Application Checklist

Information You Need to Complete a DC Health Link Application

In order to complete an application at DCHealthLink.com for assistance paying for a private health insurance plan or Medicaid, you will need to have the information listed on this checklist about you and the other members of your household. Having this information with you with you when you fill out the application will help us complete your application as quickly as possible.

Affordable Private Health Insurance

Affordable Private Health Insurance
(without premium reductions)

Gather information for everyone in the household to be covered.

Basic information

For those applying for coverage

Official Information
View Checklist
Private Health Insurance with Premium Reduction or Medicaid

Private Health Insurance with Premium Reduction or Medicaid
(with premium reductions)

Gather the information for everyone in the household (even those not applying for coverage)

Basic information
Income Information
Adjustments to Income

For those applying for coverage

Official Information
View Checklist