Apply for MHIP Coverage

It's easy to apply for MHIP coverage. Follow the steps below to make sure you're application isn't delayed.

  1. Check Eligibility Requirements

    MHIP’s state pool is accepting applications for enrollment. Make sure you meet the guidelines.

    Eligibility - State Pool

  2. Select Your Plan

    The state pool has five plans to choose from. Review the plans to select the one that best fits your needs.

    Plan Options - State Pool

  3. Review Premium Payments

    MHIP's plans require a monthly premium payment. The premium amount varies depending on your age and gender. Find your premium for the plan you've selected.

    Premiums - State Pool

  4. Complete Your Application

    • Download the MHIP Application.
    • Complete and sign the application.
    • Use the checklists at the end of the application to make sure that you have completed and included everything necessary to process your application. Incomplete or unsigned applications will delay your enrollment, and may result in your application being denied.
  5. Send Your Application and Other Materials

    Mail your application, first month's premium, and all required documents to the address for your area, which is shown at the end of the application.

    Please make sure to send your application and documents to the appropriate office.

  • pic1
  • pic2
  • pic3
  • pic4
  • pic5
  • pic6

Apply for MHIP Coverage

Applications accepted until 11-15-13.

It's easy to apply for MHIP coverage. We've put together a simple checklist to help you get all your information in order.

Go to the Apply Now Checklist Page for information and helpful links.

Download the MHIP Application.

Need help with your application?
Call us at 800-821-2231.

Appeals and Grievances

Appeals and Grievances should be filed in accordance with State Pool Certificate of Coverage (page 45).

State Pool Certificate of Coverage