California Health Insurance Quote Request Form

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Will I be subsidized?

Household Size Household Income [?]

Medi-Cal

You are probably eligible for Medi-Cal. Covered California will make the final determination. Apply online at CoveredCa.com, call 800-300-1506, or or download an application now.

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Subsidized

Based on the household income you entered, you are eligible for a subsidy.

Your fair share is $

It's that simple. That's what you'll pay for the second lowest cost Silver Plan after your subsidy is applied. If you choose a Bronze Plan, you'll pay even less.

If you would like professional advice and help with applying,call us at 888-413-3164.

Unsubsidized

Based on the household income you entered, you are not eligible for a subsidy.

Shop, Compare, Enroll

To shop, compare, and enroll in the plan of your choice, click the Next button.

If you would like professional advice and help with applying,call us at 888-413-3164.

Applicant Information

Primary Applicant

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Child 1

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Child 2

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Child 3

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Child 4

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Child 5

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Over the last 2 years over 700,000 Covered California members signed up with the help of agents

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