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Form HFS2378MB Health Benefits for Workers With Disabilities Mail-In Application - Illinois
What Is Form HFS2378MB?
This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HFS2378MB?
A: Form HFS2378MB is a mail-in application for health benefits for workers with disabilities in Illinois.
Q: Who is eligible to use Form HFS2378MB?
A: Workers with disabilities in Illinois are eligible to use Form HFS2378MB to apply for health benefits.
Q: What information is required on Form HFS2378MB?
A: Form HFS2378MB requires information such as personal details, income and assets, employment information, and disability-related information.
Q: How long does it take to process Form HFS2378MB?
A: The processing time for Form HFS2378MB can vary, but it typically takes a few weeks to receive a decision.
Q: What types of health benefits are available through Form HFS2378MB?
A: The health benefits available through Form HFS2378MB include medical coverage, dental coverage, vision coverage, and prescription drug coverage.
Q: Are there any fees associated with applying for health benefits using Form HFS2378MB?
A: There are no fees associated with applying for health benefits using Form HFS2378MB.
Form Details:
- Released on October 1, 2010;
- The latest edition provided by the Illinois Department of Healthcare and Family Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HFS2378MB by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
Download Form HFS2378MB Health Benefits for Workers With Disabilities Mail-In Application - Illinois
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