Get Health Insurance for All your eligible children!
It’s easy! Call (805) 540.5177 now to find the most convenient location
for enrollment assistance, (En español).
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Plan includes: |
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Children are eligible if they: |
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Comprehensive Medical Care |
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Live in San Luis Obispo County
Are under 19 years of age |
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Dental coverage
Vision |
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Have not been covered by employer paid insurance in the last 3 months |
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Hearing Tests Immunizations
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Have a family income of no more than 300% of the federal poverty level |
| What you will need to enroll: |
| 1. Proof of San Luis Obispo county residency (choose one): |
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Pay stub that includes your home address, or |
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Utility bill, or |
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Rental agreement, or |
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Driver's license or state identification card, or |
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Voided personal check with address. |
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| 2. Proof of income (choose one): |
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Copy of a recent pay stub (within 45 days of application date), or |
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Employer statement of gross monthly income that includes the time period covered, or |
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Last year’s federal income tax return, or |
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Self-employed persons can include last year’s federal income tax return including Schedule C or the last three month’s net profit and loss statement, or |
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affidavit stating income. |
Other information that may be used if your child qualifies for Medi-Cal or Healthy Families:
- Proof of your child's age such as a birth or baptism certificate
- Your child’s Social Security Card number (optional)
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Qualifying Gross Monthly Income |
Family Size |
Monthly Income |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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4/10/09 |
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