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To apply for assistance, fill out an online application or print the combined application form and mail it back to the address below. You may also call 612-596-1300 to have a form mailed to you. Get a translated form from DHS. You can mail the form to P.O. Box 107, Minneapolis, MN 55440.
Coverage Options through MNsure Medical Assistance: Covers low-income Minnesotans, including children and pregnant women, as well as people with disabilities. There is no monthly premium. Enrollment is available year-round. MinnesotaCare: Covers lower-income Minnesotans who aren't eligible for Medical Assistance.
The HCAPP (DHS-3417) allows people to apply for any or all of the Minnesota Health Care Programs (MHCP) on one form. Questions on the HCAPP may apply to all health care programs, only to one or two programs, or to specific populations.
Who is eligible for MinnesotaCare? Household Size*Maximum Income Level (Per Year)3$49,7204$60,0005$70,2806$80,5604 more rows
Request an application by calling MinnesotaCare at (651) 297-3862 (Twin Cities Metro) or 1-800-657-3672 (toll-free). For TTY call 711 or 1-800-627-3529. Complete it and mail it in. Print the application from the Minnesota Department of Human Services website, complete it and mail it in.
Minnesota Health Care Programs (MHCP) provide health care coverage to eligible families with children, adults, people with disabilities and seniors. MHCP programs are: Medical Assistance (MA) (DHS-4932) (PDF)