BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of BFA Form 800MA for the current year.

BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire

What Is BFA Form 800MA?

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

FAQ

Q: What is Form 800MA?
A: Form 800MA is the application for health coverage and financial assistance in New Hampshire.

Q: Who can use Form 800MA?
A: Residents of New Hampshire who need health coverage and assistance with paying costs can use Form 800MA.

Q: What does Form 800MA cover?
A: Form 800MA is used to apply for various health coverage programs, including Medicaid and the Children's Health Insurance Program (CHIP).

Q: What information do I need to provide on Form 800MA?
A: Form 800MA requires personal information, such as your name, address, income, household size, and other details about your eligibility for health coverage and financial assistance.

Q: Is there a deadline to submit Form 800MA?
A: There is no specific deadline to submit Form 800MA, but it is recommended to apply as soon as possible to ensure timely coverage and assistance.

Q: Can I get help filling out Form 800MA?
A: Yes, you can get assistance with filling out Form 800MA from trained enrollment counselors or by contacting the New Hampshire Department of Health and Human Services.

Q: What happens after I submit Form 800MA?
A: After submitting Form 800MA, your application will be reviewed, and you will be notified of your eligibility for health coverage and financial assistance.

Q: Can I appeal if my application for health coverage is denied?
A: Yes, if your application for health coverage is denied, you have the right to appeal the decision and request a review of your case.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the New Hampshire Department of Health and Human Services - Bureau of Family Assistance;
  • 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 printable version of BFA Form 800MA by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services - Bureau of Family Assistance.

Download BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire

4.4 of 5 (19 votes)
  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire

    1

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 2

    2

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 3

    3

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 4

    4

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 5

    5

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 6

    6

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 7

    7

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 8

    8

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 9

    9

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 10

    10

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 11

    11

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 12

    12

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 13

    13

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 14

    14

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 15

    15

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 16

    16

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 17

    17

  • BFA Form 800MA Application for Health Coverage & Help Paying Costs - New Hampshire, Page 18

    18

  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 1
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 2
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 3
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 4
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 5
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 6
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 7
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 8
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 9
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 10
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 11
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 12
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 13
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 14
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 15
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 16
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 17
  • BFA Form 800MA Application for Health Coverage  Help Paying Costs - New Hampshire, Page 18
Prev 1 2 3 4 5 ... 18 Next
ADVERTISEMENT