Free with Medi-Cal

Apply for your e-card

Choose your language to begin. If you would rather apply with a person, call us and a community health worker will fill it out with you over the phone.

We will need to verify your eligibility, so the form asks for your Medi-Cal number or insurance member number and your date of birth. If you are not comfortable entering that online, call 833-249-1563 instead — Monday–Friday, 8am–5pm.

English

Apply in English

Complete the e-card application form online. Have your Medi-Cal information handy if you have it.

Start application Español

Solicitar en Español

Complete el formulario de solicitud en línea. Tenga a la mano su información de Medi-Cal si la tiene.

Comenzar solicitud

Prefer to talk to someone?

Apply by phone instead.

Call our toll-free health line and a community health worker will complete the application with you — in English or Spanish. If you cannot get through, send us a text and we will call you back.

Call 833-249-1563 Text 562-472-5246

We can do it together.

No cost with Medi-Cal · Sin costo con Medi-Cal. Call 833-249-1563.