Healthy DC Plan for DC Residents Who Lost Medicaid
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!
If you lost Medicaid and think you may qualify for Healthy DC Plan, you can find answers to common questions about free Healthy DC Plan coverage on this page.
How do I enroll if I lost Medicaid?
You must submit an application on DC Health Link to qualify for Healthy DC Plan. Ready to apply? Log in to or create your DC Health Link account. In your account, select ‘Loss of Medicaid coverage’ under ‘Have life changes?’ on the right-hand side of the screen. Complete the application and select a plan for your new coverage to begin.
To learn more about your plan options, use the DC Health Link Plan Match tool. For one-on-one assistance, book an appointment with a Healthy DC Plan expert case manager.
When Will Coverage Begin?
You can choose for coverage to begin the first of the current month or the first of the following month.
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.
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
Are there services I get with Medicaid that are not covered by Healthy DC Plan?
Yes. Healthy DC Plan does NOT cover:
- Non-emergency transportation
- Community behavioral supports, such as housing support
There are other differences between Healthy DC Plan and Medicaid. For more information about covered services and non-covered services, review your plan’s summary of coverage (SOC). 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.
Will I get a Healthy DC Plan insurance card?
Healthy DC Plan enrollees will get an insurance card from their Healthy DC Plan. All Healthy DC Plan enrollees will get their own Healthy DC Plan insurance card and Healthy DC Plan member ID number.
If you are a current Healthy DC Plan enrollee and lost or did not receive an insurance card, you can log into your health insurance company’s enrollee portal for an electronic insurance card.
Coverage Details
For more information on covered services, download and review each plan's Summary of Coverage (SOC) and Evidence of Coverage (EOC).
AmeriHealth Caritas District of Columbia Healthy DC Plan Plan Year 2027: Plan Year 2026: CareFirst BlueCross BlueShield Healthy DC Plan Plan Year 2027: Plan Year 2026: MedStar Family Choice Healthy DC Plan Plan Year 2027: Plan Year 2026:Keeping your Healthy DC Plan
It is very important to keep your information updated 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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