If you were directed here from the Human Services benefits portal because you do not have an email address, download the Application for Health Coverage and Help Paying Costs ( Solicitud de cobertura mádica y sistencia para abonar el costo) to apply. You can then email the completed form to see the instructions on the form for a complete list of ways to submit. To report a change to an existing case, please download and complete this form. To apply for Health Care, go to the online Human Services benefits portal or download the paper Application for Health Coverage and Help Paying Costs ( Solicitud de cobertura mádica y sistencia para abonar el costo).
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