State Form 49228 Application for Medicare Savings Program (Qmb, Slmb, Qi) - Indiana

State Form 49228 Application for Medicare Savings Program (Qmb, Slmb, Qi) - Indiana

What Is State Form 49228?

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.

FAQ

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.

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Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Indiana Family and Social Services Administration;
  • 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 State Form 49228 by clicking the link below or browse more documents and templates provided by the Indiana Family and Social Services Administration.

Download State Form 49228 Application for Medicare Savings Program (Qmb, Slmb, Qi) - Indiana

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