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If you’re on Medicaid, in Washington State called Apple Health, a medical provider usually can’t bill you, or someone related to you, such as your family, a friend, or helper, for services. Providers who take part in Apple Health must accept payment from the agency as payment in full. 

• A provider can’t bill you for the cost of services over and above what Apple Health pays.  
• A provider generally can’t bill you for any service Apple Health covers even if the provider hasn’t gotten payment from Apple Health or your managed care provider. 

There are exceptions to these rules. This guide discusses the exceptions. If no exception applies to you, the provider can’t bill you. 

If the provider tries to bill you anyway, try using one of our form letters. And try to talk to a lawyer.