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What is your current health insurance status?

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Medicare
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Select your gross monthly income range

Your monthly income BEFORE taxes, benefits and other payroll deductions

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$1216 - $2000
$2001 - $3500
$3501+

What is your exact gross monthly income for your household?

Please be accurate - Income will be verified by Healthcare.gov

Enter a value between $1216 and $2000

Income per month $20000
$0
$50,000

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Your contact details

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To avoid issues with identity verification, please provide your maiden name

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If you have a social security number you must provide it

Your medical details

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I want a $0 premium (regardless of Doctor network).
Yes, I am willing to pay a premium to keep my doctor. Please enroll me in the lowest premium plan that has my Doctor in network.
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