Skip to main content

Health Compass Form Content

Submit this form to report inaccurate, incomplete or misleading information in the Provider Directory

Not sure what coverage you qualify for?

Answer a few quick questions with our easy-to-use eligibility tool. Anything you share will be private and protected. 

First: Who needs health coverage? 

If you’re a caregiver, please answer on behalf of the person you care for. 

Now let’s learn a little about you

All fields are required.

Please enter valid 5-digit Zip code.

Please select County

Select sex assigned at birth. 

Select yes if you currently have or are being treated for cervical or breast cancer.

About your spouse or partner

All fields are required.

Select sex assigned at birth.

About your child or dependent

All fields are required.

Select sex assigned at birth.

https://www.wellpoint.com/microsites/zipcodes/

You're almost there

Just a few more questions.

  Let’s find your best fit  

More about you

All fields are required.

You can find your household income on your last tax return or make an estimate with your pay stubs or any other taxable income you receive. 

Select yes if you’re eligible for health insurance through your or your partner or spouse’s current job, even if you aren’t currently covered.

You can check your monthly income statement on the Social Security website.

About your spouse or partner

All fields are required.

They can check their monthly income statement on the Social Security website.