Form MC371 Additional Family Members Requesting Medi-Cal - California (Chinese)

Form MC371 Additional Family Members Requesting Medi-Cal - California (Chinese)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC371?
A: Form MC371 is a request form for adding additional family members to Medi-Cal.

Q: Who can use Form MC371?
A: This form can be used by individuals in California who are current Medi-Cal beneficiaries and want to add additional family members to their coverage.

Q: What is Medi-Cal?
A: Medi-Cal is California's Medicaid program that provides free or low-cost healthcare coverage to eligible individuals and families.

Q: What information is required on Form MC371?
A: The form requires the applicant to provide information about the additional family members being added, including their names, dates of birth, and Social Security numbers.

Q: Are there any fees associated with submitting Form MC371?
A: No, there are no fees associated with submitting Form MC371.

Q: How long does it take to process Form MC371?
A: The processing time for Form MC371 may vary, but you will receive a notice from Medi-Cal once the request has been processed.

Q: Can I add family members to my Medi-Cal coverage at any time?
A: Yes, you can add eligible family members to your Medi-Cal coverage at any time throughout the year.

Q: What if I need assistance with completing Form MC371?
A: If you need assistance with completing Form MC371, you can contact your local County Welfare Department or seek help from a certified enrollment counselor.

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Form Details:

  • Released on June 1, 2009;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form MC371 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC371 Additional Family Members Requesting Medi-Cal - California (Chinese)

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