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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HCA13-691
for the current year.
Form HCA13-691 Application for Medicare Savings Programs - Washington
What Is Form HCA13-691?
This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HCA13-691?
A: Form HCA13-691 is the application for the Medicare Savings Programs in the state of Washington.
Q: What are Medicare Savings Programs?
A: Medicare Savings Programs are state programs that help eligible individuals pay for certain Medicare expenses, such as premiums, deductibles, and copayments.
Q: Who can use Form HCA13-691?
A: Residents of Washington who meet the eligibility requirements for the Medicare Savings Programs can use Form HCA13-691 to apply.
Q: What documents are required to complete Form HCA13-691?
A: You will need to provide personal information, income details, and Medicare information when completing Form HCA13-691.
Q: What happens after I submit Form HCA13-691?
A: After you submit Form HCA13-691, the Washington State Health Care Authority will review your application and determine your eligibility for the Medicare Savings Programs.
Q: How long does it take to receive a decision on my application?
A: The processing time for applications may vary, but you will generally receive a decision within a few weeks after submitting Form HCA13-691.
Q: Can I appeal a decision regarding my application?
A: Yes, if you disagree with the decision made on your application, you have the right to appeal.
Form Details:
- Released on July 1, 2020;
- The latest edition provided by the Washington State Health Care Authority;
- Easy to use and ready to print;
- Available in Lao;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form HCA13-691 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA13-691 Application for Medicare Savings Programs - Washington
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