Gotham Insurance U65 – Gotham Insurance U65 our mission is to deliver unparalleled healthcare solutions tailored to the unique needs of you and your family.

Enroll in FREE health insurance now!

Check below if you are eligible for FREE health insurance

Eligibility for free health insurance is based on family income. If your income is within the blue section below, you qualify. Don’t wait. Enroll now!

Family Size	100%	150%	200%	400%
1	$14,580	$21,870	$29,160	$58,320
2	$19,720	$29,580	$39,440	$78,880
3	$24,860	$37,290	$49,720	$99,440
4	$30,000	$45,000	$60,000	$120,000
5	$35,140	$52,710	$70,280	$140,560

Family Size	100%	150%	200%	400%
1	$14,580	$21,870	$29,160	$58,320
2	$19,720	$29,580	$39,440	$78,880
3	$24,860	$37,290	$49,720	$99,440
4	$30,000	$45,000	$60,000	$120,000
5	$35,140	$52,710	$70,280	$140,560

The partners at Gotham Insurance U65 formed the company with a simple mission in mind….Provide low-cost (or even Free) health insurance to the public in an easy to understand format in under 5 minutes. Our team of highly professional and passionate agents are committed to making affordable health insurance available to everyone.

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Gotham Insurance U65 LLC is a licensed agency providing all required services to the consumer in an effort to assist the consumer in enrolling in a free insurance plan if eligible. By submitting this form, I agree that I am 18+ years old and I provide my signature expressly consenting and requesting to receive emails, phone calls, postal mail, SMS/text messages and other forms of communication regarding health insurance plans from Gotham Insurance U65 LLC and its agents to the number(s) and/or address(es) I have provided, even if I am on a state or federal Do Not Call and/or Do Not Email registry. The list of companies participating are subject to change. I understand that I may receive calls, emails, and/or SMS/text messages from multiple companies on the list, and that pre-recorded messages and/or automated technology may be used to contact me for marketing purposes. I also understand my wireless carrier may impose charges for calls or texts. Further, I understand that my consent to receive communications is not a condition of purchase and I may revoke my consent at any time by calling Gotham Insurance U65 LLC at (866) 659-2202. ezhealthinsurancenow.com is a marketing landing page.(Required)

* Do you or anyone in your household applying for coverage have Medicare, Medicaid or VA coverage?(Required)

Yes

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Yes

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2nd Person Enrolled in Medicaid/CHIPS?(Required)

Yes

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2nd Person Social Security Number(Required)

3rd Person Enrolled in Medicaid/CHIPS?(Required)

Yes

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3rd Person Date of Birth(Required)

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3rd Person Social Security Number(Required)

4th Person Enrolled in Medicaid/CHIPS?(Required)

Yes

4th Person Full Name(Required)

4th Person Date of Birth(Required)

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4th Person Social Security Number(Required)

5th Person Enrolled in Medicaid/CHIPS?(Required)

Yes

5th Person Full Name(Required)

5th Person Date of Birth(Required)

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5th Person Social Security Number(Required)

Annual Income

Annual Income (combined for all the applicants)

consent 3(Required)

* By checking this box I hereby provide consent to Gotham Insurance U65 LLC to enroll me and/or my family in a free health insurance plan through the ACA Marketplace. If I already have a plan, I request that Gotham Insurance U65 and its agents become my Agent of Record and switch me to a better plan if one is available.(Required)

consent 2(Required)

* By checking this box I provide my express consent to Gotham Insurance U65 LLC and grant Gotham Insurance U65 LLC and/or its agents a limited power of attorney to enroll me in a health insurance plan and to automatically enroll me in a plan at renewal.(Required)

consent 1(Required)

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Submission of information to the Website does not constitute a Marketplace application or a completed enrollment; and if required for plan enrollment, an agent or broker will contact the consumer to verify the information submitted and obtain additional information necessary to fully complete the Marketplace application.

By using this site, you acknowledge that you have read and agree to the Terms of Service and Privacy Policy

ATTENTION: This website is operated by Gotham Insurance U65 LLC and is not the Health Insurance Marketplace website. In offering this website, Gotham Insurance U65 LLC is required to comply with all applicable federal law, including the standards established under 45 C.F.R. 155.220(c) and (d) and standards established under 45 C.F.R. 155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Qualified Health Plans being offered in your state through the Health Insurance Marketplace website. To see all available data on Qualified Health Plan options in your state, go to Health Insurance Marketplace website at HealthCare.gov.

Also, you should visit the Health Insurance Marketplace website at HealthCare.gov if: You want to select a catastrophic health plan. You want to enroll members of your household in separate Qualified Health Plans. The plans offered here don’t offer pediatric dental coverage and you want to choose a Qualified Health Plan that covers pediatric dental services or a separate dental plan with pediatric coverage. Pediatric dental services are an essential health benefit