Form MC14 A Qualified Low-Income Medicare Beneficiary (Qmb), Specified Low-Income Medicare Beneficiary (Slmb), and Qualifying Individuals (Qi) Application - California (Cambodian)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC14?
A: Form MC14 is an application for Qualified Low-Income Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), and Qualifying Individuals (QI) programs in California for Cambodian residents.

Q: What are Qualified Low-Income Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), and Qualifying Individuals (QI) programs?
A: QMB, SLMB, and QI programs are assistance programs that help low-income individuals pay for Medicare premiums, deductibles, and co-payments.

Q: Who is eligible for these programs?
A: Eligibility for these programs depends on income and resource limits. It is specifically for low-income individuals.

Q: What is the purpose of this application?
A: The purpose of this application is to apply for QMB, SLMB, and QI programs in California for Cambodian residents.

Q: Is this application only for Cambodian residents?
A: Yes, this application is specifically for Cambodian residents in California.

Q: What documents do I need to submit with the application?
A: The application instructions will specify the documents you need to submit. This may include proof of identity, income, and immigration status.

Q: How long does it take to process the application?
A: Processing times can vary, but it typically takes a few weeks to a month to process the application.

Q: Is there any fee for submitting this application?
A: There is no fee for submitting this application.