California Health Exchange Application

In 2015 the type of application you fill out depends on your income. Please see the three choices below and select the one that best matches your situation.

Number of people in your household
OPTION #1
If your annual household income is LESS THAN:
OPTION #2
If your annual household income is between:
OPTION #3
If your annual household income is OVER:
1

$16,104

$16,104 - $46,680

$46,680
2

$21,707

$21,707 - $62,920

$62,920
3

$27,310

$27,310 - $79,160

$79,160
4

$32,913

$32,913 - $95,400

$95,400
5

$38,515

$38,515 - $111,640

$111,640
 
You May Qualify For a No Cost Medi-Cal Plan.

Download Application for Medi-Cal

You May Qualify for Affordable Care Act with Subsidies.

Download Exchange Application
You Qualify for a Affordable Care Act Without Subsidies.

Get a Quote and Apply Directly

If you need assistance selecting the correct application path, please give us a call at 800-930-7956