Form 470-5170 Application for Health Coverage and Help Paying Costs - Iowa

What Is Form 470-5170?

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

FAQ

Q: What is Form 470-5170?
A: Form 470-5170 is an application for health coverage and help paying costs in the state of Iowa.

Q: Who can use Form 470-5170?
A: Residents of Iowa who need health coverage and financial assistance can use this form.

Q: What is the purpose of Form 470-5170?
A: The purpose of this form is to apply for health coverage programs and financial help to pay for medical costs in Iowa.

Q: What information is required in Form 470-5170?
A: The form requires personal information, income details, household information, and other relevant details to determine eligibility for health coverage programs.

Q: Is assistance available for filling out Form 470-5170?
A: Yes, you can receive assistance in completing the form by contacting Iowa Department of Human Services or a designated community organization.

Q: What health coverage programs are available in Iowa?
A: Iowa offers various health coverage programs such as Medicaid, Children's Health Insurance Program (CHIP), and the Marketplace.

Q: Can I apply for multiple health coverage programs using Form 470-5170?
A: Yes, you can apply for multiple health coverage programs using this form.