$0 Premium Healthcare For Those Who Qualify - Apply Now

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4 Out of 5

**Of Our Customers Qualify for A $0 premium Health**

Insurance Policy

4 Out of 5 Applicants Qualify for A $0 premium Health

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Apply online in minutes!

Do you feel insecure about your healthcare situation?
Unsure if you qualify for a $0 health insurance plan?

We can help you to find Marketplace health insurance as part of the Affordable Care Act

“I am absolutely ecstatic and pleased with my experience with Boost Health. My agent got me a plan better than I ever had expected!”

Allison Q, Los Angeles, CA

Carriers we represent

... and many more!

How it works

Eligibility for a complimentary health plan is based on household income.

If your income falls within the blue bracket, you qualify.

Don't wait, submit your application today!

Family Size	100%	150%	200%	400%
1	$14,580	$21,870	$29,160	$58,320
2	$19,720	$29,580	$39,440	$78,880
3	$24,860	$37,290	$49,720	$99,440
4	$30,000	$45,000	$60,000	$120,000
5	$35,140	$52,710	$70,280	$140,560

Note: Exact income levels may vary by state.

Apply Now:

Are you currently employed? *

Yes

No

Name of Your Employer *

Do you have insurance through your employer, Medicare or VA? *

First Name *

Last Name *

Street Address *

City *

State *

Postal code *

Gender *

Male

Female

Phone *

Social Security - Main ACA Applicant *

Email *

Main Applicant Birth Date (D.O.B.) *

Spouse Name

Spouse Date of Birth

Spouse Social Security Number

How many people need coverage? *

Please Be Accurate - Income Will Be Verified By Healthcare.gov

Expected Household Income Per Month *

$

*

You attest that your estimated income for 2023 will be at least the Federal Poverty Limit for your state and household requirements . You agree to notify us as soon as you become aware of any changes to expected income per month that you provided above. Failure to notify us of any changes may result in your eligibility being affected.

*

In some cases, it may be necessary to verify your income. If income verification is required in order to complete your enrollment, do you authorize Boost Health Insurance Agency to submit an income attestation letter on your behalf with the information that you have provided?

Consent to Enrollment; Verification of Information *

By Checking This Box I Hereby Provide Consent and authorization To Boost Health Insurance Agency, LLC. To Enroll Me And/Or My Family In A Health Insurance Plan Through The ACA Marketplace. If I Already Have A Plan, I Request That Boost Health Insurance Agency, LLC. And Its Agents Become My Agent Of Record And Switch Me To A Better Plan If One Is Available. This consent will remain in effect unless and until rescinded by you in writing by emailing help@healthinsurancesolutions.org.

*

By checking this box I provide my express consent to Boost Health Insurance Agency, LLC. and grant Boost Health Insurance Agency, LLC. and/or its agents a limited power of attorney to enroll me in a health insurance plan and to automatically enroll me in a plan at renewal.

I hereby signify my agreement with the foregoing by signing below *

Clear

Application is complete. Please hit submit button below.

Dependent #1

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 2nd Dependent? *

Yes

No

Dependent #2

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 3rd Dependent? *

Yes

No

Dependent #3

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 4th Dependent?

Yes

No

Dependent #4

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 5th Dependent?

Yes

No

Dependent #5

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 6th Dependent?

Yes

No

Dependent #6

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 7th Dependent?

Yes

No

Dependent #7

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 8th Dependent?

Yes

No

Dependent #8

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Need to add a 9th Dependent?

Yes

No

Dependent #9

Full Name
Relationship to Applicant
Birthday
Social Security Number
Do They Need Coverage?

Application Complete. Please click submit below.

The application form is used to help to find insurance for you and your family. The information provided must be accurate for the subsidies to be accurate. Failure to provide the correct information could result in claims being invalidated or the termination of your insurance policy. By submitting an application, you confirm that the information is accurate to the best of your knowledge.

Boost Health Insurance Agency will not contact you by telephone. We will however text or email you if our Marketplace providers request anything from you. You will receive all policy documents in the mail. Please contact us at help@healthinsurancesolutions.org if you need any further assistance.

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Boost Health Insurance Agency is a licensed health insurance agency (License Number: 0L14409)