About the Applications

Fill out an application to see if you are eligible to enroll in health coverage through MNsure. Any Minnesota resident who is a U.S. citizen, U.S. resident, or lawfully present can enroll.

Application WITH Financial Help

This application scans your income and other information to determine what coverage you qualify for and if you can get any help paying for it. After you submit this application, you’ll see a screen with the results, also known as the “eligibility determination."

Application WITHOUT Financial Help

Use this application if you don't want financial help and prefer to pay full price for a health care plan. (This application does not include income information.)

Use this application to apply for anyone in your household. Include on this application only those people in your household who want health coverage.

Application for Certain Populations

Use this application for special circumstances where your eligibility cannot be determined online through MNsure. Download this application (DHS-3876) as a PDF form in English, Hmong, Russian, Somali, Spanish or Vietnamese. Only use this application if at least one of the following is true: