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Covered California - Single Streamlined Application

Back to Apply for Medi-Cal Apply for Health Coverage at Covered California in 2014

The Department of Health Care Services (DHCS) and Covered California have partnered to create a Single Streamlined Application for affordable health care coverage. You can use the Single Streamlined Application to apply for a range of affordable health care coverage options, including free or low cost Medi-Cal. The application process can be completed online, in-person, by phone, fax or mail. 

The Single Streamlined Application is available in English and additional languages. Go to Covered California to complete an online application for Medi-Cal or low cost health insurance.  Or you can print and fill out the Single Streamlined Application provided below in English and additional languages.
   
You can mail your completed and signed application to:
 
Covered California
P.O. Box 989725
West Sacramento, CA 95798-9725
 
Or mail it to your local county office.
Last modified on: 1/12/2015 8:07 AM