Your application has been saved, but it has not been submitted. You have until null to complete and submit your application.
This is a quick way to see if you might qualify for free or low-cost health insurance, including Medi-Cal.
The next page will give you a preview of which program(s) and plans you may you qualify for.
After you review your options, the only way to know for sure if you qualify for a program is to fill out an application. When you fill out your application, you will be asked for more information to make sure you qualify for the right program.
You can apply for health and dental coverage right away by clicking the “Apply Now” button on the next page. Or, you can apply after you preview what plans might be available to you.
What is this page for?
A:This page allows you to view the household data you entered along with your potential coverage options based upon the data you entered.
Questions and Answers
Q: What does the Back button do?
A: Clicking the button takes you to the previous page.
Q: What does the See My Results button do?
A: Clicking the button will take you to the My Options page.
|Preview Plans for||Dropdown box||Displays a drop-down box to select the latest enrollment year or prior enrollment year.||N/A|
|What is your Zip Code?||Textbox||Displays a textbox to enter the zip code||5 digit numeric entry|
|What is your total income per year?||Textbox||Displays a textbox for entering the income||Numeric characters|
|How many people are in your household?||Dropdown box||Displays a dropdown box with values from 1 till 25||N/A|
|Age of Head of Household||Textbox||Displays a textbox to enter the age of Head of the Household||Numeric characters|
|Needs Coverage?||Checkbox||Indicates if the person needs coverage||At least one person must need coverage|
|Is anyone in your household pregnant?||Radio buttons||Displays Yes and No radio buttons to answer the question.||N/A|
|Is anyone in your household blind or disabled?||Radio buttons||Displays Yes and No radio buttons to answer the question.||N/A|
|Zip Code is not in Service Area|
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