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Program Enrollment

 

Enrollment materials are available at Calvert County Libraries, Calvert Memorial Hospital Case Management Office, Calvert County Health Department, Calvert County Department of Social Services, or by calling (443) 404-5761.

 

 

 

The application and program guidelines can also be downloaded from this site.

 

 


Application Form

 

Program Guidelines


 

 

General Requirements:

1.	Must earn between $12,672 and $21,660 a year (higher for families)
2.	Must be without health insurance
3.	Be age 19 to 64 years old
4.	Be a U.S. citizen or Documented permanent Resident
4.	Complete and submit an Application with supporting documents
5.	Be willing to comply with program requirements

 

 


 


Calvert Healthcare Solutions
PO Box 1743
11845 H. G. Trueman Road
Lusby, MD 20657
Office: (443) 404-5761

Fax: (443) 404-5762
Email