This version of the form is not currently in use and is provided for reference only. Download this version of Form 211 for the current year.
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 211?
A: Form 211 is the application for Medicare Savings Programs in Alabama.
Q: What are Medicare Savings Programs?
A: Medicare Savings Programs are state assistance programs that help individuals with low income pay for their Medicare premiums, deductibles, and co-insurance.
Q: Who is eligible for Medicare Savings Programs in Alabama?
A: To be eligible for Medicare Savings Programs in Alabama, you must have Medicare Part A and meet certain income and asset requirements.
Q: What documents do I need to submit with Form 211?
A: You may need to submit documents such as proof of income, proof of assets, and proof of Medicare enrollment with your Form 211.
Q: How do I submit my completed Form 211?
A: You can submit your completed Form 211 by mail, fax, or in person at your local Alabama Medicaid office.
Q: What happens after I submit my Form 211?
A: After you submit your Form 211, the Alabama Medicaid Agency will review your application and notify you of their decision.
Q: Can I appeal if my application for Medicare Savings Programs is denied?
A: Yes, if your application for Medicare Savings Programs is denied, you have the right to appeal the decision.
Form Details:
Download a fillable version of Form 211 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.