Ccfrm604 application 2025

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The document is an application for health insurance through Covered California, designed to help individuals and families access affordable health coverage, including Medi-Cal. It outlines the application process, eligibility criteria, required information, and available assistance programs. The document emphasizes that applicants can qualify for free or low-cost insurance based on income levels and provides resources for support in multiple languages.

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Can I fill out my Medi-Cal redetermination form online?

If you received a renewal form in the mail, you may submit your information by mail, phone, in person, or online to help avoid a gap in your Medi-Cal coverage.

What is a CCfrm604?

The document is an application for health insurance through Covered California, designed to assist individuals and families in obtaining affordable health coverage, including Medi-Cal. It provides instructions on how to apply, the necessary information required, and contact details for assistance in multiple languages.

Can I apply for Medi-Cal through Covered California?

Who is eligible? Qualify for Medi-Cal if your income is up to 138 percent of the Federal Poverty Level (FPL) for adults, and up to 266 percent FPL for children. Check Shop and Compare to see if you qualify. Learn more on the Department of Health Care Services website.

How do I apply for Medi-Cal Covered California?

This single application will let you know if you qualify for health insurance through Covered California or Medi-Cal. You can also apply in person at your local county human services agency or by phone by calling Covered California at (800) 300-1506, or use one of our certified enrollers.

How can I qualify for Medi-Cal in California?

The process for verifying your Medi-Cal eligibility, from the time your completed application is received to when you receive your Benefits Identification Card (BIC), normally takes 45 days.

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