We are an authorized Enrollment Entity for the State of California Healthy Families and Medi-Cal for Children and Expectant Mothers, (EE - 89481) We are not a State agency.



Do I Qualify?

Who may qualify?
  • Children living in California, ages 0 – 18, up to their 19th birthday.
  • Children without Employer health insurance in the last three months.
  • Children living in California
  • Children who are not eligible for or are not enrolled in no-cost Medi-Cal.
  • Children who meet citizenship or immigration requirements.
  • Children born to mothers enrolled in the Access for Infants and Mothers (AIM) Program, who are not enrolled in no-cost full scope Medi-Cal Program or employer-sponsored health insurance programs.
  • Children in families with incomes that fall within the Healthy Families Guidelines.

Federal Income Guidelines for joining Healthy Families
Income guidelines for joining Healthy Families and no-cost Medi-Cal 2008-09.
(Guidelines change in April each year.) 

Family Size
Child Age 0 to 1 or Pregnant Woman Medi-Cal Child Age 0 to 1 Healthy Families Child Age 1 thru 5 Medi-Cal Child Age 1 thru 5 Healthy Families Child Age 6 thru 18 Medi-Cal Child Age 6 thru 18 Healthy Families
1 $0 - $1,805 $1,806 - $ 2,257 $0 - $1,201 $1,202 - $2,257 $0 - $903 $904 - $2,257
2 $0 - $2,429 $2,430 - $3,036 $0 - $1,615 $1,616 - $3,036 $0 - $1,215 $1,216 - $3,036
3 $0 - $3,052 $3,053 - $3,815 $0 - $2,030 $2,031 - $3,815 $0 - $1,526 $1,527 - $3,815
4 $0 - $3,675 $3,676 - $4,594 $0 - $2,444 $2,445 - $4,594 $0 - $1,838 $1,839 - $4,594
5 $0 - $4,299 $4,300 - $5,373 $0 - $2,859 $2,860 - $5,373 $0 - $2,150 $2,151 - $5,373
6 $0 - $4,922 $4,923 - $6,153 $0 - $3,273 $3,274 - $6,153 $0 - $2,461 $2,462 - $6,153
7 $0 - $5,545 $5,546 - $6,932 $0 - $3,688 $3,689 - $6,932 $0 - $2,773 $2,774 - $6,932
8 $0 - $6,169 $6,170 - $7,711 $0 - $4,102 $4,103 - $7,711 $0 - $3,085 $3,086 - $7,711
9 $0 - $6,792 $6,793 - $8,490 $0 - $4,517 $4,518 - $8,490 $0 - $3,396 $3,397 - $8,490
10 $0 - $7,415 $7,416 - $9,269 $0 - $4,931 $4,932 - $9,269 $0 - $3,708 $3,709 - $9,269
Add the following dollar amount for each additional family member:
  $624 $625 - $780 $415 $416 - $780 $312 $313 - $780

Who can apply?
Parents, legal guardians, step-parents, foster parents or caretaker relatives may apply for Healthy Families coverage for children living in their home. Only the parent’s income of children applying for coverage will be considered. If you are a legal guardian, stepparent, foster parent or caretaker relative who lives with a child, your income will not be used to determine eligibility of the child for Healthy Families.

If you are 18 and under 19 years of age, you may apply for your own insurance if you meet The Healthy Families Program’s income requirements. 

If you complete and submit the below Pre-Qualification Assessment, a Certified Application Assistant (CAA) will contact you at a time that is convenient for you during regular business hours (M-F 8:00am-6:00pm).  You will be contacted within the next business day after your completed online Pre-Qualification Assessment is submitted.  At this time, you may ask the CAA for clarification on questions you may still have regarding The Healthy Families Program.



Pre-Qualification Assessment

* Required Fields

Parent's Personal Information
First Name * Middle Initial Last Name *


Applicant Date of Birth Email Address
Contact Information
Please ensure that you are entering the correct phone number. We will contact you using this number.
Home Address 1 *
Home Address 2
Home City *
Home State *
Home five-digit Zip Code *  
 

Please enter your 10 digit phone number in this format : (123) 456-7890
Preferred Phone * Phone 2 Phone 3
( ) -  
 
( ) -
 
( ) -
 
Preferred time to call

Children
Number of Children Under 19 *:
 
 
Family Information
Language preference Family monthly gross income (before tax) Family size *

(including yourself and an unborn child, if you have a pregnant mother at home)
Comments/Notifications


    
 Copyright © 2008. All rights reserved. Privacy Policy