Open enrollment is here, and now is the time to enroll for coverage in 2017! Apply by December 15, 2016 to make sure your coverage begins on January 1, 2017.
Open enrollment for private health coverage through Covered California in 2017 begins November 1, 2016 and ends on January 31, 2017. Medi-Cal enrollment is year-round.
Covered California and Medi-Cal use the same application. This means that when you apply, depending on factors such as your family size, income, and citizenship or immigration status, you could qualify for:
- Covered California health plan with or without financial assistance
- Medi-Cal
- County Children’s Health Initiative Program
- Medi-Cal Access Program for pregnant women
Click on Apply Now to start your application.
If you are unable to enroll online or to get help enrolling online, you may use a paper application, found below.
Click here to start if you are a Certified Enrollment Counselor or Certified Insurance Agent or if you have a delegation code to enroll individuals and families.
Click here to learn how small-business owners can apply for coverage through Covered California for Small Business.
Paper Applications in English
- Application for health insurance with financial assistance | Large Print
- Application for health insurance with no financial assistance | Large Print
Paper Applications in Other Languages
Arabic
طلب للحصول على تأمين صحي مع مساعدة مالية
طلب للحصول على تأمين صحي دون مساعدة مالية
Armenian
Բժշկական ապահովագրաության դիմում ֆինանսական աջակցության առկայությամբ
Բժշկական ապահովագրաության դիմում առանց ֆինանսական աջակցության
Chinese
提供經濟援助的健康保險申請表
Farsi / Persian
درخواست برای بیمه درمانی با کمک مالی
درخواست برای بیمه درمانی بدون کمک مالی
Tagalog (Filipino)
Application para sa Health Insurance na may Pinansyal na Tulong
Application para sa Health Insurance na walang Pinansyal na Tulong
Hmong
Daim Ntawv Tso Npe Yuav Kev Pov Fwm Kev Kho Mob Uas Xav Tau Kev Pab Nyiaj Txiag
Daim Ntawv Tso Npe Yuav Kev Pov Fwm Kev Kho Mob Uas Tsis Xav Tau Kev Pab Nyiaj Txiag
Khmer
ពាក្យសុំការធានារ៉ាប់រងសុខភាពដែលមានជំនួយផ្នែកហិរញ្ញវត្ថុ
ពាក្យសុំការធានារ៉ាប់រងសុខភាពដែលគ្មានជំនួយផ្នែកហិរញ្ញវត្ថុ
Korean
재정 지원이 있는 건강 보험 신청서
Russian
Заявление на получение медицинской страховки с материальной помощью
Заявление на получение медицинской страховки без материальной помощи
Spanish
Solicitud para seguro de salud con asistencia financiera
Letra Grande
Solicitud para seguro de salud sin asistencia financiera
Letra Grande
Vietnamese
Đơn Ghi Danh Mua Bảo Hiểm Y Tế Với Sự Hỗ Trợ Tài Chính