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When you apply for a medicare savings program you must specify the resources you and your spouse if you re married have on hand.
How to apply for medicare savings program. To enroll in the qmb program you must be eligible for medicare part a and meet certain income and resource limits. To apply for qmb slmb qi or qdwi you must also be eligible to receive medicare part a and part b. Before applying for an msp you should call your local medicaid office for application steps submission information online mail appointment or through community health centers and other organizations and other state specific guidelines. Assets like a single car your. Complete and sign the form.
If you meet the guidelines for any of the programs below you can call your state medicaid program to apply. These conditions are listed below under how do i apply for medicare savings programs 4 kinds of medicare savings programs. The government provides help for individuals to pay their medicare premiums and. If you re eligible for medicare and your income and resources are at or below the limit for a medicare savings program you can apply by contacting the medicaid office in your state. You can contact your state s medicaid office to get specific information on.
You may also call your state medicare program to see if you qualify and to apply. Department of social services adult support team 10th floor 25 sigourney st. To view a model application in other languages visit the centers for medicare medicaid services forms and publications page to download a model application. In some instances you may still qualify even if your income or resources slightly exceeds the listed limits so you may want to submit an application if you re close. People who are eligible for the qi medicare savings program should contact their state medicaid office to apply.
Once you know which benefits you may be eligible for go to the medicare benefits page to apply online. Visit the dss website to download a copy of the medicare savings program application. In some cases medicare savings programs may also pay medicare part a hospital insurance and medicare part b medical insurance deductibles coinsurance and copayments if you meet certain conditions. Mail the signed and completed form to. If you are already enrolled in both medicare parts contact your california department of health care services dhcs county office to apply for these programs or the 250 california working disabled cwd program.
For a brochure on the medicare savings program published by the department of social services click here. The different types of medicare savings programs are.
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