Free Membership
In order to obtain a free membership, you must:
Provide evidence that you are uninsured (emergency Medi-Cal does not count as insurance since its scope of coverage is very limited) or have Medi-Cal insurance but are unable to see your doctor in a timely manner.
Provide documentation that your income* is less than what is listed in the table for your family size.
*Based on income limits published by the Department of Housing and Urban Development
| Persons in Family | Gross Yearly Family Income | Gross Monthly Family Income |
|---|---|---|
| 1 | $51,800 | $4,316.67 |
| 2 | $59,200 | $4,933.33 |
| 3 | $66,600 | $5,550.00 |
| 4 | $73,950 | $6,162.50 |
| 5 | $79,900 | $6,658.33 |
| 6 | $85,800 | $7,150.00 |
| 7 | $91,700 | $7,641.67 |
| 8 | $97,650 | $8,137.50 |
If you meet the criteria above, please fill out the form below and we will contact you.