Form HCA13-691 Application for Medicare Savings Programs - Washington (Lao)

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Form HCA13-691 Application for Medicare Savings Programs - Washington (Lao)

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington.

The document is provided in Lao. 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 an application form for the Medicare Savings Programs in Washington.

Q: What are the Medicare Savings Programs in Washington?
A: The Medicare Savings Programs in Washington are financial assistance programs that help eligible individuals pay for their Medicare premiums and out-of-pocket expenses.

Q: Who is eligible for the Medicare Savings Programs in Washington?
A: To be eligible for the Medicare Savings Programs in Washington, you must meet certain income and asset requirements.

Q: How do I apply for the Medicare Savings Programs in Washington?
A: You can apply for the Medicare Savings Programs in Washington by completing and submitting Form HCA13-691.

Q: What documentation do I need to include with my application?
A: You will need to provide documentation of your income, assets, and Medicare enrollment with your application.

Q: What happens after I submit my application?
A: After you submit your application, the Washington Health Care Authority will review your eligibility and notify you of their decision.

Q: Can I appeal if my application is denied?
A: Yes, if your application is denied, you have the right to appeal the decision.

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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;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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 (Lao)

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