Form DHS-6696-ENG Application for Health Coverage and Help Paying Costs - Minnesota

What Is Form DHS-6696-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHS-6696-ENG Application for Health Coverage and Help Paying Costs - Minnesota?
A: It is a form used in Minnesota to apply for health coverage and financial assistance to pay for healthcare costs.

Q: Who can use the DHS-6696-ENG Application form?
A: Residents of Minnesota who need health coverage and help paying for healthcare costs can use this form.

Q: What types of health coverage can be applied for using this form?
A: The DHS-6696-ENG form can be used to apply for programs like Medical Assistance, MinnesotaCare, and other health coverage options available in Minnesota.

Q: What information do I need to provide on the application form?
A: The application form will require personal information, household details, income information, and other relevant information to determine eligibility for health coverage and financial assistance.

Q: Is there a deadline for submitting the DHS-6696-ENG Application form?
A: The application should be submitted as soon as possible, but there is no specific deadline. It is recommended to apply within 60 days of needing health coverage.

Q: Can I apply for health coverage for my children using this form?
A: Yes, the DHS-6696-ENG form allows you to apply for health coverage for yourself and your family members, including children.

Q: Will my information be kept confidential when I submit the application?
A: Yes, the information provided on the application form is kept confidential and used only for determining eligibility for health coverage and financial assistance.

Q: Can someone help me fill out the DHS-6696-ENG Application form?
A: Yes, you can get assistance from county human services offices or other organizations that provide enrollment assistance.

Q: How long does it take to process the DHS-6696-ENG Application?
A: The processing time can vary, but you will typically receive a notice of eligibility or denial within 30 days of submitting the application.