COFA Islander Health Care program

Compact of Free Association (COFA) Islander Health Care is a state-funded sponsorship program offered by the Health Care Authority (HCA). HCA pays the monthly premiums and out-of-pocket expenses under a silver level Qualified Health Plan for eligible COFA islanders. The program serves COFA islanders which includes people from the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau.

COFA islanders are only eligible for federally funded Washington Apple Health (Medicaid) if they are under age 19 or pregnant. They may also be eligible for limited medical coverage if the Department of Social and Health Services (DSHS) determines them to be incapacitated or under the Alien Emergency Medical (AEM) program.