If you're unable to apply online using MI Bridges, you may use the DCH-1426, Application for Health Coverage & Help Paying Costs, the fillable paper application to apply for health care coverage in Michigan. Health care coverage refers to Medicaid, Healthy Michigan Plan, Children’s Health Insurance Program (CHIP), private health insurance plans that offer comprehensive coverage, and a tax credit that can help pay your premiums for health coverage. You may also download the printable PDF version of the DCH-1426, Application for Health Coverage & Help Paying Costs.
Eligibility Group Descriptions
Note:
The MSA-1582, Plan First! Application, and the DCH-0373, Healthy Kids/MIChild application are obsolete and are no longer acceptable assistance applications.