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Population: 6,395,798
(Source: U.S. Census Bureau)
Uninsured: 778,000
(Source: U.S. Census Bureau)
Health Benefits Direct is a licensed insurance broker for Washington health insurance policies. Click here to view our registration with the Washington Office of Insurance (We're listed as HBDC). |
Washington has the 17th highest number of uninsured in the U.S.
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Health Insurance News in Washington
Buying Individual Insurance Policies in Washington
State regulation of individual health insurance differs greatly from state to state. For you, this means certain conditions or providers covered in one state may not be covered in another.
Each state has its own health insurance mandates. Those mandates require that insurance companies and health plans cover, or offer coverage for, certain conditions, benefits, providers and patient populations.
Here is a list of mandated and non-mandated conditions, covered persons and providers in Washington:
(Source: Health Insurance Mandates in the States 2008¹, Council for Affordable Health Insurance. Last updated Jan 2008.)
| Mandated (Covered) Conditions |
Non-Mandated Conditions |
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- Alcoholism
- Birthing Centers/Midwives
- Breast Reconstruction
- Cleft Palate
- Colorectal Cancer Screening
- Contraceptives
- Dental Anesthesia
- Diabetes Self Management
- Diabetic Supplies
- Drug Abuse Treatment
- Emergency Services
- Home Health Care
- Hospice Care
- HPV Vaccine
- Mammogram
- Maternity
- Maternity Stay
- Mental Health General
- Neurodevelopment Therapy
- Off-Label Drug Use
- PKU/Formula
- Port-wine Stain Elimination
- Prescription Drugs
- Prostate Cancer Screening
- Second Surgical Opinion
- TMJ Disorders
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- Alzheimer's
- Ambulatory Surgery
- Ambulance Services
- Anti-Psychotic Drugs
- Autism
- Blood Lead Poisoning
- Blood Products
- Bone Marrow Transplants
- Bone Mass Measurements
- Cancer Medications
- Cervical cancer/HPV Screening
- Chemotherapy
- Chlamydia
- Clinical Trials
- Congenital Bleeding Disorders
- Early Intervention Services
- Habilitative Services
- Hair Prostheses
- Hearing Aid
- In Vitro Fertilization
- Kidney Disease
- Long Term Care
- Lyme Disease
- Mastectomy
- Mastectomy Stay
- Mental Health Parity
- Minimum Hysterectomy Stay
- Minimum Testicular Cancer Stays
- Morbid Obesity Treatment
- Newborn Hearing Screening
- Newborn Sickle-Cell Testing
- Orthotics/Prosthetics
- Ostomy Related Supplies
- Other Infertility Services
- Ovarian Cancer Screening
- Psychotic Drugs
- Rehabilitation Services
- Smoking Cessation
- Well-Child Care
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| Mandated Covered Persons |
Non-Mandated Covered Persons |
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- Adopted Children
- Continuation/Dependents
- Continuation/Employees
- Conversion to Non-Group
- Handicapped Dependents
- Newborns
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- Dependent Students
- Grandchildren
- Non-Custodial Children
- Domestic Partners
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| Mandated (Included) Providers |
Non-Mandated Providers |
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- Acupuncturists
- Chiropodist
- Chiropractors
- Denturists
- Lay Midwives
- Licensed Health Professional
- Massage Therapists
- Naturopaths
- Nurse Anesthetists
- Nurse Midwives
- Nurse Practitioners
- Nurses
- Osteopaths
- Physical Therapists
- Physician Assistants
- Podiatrists
- Psychologists
- Public or Other Facilities
- Speech or Hearing Therapists
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- Dentists
- Dieticians
- First Nurse Assistant
- Marriage Therapists
- Occupational Therapists
- Opticians
- Optometrists
- Oral Surgeons
- Pain Management Specialist
- Pastoral Counselor
- Pharmacists
- Professional Counselors
- Psychiatric Nurse
- Social Workers
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Although health insurance coverage for a particular condition or provider may not be mandated in your state, insurance carriers may still provide coverage for the condition or provider. Please keep in mind that major medical health insurance plans are subject to health underwriting and that mandates do not necessarily guarantee coverage. If you're not sure whether you could receive coverage, one call to Health Benefits Direct can help you determine if you're eligible to buy an individual health insurance policy in Washington.
Health Benefits Direct provides free health insurance quotes on affordable health insurance plans for Washington residents. We work with highly rated insurance carriers to deliver quality health insurance plans to families and individuals across Washington.
¹Authors: Victoria Craig Bunce & JP Wieske
Please note that information contained on this page can change at any time. Consequently, while we seek to present as up-to-date information as possible, Health Benefits Direct in no way warrants the accuracy of the information.
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