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Application Checklist


How to apply for healthcare



What information do I need for my application?

  • Social Security number(s) for those applying.
  • Information about your resources (property, vehicles, life insurance, burial accounts, ABLE Accounts, bank accounts).
  • Sources of income (job, self-employment, and any unearned income).
  • Expenses (medical, over the counter supplies, work related).

Can I use a computer or mobile device?

Our online application can be used from a computer, tablet, or smartphone. Check to make sure you are using the most recent web browser:

Need to update your browser? Click the links below:


Questions? Call our Customer Support Center at 1-855-899-9600.

For Telecommunications Relay Service: Dial 711.