This is a legal form that was released by the Indiana Family and Social Services Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 49228?
A: Form 49228 is the application for the Medicare Savings Program (QMB, SLMB, QI) in Indiana.
Q: What is the Medicare Savings Program?
A: The Medicare Savings Program is a state program that helps low-income individuals and families pay for their Medicare premiums and other healthcare costs.
Q: What does QMB stand for?
A: QMB stands for Qualified Medicare Beneficiary.
Q: What does SLMB stand for?
A: SLMB stands for Specified Low-Income Medicare Beneficiary.
Q: What does QI stand for?
A: QI stands for Qualifying Individual.
Q: Who is eligible for the Medicare Savings Program?
A: Eligibility for the Medicare Savings Program is based on income and resource limits. You must also be enrolled in Medicare Part A and meet other specific requirements.
Q: What documents do I need to include with Form 49228?
A: You may need to include documents such as proof of income, bank statements, and your Medicare card with your application.
Q: How long does it take to process the application?
A: The processing time for Form 49228 varies, but it typically takes a few weeks. It is important to submit the application as soon as possible to avoid any gaps in coverage.
Form Details:
Download a fillable version of State Form 49228 by clicking the link below or browse more documents and templates provided by the Indiana Family and Social Services Administration.