Get an Estimate
Fields marked with * are required.
1
Tell us about yourself
2
Build your household
Primary Applicant
Age *
Is this person pregnant? *
Select the coverage you need *

Be sure to include these people, even if they don't need coverage:

  • Yourself
  • Your spouse if you're married
  • Anyone you'll claim as a tax dependent this year

Learn more here about who to include when you apply for coverage.

3
You may qualify for lower costs

You may qualify for financial help to make health coverage more affordable, depending on your income and some other factors, such as whether you could get coverage through your employer or another program such as Medicare, and your citizenship or immigration status and tax-filing status.

Household Income
Frequency *
YOUR ANNUAL TOTAL IS:

Include these income sources, even for household members not applying for coverage:

  • Wages, salaries and tips
  • Net income from any self-employment or business
  • Unemployment
  • Social Security benefits (but not Supplemental Security Income)
  • Alimony
  • Retirement and pension income

Learn more here about what income to include when you apply for coverage.