reb«bdak'Bak¥s®mab' Washington Apple HealthelIbN∂aj

kardak'Bak¥elIbN∂ajnwgbg˙aj/ñky"agqab'

rh¤szaetI /ñkmansiTiÛTTYl◊nZanar"ab'rgsuxPaB

eday≤tKit´z¬tam ry: Washington Apple Health (Medicaid) . /ñk/acdak'Bak

¥®Kb'eBleBjmYyqñaM . /accab'ep∂Im◊nenA www.wahealthplanfinder.org

/ñknwg®tUvkarB¤t·manenHmun/ñkcab'ep∂Im –

• ®◊k'cMNUlkñ¨gpÊH®bcaMEx .

• elxsn∂isuxsg†m nig´z©ExqñaMkMeNIt´nsmaCikmñak'@

enAkñ¨gpÊH Edldak'Bak¥s®mab'

Apple Health .

• B¤t·man/en∂a®bevsn— ebIva®twm®tUvs®mab'/ñk .

viZIepßgeT«tedIm∫Idak'Bak¥

TUrs¤BÊ (eday≤tKit´z¬) 1-855-923-4633TTY/TTD 1-855-627-9604

/ñkCYy//ñknaMp¬Ëv

TUrs¤BÊeTAelxTUrs¤BÊ≤tKit´z¬xagelIedIm∫IEs√grk/ñkCYy …

cUleTAeKhTMB¤r www.wahealthplanfinder.org

nigcucelItMNrCMnYy/tiziCn .

sMbu®t

TajykBak¥sMuenAeKhTMB¤r www.hca.wa.gov/assets/free-or-low-cost/18-001P.pdf nigeZ√I tamkarENnaMkarep∆IsMbu®t .

®tUvkarCMnYykñ¨gkardak'Bak¥?

/ñkGkeTsEpñkcuHeQµaHenAshKmn—

/ñkGkeTsTaMgenHBI/aC∆aZrEzTaMsuxPaBmanTItaMg

enAkñ¨g mnÊIreBT¥ K¬Inik EpñksuxPaB nigmCŒmNÎlesva

shKmn—enAkñ¨grdƒ . sUmemIlbJÇIenAeKhTMB¤r – www.hca.wa.gov/hcacommunitystaff

/ñkCYy …/ñknaMp¬Ëv

◊nbN∂¨HbN∂aledIm∫Ie®bI Washington Healthplanfinder /ñkCYy//ñknaMp¬ ËvTaMgenHmanenAkñ ¨g

shKmn—Cae®cIn . edIm∫IEs√grksUmTUrs¤BÊ 1-855-923-4633 . /ñke®bI®◊s' TTY/TDD sUmTUrs¤BÊeTAelx

1-855-627-9604.

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buK†lik …/ñksµ¤®Kcit∂enA/g†karshKmn—mUlâan— mNÎl

suxPaB mnÊ IreBT¥ nig/g†karminykk´®m—/acCYy/ñkdak'

Bak¥◊n .

EpñksuxPaBmNÎlrbs'/ñk

TUrs¤BÊeTAsYrBI/√IEdlmankñ¨gtMbn'rbs'/ñk .

/ñksµ¤®Kcit∂ SHIBA/ñksµ¤®Kcit∂tamry: SHIBA (/ñk®bwkßapl®beyaCn—Zanar"ab'rg

suxPaBTUTaMgrdƒ) p∂l'Ø¥/ñknUvCMnYy≤tKit´z¬ minlem÷|g

nigsm©at'CamYyCe®mIskaEzTaMsuxPaBrbs'/ñk .

sUmTUs¤BÊ eTAelx 1-800-562-6900 .

ebIsin/ñk®tUvkarkarCYys®mYl …TamTarGksarkñ¨gT®mg'

…Pasaepßg sUmTUrs¤BÊeTAelx 1-800-562-3022 (TRS: 711).

vakan'Etgay®sYl

…qab'rh¤sedIm∫I

Es√grkZanar"ab'rg

≤tKit´z¬ …t´m¬Tab

HCA 19-003 CA (3/18) Cambodian

HCA cat'Ecg Washington Apple Health (Medicaid) .www.hca.wa.gov/apple-health

etI/ñkmansiTiÛTTYl◊neT?

Apple Health s®mab'mnusßeBjv¤y/ñk/acmansiTÛiTTYl◊n ebI –

• /ñkman/ayuBI 19 dl' 65 qñaM .

• /ñkCa/ñksñak'enArdƒv"asIunetan .

• /ñkCaBlrdƒ/aemrik …bMeBjt®mUvkar/en∂a®bevsn—

Medicaid .• /ñkminCab'BnÛZanaKar .

• ®◊k'cMNUlpÊH®bcaMqñaMrbs'/ñkKWenA …e®kamcMnYnEdl

◊n bg˙ajkñ¨gtarag®◊k'cMNUlPaBmansiTiÛTTYl

◊nenAxags∂aM.

Apple Health s®mab'®s∂Iman´pÊeBaHkmµviZIenHp∂l'Zanar"ab'rgdl'®s∂Iman´pÊeBaHCamYy®◊k'

cMNUl Edl/acrab'◊nenA …e®kam 198 PaKry´nk®mit

PaB®kI®k shB¤nÛedayminKItBIPaBCaBlrdƒ …fan:/en∂a

®bevsn— . sUmemIltarag®◊k'cMNUlPaBmansiTiÛTTYl◊n

enAxags∂aM.

Apple Health s®mab'kumarZanar"ab'rgKW≤tKit´z¬dl'kumarenAkñ¨gpÊHEdlman®◊k'

cMNUlenA …e®kam 215 PaKry´nk®mitPaB®kI®kshB¤nÛ

nigmans®mab'buB√laPTab®bcaMExdl'kumarenAkñ¨gpÊHEdl

man®◊k'cMNUlenA …e®kam 317 PaKry´nk®mitPaB

®kI®kshB¤nÛ . sUmemIltarag®◊k'cMNUlPaBmansiTiÛ

TTYl◊nenAxags∂aM.

karrMlwksMxan'@

ebI/ñkmansiTiÛTTYl◊n Apple Health /ñk/accuHeQµaH◊n®Kb'eBlevlaeBjmYyqñaM enAeKhTMB¤r www.wahealthplanfinder.org .

eTaHbICa/ñkminmansiTiÛTTYl◊n Apple Health /ñk/acrukrkCe®mIsZanar"ab'rgGkCnt´m¬TabEdl/acsaksmnwg/ñk .

/ñkk°/acdwgBIkalbriecœTs®mab'karebIkkarcuHeQµaH®bcaMqñaM .

HCA /nuelamtamcÒab'siTiÛsuIvIlrâùasIunetan nigshB¤nÛCaZrmanTaMg/s'

ehIy◊neb∂C∆ap∂l'nUvkarcUle®bIesµIPaBKñaeTAkan'esvakmµrbs'eyIg.

tarag®◊k'cMNUlPaBmansiTiÛTTYl◊n 2018 Washington Apple Health (Medicaid)

mnusßmñak'pÊHmanmnusß 2

nak'pÊHmanmnusß 3

nak'pÊHmanmnusß 4

nak'pÊHmanmnusß 5

nak'pÊHmanmnusß 6

nak'pÊHmanmnusß 7

nak'pÊHmanmnusß 8

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Apple Health s®mab'mnusßeBjv¤y (mnusßeBjv¤yEdlman/ayuBI 19 dl' 65 qñaM)

$1,397 ®bcaMEx

$16,753 ®bcaMq ña M

$1,893 ®bcaMEx

$22,715 ®bcaMq ña M

$2,390 ®bcaMEx

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$4,377 ®bcaMEx

$52,523 ®bcaMq ña M

$4,874 ®bcaMEx

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Apple Health s®mab'®s∂Iman´pÊeBaH N/A

$2,717 ®bcaMEx

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$41,144 ®bcaMq ña M

$4,142 ®bcaMEx

$49,698 ®bcaMq ña M

$4,855 ®bcaMEx

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$5,568 ®bcaMEx

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$6,281 ®bcaMEx

$75,359 ®bcaMq ña M

$6,993 ®bcaMEx

$83,912 ®bcaMq ña M

Apple Health s®mab'kumar (≤tKit´z¬s®mab'kumardl'/ayu 19 qñaM)

$2,176 ®bcaMEx

$26,101 ®bcaMq ña M

$2,950 ®bcaMEx

$35,389 ®bcaMq ña M

$3,724 ®bcaMEx

$44,677 ®bcaMq ña M

$4,498 ®bcaMEx

$53,965 ®bcaMq ña M

$5,272 ®bcaMEx

$63,253 ®bcaMq ña M

$6,046 ®bcaMEx

$72,541 ®bcaMq ña M

$6,820 ®bcaMEx

$81,829 ®bcaMq ña M

$7,594 ®bcaMEx

$91,117 ®bcaMq ña M

Apple Health s®mab'kumar CamYybuB√laP (buB√laP®bcaMEx $20 s®mab'kumarmñak' . $40 ®KYsar /tibrma)

$2,682 ®bcaMEx

$32,171 ®bcaMq ña M

$3,636 ®bcaMEx

$43,619 ®bcaMq ña M

$4,590 ®bcaMEx

$55,067 ®bcaMq ña M

$5,544 ®bcaMEx

$66,515 ®bcaMq ña M

$6,498 ®bcaMEx

$77,963 ®bcaMq ña M

$7,452 ®bcaMEx

$89,411 ®bcaMq ña M

$8,406 ®bcaMEx

$100,859 ®bcaMq ña M

$9,360 ®bcaMEx

$112,307 ®bcaMq ña M

Apple Health s®mab'kumar CamYybuB√laP (buB√laP®bcaMEx $30 s®mab'kumarmñak' . $60 ®KYsar /tibrma)

$3,208 ®bcaMEx

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$4,349 ®bcaMEx

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$5,490 ®bcaMEx

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$7,773 ®bcaMEx

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$8,914 ®bcaMEx

$106,956 ®bcaMq ña M

$10,055 ®bcaMEx

$120,650 ®bcaMq ña M

$11,196 ®bcaMEx

$134,345 ®bcaMq ña M

s®mab'mnusßbEnΩmnImYy@ bEnΩmdl '®◊k 'cMNUl®bcaMEx –

mnusßeBjv¤y $497

®s∂Iman´pÊeBaH $713

Apple Health s®mab'kumar $774

/ñk/acmanKuNsm∫t∂i ®Kb'®Kan's®mab'.......

Apple Health s®mab'kumarCamYybuB√laP $20 $954

Apple Health s®mab'kumarCamYybuB√laP $30 $1,142

brimaN®◊k'cMNUlman®bsiTÛPaB BI z©TI 1 Exemsa qñaM 2018 dl' z©TI 31 ExmIna qñaM2019 .