Is anyone applying for health coverage on this application CURRENTLY Incarcerated | Detained or Jailed?
To make it easier to determine my eligibility for help paying for health coverage for future years, I agree to allow the Marketplace to use income data, including information from tax returns
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The Marketplace will send you a notice, letting you make any changes, and can opt-out at any time.
I acknowledge that I must tell the program I'll be enrolled in & the information I listed on this application is accurate.
I acknowledge I can make changes in my Marketplace account or by calling
(888) 421-2216
I understand that a change in my information could affect my eligibility for member(s) of my household.
100% Of the plans we offer cover 100% of preventative services with no deductible or co-pay. Do you want the Lowest price | Best plan? or a plan with Specific doctors or Prescriptions?
Why us?
We offer the widest selection of plans for your area. We don't charge any additional fees for our services. Our focus is to assist you in finding the right coverage.
Why do we need this information?
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your information is used to find insurance companies that offer plans in your location.
Call us today for a quote (888) 421-2216
