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 when you fill out the application will help us complete your application as quickly as possible.

Affordable Private Health Insurance
(without premium reductions)

For Affordable Private Health Insurance View Checklist

Gather information for everyone in the household to be covered.

Basic information

For those applying for coverage

Official Information

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

For Private Health Insurance with Premium Reduction or Medicaid View Checklist

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