The Evergreen Health Insurance Program can pay health insurance premiums for eligible Washington residents. To be eligible for Evergreen assistance, contact us for details.
Why is insurance important?
Insurance can provide access to comprehensive care, not just support for your prescriptions and medical needs. For example, insurance may provide coverage for specialists, hospitalization and emergency care, and mental health and chemical dependency treatment. In addition, insurance may cover a broad range of prescription medications.
Who is Eligible for EHIP?
Evergreen serves people with low to moderate incomes in Washington State. Here are some, but not all, of the eligibility criteria:
- Living in Washington State.
- Have a gross monthly income up to $4,424 (in 2019) or less for a single person, or 425% of the Federal Poverty Level.
- The previous limit on assets has been eliminated.
What can Evergreen Health Insurance Program pay for?
We can pay for your current insurance, or help you find insurance if you are not currently insured. Evergreen can pay for medical insurance premiums for:
- Existing COBRA policies in effect before January 1, 2014 and other employer-sponsored coverage.
- Group policies.
- Healthcare for Workers with Disabilities (HWD).
- Individual insurance for people who do not qualify for insurance in the Health Benefit Exchange.
- Medicare Part D Prescription Drug Plans (PDPs) and some Medicare Advantage Prescription Drug plans (MA-PDs) offered through private insurance companies.
- Existing Washington State Health Insurance Pool (WSHIP) policies for people who do not qualify for insurance in the Health Benefit Exchange.
- Gold- and Silver-level Qualified Health Plans in the Health Benefit Exchange.
If you have Medicaid, Evergreen can only pay for Medicare Part D or Healthcare for Workers with Disabilities (HWD) policies. The Washington State Department of Health may be able to assist you in meeting your spenddown.
- The policy must have at least 50% prescription coverage.
- There can be no yearly cap on prescriptions.
- Payments must be made to a company, not to an individual.
- Only Qualified Health Plans purchsed on the Washington Health Benefit Exchange have an annual deductible limit of $2,000.
- The plan we are paying must be your primary insurance plan.
- We can only pay for our clients; we cannot pay for dependents unless they are also enrolled in Evergreen.
What will Evergreen not pay for?
- Stand-alone dental or vision insurance.
- Medicare Part B premiums or Medicare Advantage Drug Plans (MA-PDs) that do not meet specific criteria.
- Health Savings Accounts.
- Bronze-level Qualified Health Plans in the Health Benefit Exchange.
How do I Apply?
See our how to apply page for more information and to download a form.
More information about this program is available by calling 206-323-2834 or 1-800-945-4256. You can also e-mail us at firstname.lastname@example.org.