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Florida Affordable Care Act Plans
Privacy Policy
Affordable Care Act Plans
Get Your Florida Health Insurance Quote
Florida Affordable Care Act Plans
Privacy Policy
Affordable Care Act Plans
Get Your Florida Health Insurance Quote
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Where are you located?
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Step
1
of 5
Where are you located?
Zip_Code
*
Next
Why are you looking for coverage?
reason_for_shopping
Choose One
Recently lost coverage
Currently insured, interested in other options
Uninsured
Next
Let's see if you qualify for financial help!
Members_To_Be_Insured
How many people will be covered?
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2
3
4
5
6
7
8
Household_Members
*
How many people live in your household?
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2
3
4
5
6
7
8
household_income
Approximate Household Income
$0-$10,000
$10,001-$15,000
$15,001-$20,000
$20,001-$25,000
$25,001-$30,000
$30,001-$35,000
$35,001-$40,000
$40,001-$45,000
$45,001-$50,000
$50,001-$55,000
$55,001-$60,000
$60,001-$65,000
$65,001-$70,000
$70,001-$75,000
$75,001-$80,000
$80,001-$85,000
$85,001-$90,000
$90,001-$95,000
$95,001-$100,000
$100,000 and above
Next
Who would you like to be the primary member on the insurance card?
name
*
First
Last
Next
How can we reach you?
Phone
*
Email
*
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