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Who Can Join:
You can join HealthCare Connect if:
- You do not qualify for any other programs (Medicaid,
Medicare, employer-based commercial or private).
Eligibility for AHCCCS or other government funded
healthcare programs will be determined prior to
enrollment in HealthCare Connect.
- You live in Maricopa County.
- Your income is between the levels listed in the
chart below.
HealthCare Connect Income Chart
| 1 |
$851 - $2128 |
$10,210-$25,525 |
| 2 |
$1,141-$2,853 |
$13,690-$34,225 |
| 3 |
$1,431-$3,578 |
$17,170-$42,925 |
| 4 |
$1,721-$4,303 |
$20,650-$51,625 |
| 5 |
$1,011-$5,028 |
$24,130-$60,325 |
| 6 |
$2,301-$5,753 |
$27,610-$69,025 |
Each year the Federal Poverty Level is
adjusted by the Department of Health and Human Services.
How to Join:
It's easy to join HealthCare Connect. Members pay their
enrollment fee and then choose a primary care physician
who oversees all of their care, ensuring complete,
coordinated services. Members also pay very low fees
at the time they receive medical services. Participating
physicians, hospitals, facilities and health centers
that are committed to caring for uninsured Maricopa
County residents provide these medical services.
Membership is effective immediately upon verification of eligibility
and receipt of enrollment fees. Enrollment fees are non-refundable.
There are two ways you can join:
- Download
our application

*Adobe Acrobat is needed
to view this file, download for free.
Complete the form and mail to:
Healthcare Connect
320 E. Mcdowell Rd. Suite 320
Phoenix, AZ 85004
or FAX at (602) 288-7565
- Call us for an appointment at (602) 288-7564
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