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Application for Health Coverage & Help Paying Costs. Use this application to see what coverage you qualify for. • Afordable private health insurance plans that ofer comprehensive coverage to help you stay well. • A new tax credit that can immediately help pay your premiums for health coverage.
Complete and submit an Application for Assistance for Medicaid (health care) coverage using our self-service portal. Apply now
Instructions. English and Spanish forms can be found under the title "Form to apply for Medicaid for the Elderly and People with Disabilities or Medicare Savings Program" under section "Forms to apply for benefits".
• Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage.
Prepare Now. Renewal Outreach Materials. Get materials to help people with Medicaid or CHIP renew their health coverage or find other health care options. Find Materials. CMS Strategic Plan.
You can apply for Medicaid anytime in one of the following ways: Find and check with your state's Medicaid agency to apply. You must be a resident of the state where you are applying for benefits. Create an account with the Health Insurance Marketplace and fill out an application.
Download, fill out, and print a paper application then send it to your local County Assistance Office. Download a form (PDF)