NEW Healthy DC Plan
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.
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
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.
Important information about pregnancy: If you become pregnant, you will no longer be eligible for Healthy DC Plan. Medicaid will cover you, including delivery and 12 months of post-partum care.
When does Healthy DC Plan open for enrollment?
Enrollment for Healthy DC Plan will remain open all of 2026. If you enroll in a plan by the 15th of the month, your coverage will begin on the 1st of the following month. If you enroll after the 15th, your coverage will begin on the 1st of the next month.
Example of Enrollment Dates
| If you enroll… | Your coverage begins… |
|---|---|
| …by March 15 | … on April 1. |
| …between March 16 and 31 | … on May 1. |
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 insurance plans cover the same services. The major differences are provider networks and prescription drug coverage. Use our Healthy DC Plan Match Tool for more information on coverage and prescription medication.
Keeping your Healthy DC Plan
It is very important to keep your information updated in order to keep your Healthy DC Plan coverage. You must report any changes to your income, address, tax filing status, and immigration status.
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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