How to Enroll

How do I enroll in Access DuPage?

1. Check the ‘Do I Qualify’ section to your right to make sure you follow eligibility requirements.

2. Call or visit your local intake agent to schedule an enrollment appointment.

3. Remember to bring the following:

Proof of Income (bring copies of all the documents that apply to your household income situation)*

  • Copies of pay check stubs (most recent 60-90 days)
  • Proof of general assistance, food stamps, alimony, or child support
  • Proof of unemployment benefits
  • Proof of social security benefits
  • If paid in cash or lacking sufficient paystubs, please provide a letter from employer on letterhead indicating typical hours, salary, gross income, etc.

*While this list represents most of the documents Access DuPage would typically request to document income, in certain circumstances Access DuPage may request alternate means of demonstating financial means, including documentation of the financial resources of individuals providing support to you, recent tax documents, and/or documentation of assets such as retirement income, savings income, inheritance, etc. If your household is being maintained by income sources outside of your home, please be aware that Access DuPage is likely to require documentation of the income of those individuals providing support to you.

Proof of Address (Please provide ONE of the following:)

  • Utility bill (must be current and issued within last 30 days)
  • Drivers license or state ID (only if issued within the last 30 days)
  • Current lease or proof of current mortgage

If you live with someone else and have none of the documents listed above documenting address, please provide the following:

  • Provide a letter from the person who you live with indicating that you are residing with him or her.
  • Have the person writing the letter provide one of the above proof of address documents in his or her name.

Good Samaritan Act and Release of Information

Every person who is applying for Access DuPage must complete the following form and submit it with their applications.  Family members who are applying for Access DuPage but cannot attend the application appointment in person due to work or other obligations may sign this form and have the person who is attending the appointment bring it with them.

Good Samaritan and Release Form

  • Each applicant will need to sign his or her own copy of a Release of Information form, as well as notification of Good Samarity Act Immunity Waiver.
  • These forms are available on this website and can be printed at your convenience if every member cannot make appointment. Applications received without a completed copy of the two listed forms will not be processed until the forms are received.

Access DuPage makes every effort to respect the privacy of applicants and does not routinely share enrollee specific information with other agencies, except for the purposes of determining eligibility or securing medical treatment.

Do I Qualify?

  • Resided in DuPage County for at least 30 days
  • Between the ages of 19 and 64
  • Household income at or below 200% of the federal poverty level
  • No medical insurance
  • Not eligible for select private or public health coverage

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