Form DE-103 Application for Ahcccs Health Insurance and Medicare Savings Programs - Arizona

What Is Form DE-103?

This is a legal form that was released by the Arizona Health Care Cost Containment System - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DE-103?
A: Form DE-103 is an application for Ahcccs Health Insurance and Medicare Savings Programs in Arizona.

Q: What does Ahcccs stand for?
A: Ahcccs stands for Arizona Health Care Cost Containment System.

Q: What are Ahcccs Health Insurance and Medicare Savings Programs?
A: Ahcccs Health Insurance Program provides health coverage for low-income individuals and families in Arizona. Medicare Savings Programs help eligible individuals in paying for their Medicare premiums, deductibles, and coinsurance.

Q: Who can apply for Ahcccs Health Insurance and Medicare Savings Programs?
A: Low-income individuals and families in Arizona, including seniors and disabled individuals, may be eligible to apply for these programs.

Q: What documents are required to apply for Ahcccs Health Insurance and Medicare Savings Programs?
A: The required documents may vary, but generally you will need to provide proof of your identity, income, citizenship or immigration status, and other relevant information.

Q: What is the deadline to submit Form DE-103?
A: There is no specific deadline mentioned for submitting Form DE-103. However, it is recommended to submit the application as soon as possible to ensure timely processing.

Q: What if I need help with filling out Form DE-103?
A: If you need assistance with filling out Form DE-103 or have questions about the application process, you can contact the Ahcccs office or seek help from a certified enrollment counselor or navigator.