Medi-Cal & Covered California
Application Assistance
Complete the application below so our team can review your information and help determine the appropriate next steps for Medi-Cal or a Covered California health insurance plan.
Find the Right Coverage Path for Your Household
California residents may qualify for free or low-cost health coverage through Medi-Cal or may be eligible to purchase private health insurance through Covered California. Eligibility and financial assistance may depend on household size, projected annual income, residency, tax filing information, and other applicable program requirements.
About Medi-Cal
Medi-Cal is California's Medicaid health coverage program. It provides free or low-cost health coverage to eligible California residents.
- Applications may be submitted throughout the year.
- Eligibility is based on applicable program requirements.
- Some household members may qualify even when others do not.
- Additional documentation or verification may be requested.
About Covered California
Covered California is California's official health insurance marketplace, where individuals and families can compare private health insurance plans.
- Eligible households may qualify for financial assistance.
- Plan availability and pricing vary by household and location.
- A health plan must be selected to complete enrollment.
- The initial premium may be required before coverage begins.
One Form for Either Coverage Option
Complete this form even if you are unsure whether you may qualify for Medi-Cal or Covered California. Our team will review the information provided and contact you regarding the appropriate next step.
Information You May Need
Having the following information available can help make the application process easier and reduce the need for follow-up requests.
Before You Begin
Please provide complete and accurate information. Submission of this form is an initial request for assistance and does not guarantee eligibility, approval, enrollment, financial assistance, or health coverage. Additional documentation or verification may be required.
Begin Your Health Coverage Request
Complete all applicable sections below. Our team will review your submission and contact you regarding the next steps.
Important: Submission of this form does not guarantee eligibility, approval, enrollment, financial assistance, or coverage.
Advantage Plus Insurance Agency is not the California Department of Health Care Services and is not Covered California. Final eligibility determinations are made by the applicable government agency, insurance marketplace, or health insurance carrier.