What Is Apple Health?

Apple Health is Washington State’s Medicaid program. It helps people with low incomes get health care. This includes doctor visits, medicine, mental health services, and even dental care.

If you live in Kirkland and have Apple Health, you may qualify for free or low-cost dental services. Many families, kids, and adults use this program to keep their teeth healthy without paying a lot.

Who Can Get Apple Health Dental Coverage?

Not everyone qualifies for Apple Health, but many people do. It depends on your income, your age, and your household size. You must also live in Washington State and be a U.S. citizen or legal resident.

Here are some groups who often qualify:

  • Children under age 21
  • Pregnant women
  • Adults ages 19–64 who meet income limits
  • People with disabilities
  • Seniors aged 65 and older with limited income

To see if you qualify, visit the Washington Healthplanfinder at wahealthplanfinder.org.

What Dental Services Are Covered?

Apple Health covers many dental services. If you or your child is enrolled, you can get care like cleanings, exams, and even emergency treatments.

Covered Service Who It’s For
Routine exams and cleanings Children and adults
Fillings and sealants Children and adults
Tooth extractions Children and adults
Emergency dental care Children and adults
Root canals and crowns Children only
Dentures Adults in some cases

Each type of care has its own rules, and some services need approval first. But most basic dental needs are covered with no cost to you.

How to Use Apple Health for Dental Care

To get dental care with Apple Health, you need to visit a dental office that accepts it. Not all dentists do. Some clinics and providers in Kirkland are part of the Apple Health network and welcome new patients.

Here’s how to get started:

  1. Check if you’re already enrolled in Apple Health.
  2. Find a dentist who accepts Apple Health (see link below).
  3. Call to schedule a dental check-up or treatment.
  4. Bring your ProviderOne card or your client ID number to the visit.

Search the provider directory here: Washington Apple Health Dental Providers

Finding a Dental Provider in Kirkland

There are several dentists in and around Kirkland who accept Apple Health. Community health centers, dental schools, and mobile clinics are great places to look. Some may have wait times, so it’s smart to call ahead and ask if they’re accepting new patients.

Using the state’s provider search tool makes it easy. You can type in your ZIP code and find dental offices near you that work with Medicaid.

Apple Health for Kids

Children enrolled in Apple Health get full dental coverage. This means they can get cleanings every six months, fluoride treatments, sealants, fillings, and even braces in some cases.

Starting dental care early helps prevent big problems later. Kids can visit the dentist as soon as they get their first tooth or by their first birthday. Apple Health makes it easy to give your child a healthy start.

Dental Emergencies and Medicaid

If you have a dental emergency, Apple Health may cover it. This includes things like tooth pain, broken teeth, or infections. You should call a dental office right away or find an urgent care clinic that accepts Apple Health.

Emergency services are part of your coverage, so don’t wait if something hurts or feels wrong. It’s better to get help early before things get worse.

What’s Not Covered?

While Apple Health covers many dental needs, not everything is included. Some cosmetic treatments like teeth whitening or veneers are not covered. Adult orthodontics, like braces, also aren’t usually paid for unless there is a medical need.

If a service isn’t covered, your dental office should tell you ahead of time. You can always ask questions before treatment so there are no surprises.

Keep Your Smile Healthy with Apple Health

Dental care is an important part of your health. With Apple Health, you don’t have to skip the dentist because of cost. If you qualify, you can get the care you need right here in Kirkland.

Make sure to visit the dentist every six months for check-ups. If you have pain or a broken tooth, don’t wait. Your coverage is there to help you.

Making dental care accessible is what we do. Here’s what to expect at your first appointment or visit your local source for complete dental care.