open-enrollment" period.
  • You just moved to Washington from another state and need insurance.
  • You will no longer qualify for coverage under your parents' policy.
  • The rates for family health insurance through your employer are too costly to cover everyone. If you continue on your employer's plan, you need coverage for your spouse and/or your children.
  • Your kids need insurance to play sports at school.
  • You work one or more part-time jobs, and none offers benefits.

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