Healthy DC Plan for District Residents
The Healthy DC Plan is quality health coverage for DC residents who qualify. There are no monthly payments and no costs when you get care. All plans cover doctor visits, urgent care visits, hospital stays, prescription drugs, mental health care, and more. NEW for 2027: Healthy DC Plan now covers dental and vision services!
Will my Healthy DC Plan renew automatically for 2027?
Yes. You will automatically be re-enrolled into your current Healthy DC Plan for 2027 if you still qualify. In early November 2026, you will receive a notice by mail and in your DC Health Link account confirming whether you still qualify.
Do I need to report changes to keep Healthy DC Plan for 2027?
Yes. To keep your Healthy DC Plan coverage, you must report changes. Changes include income, family size, address, immigration status, and tax filing status (single, married filing jointly, married filing separately, etc.).
Can I change my Healthy DC Plan for 2027?
Yes. You can change your Healthy DC Plan insurance company during Open Enrollment. Open Enrollment is from November 1 through January 31. If you select a new plan by the 15th of the month, your new plan will begin on the 1st of the following month. If you select a new plan after the 15th, your new plan will begin on the 1st of the next month.
| If you select a new plan… | Your new plan begins… |
|---|---|
| …by December 15 | … on January 1. |
| …between December 16 and January 15 | … on February 1. |
| …between January 16 and 31 | … on March 1. |
You may be able to make changes to your Healthy DC Plan outside of open enrollment if you meet certain criteria. This is called a special enrollment period and usually requires you to act within 60 days of the qualifying event. Go to our Life Changes and Special Enrollment Periods page for more information on how to apply for a special enrollment period.
Which insurance companies are offering Healthy DC Plan?
There are three insurance companies offering Healthy DC Plan:
- AmeriHealth Caritas District of Columbia Healthy DC Plan
- CareFirst BlueCross BlueShield Healthy DC Plan
- MedStar Family Choice Healthy DC Plan
All three plans cover the same services. The major differences are provider networks and prescription drug coverage. Use our 2027 Healthy DC Plan Match Tool for more information on coverage and prescription medication.
Looking for a 2026 Healthy DC Plan? Preview 2026 Healthy DC Plans now.
My Healthy DC Plan Insurance Card
You should have a Healthy DC Plan insurance card. If you lost or did not receive an insurance card, you can log into your health insurance company’s enrollee portal for an electronic insurance card.
If you keep the same plan for 2027, you can keep using your same Healthy DC Plan insurance card. You will not receive a new card. If you change plans, you will receive a new Healthy DC Plan insurance card from the new health insurance company that you’re enrolled with.
Are there out-of-pocket costs for Healthy DC Plan?
No. Healthy DC Plan does not have monthly payments (also called premiums) or out-of-pocket costs for covered services. When you get care from participating doctors and hospitals, and community health centers, there is no out-of-pocket cost to you.
What does Healthy DC Plan cover?
The Healthy DC Plan covers essential health care services including:
- Primary care doctor visits
- Specialist doctor visits
- Urgent care visits
- Hospitalizations and emergency care
- Laboratory services
- Prescription drugs
- Mental health, behavioral health, and substance use disorder services
- Preventive care
- Dental services NEW
- Vision services NEW
Coverage Details
For more information on covered services, download and review each plan's Summary of Coverage (SOC) and Evidence of Coverage (EOC).
Who is eligible for Healthy DC Plan?
DC residents are eligible for Healthy DC Plan if they are:
- 21–64 years old;
- US Citizen or lawfully present;
- Not eligible for Medicaid;
- Not eligible for employer or other coverage; and
- Have an annual income between 138% and 200% of the Federal Poverty Level. For more information, see the Income Eligibility for Healthy DC Plan table below.
Income Eligibility for Healthy DC Plan
| Household Size* | You qualify if your annual income is:** |
|---|---|
| 1-person household, annual income | $22,025 – $31,920 |
| 2-person household, annual income | $29,863 – $43,280 |
| 3-person household, annual income | $37,702 – $54,640 |
| 4-person household, annual income | $45,540 – $66,000 |
*Contact us about eligibility for larger households.
**Special Eligibility for Lawfully Present Residents: If a lawfully present resident with an annual income below 138% of the federal poverty level is not eligible for Medicaid due to immigration status, the resident is eligible for Healthy DC Plan in 2026.
Need help?
HEALTHY DC PLAN CONTACT CENTER
(833) 432-7526 / TTY: 711
Mon-Fri 8am-6pm
CONTACT FORM
If you don’t find what you’re looking for, please fill out this contact form for more assistance from our team.
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