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

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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

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

Q: Who is eligible to apply for QMB, SLMB, and QI programs?
A: Low-income individuals who are eligible for Medicare may apply for these programs.

Q: What is QMB?
A: Qualified Medicare Beneficiary (QMB) is a program that helps low-income individuals pay for Medicare Part A and Part B premiums, deductibles, and coinsurance.

Q: What is SLMB?
A: Specified Low-Income Medicare Beneficiary (SLMB) is a program that helps low-income individuals pay for Medicare Part B premiums.

Q: What is QI?
A: Qualifying Individual (QI) is a program that helps low-income individuals pay for Medicare Part B premiums.

Q: What is the purpose of the MC14 A application?
A: The purpose of the MC14 A application is to determine eligibility for QMB, SLMB, and QI programs in California.

Q: How can I submit the MC14 A application?
A: The MC14 A application can be submitted by mail or in person to the designated office in California.

Q: What documentation is needed to support the MC14 A application?
A: Applicants may need to provide documentation of income, resources, citizenship, and other information to support their MC14 A application.

Q: What are the income and resource limits for QMB, SLMB, and QI programs?
A: Income and resource limits vary for each program, and it is important to review the specific requirements for QMB, SLMB, and QI programs in California.