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 Amharic. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HCA13-691?
A: Form HCA13-691 is an application for Medicare Savings Programs in Washington.
Q: Who can use Form HCA13-691?
A: This form can be used by individuals in Washington who want to apply for Medicare Savings Programs.
Q: What are Medicare Savings Programs?
A: Medicare Savings Programs are programs that help cover Medicare costs for individuals with limited income and resources.
Q: Are there other versions of this form?
A: Yes, there may be other versions of this form in different languages. This specific version is in Amharic language.
Q: Are there any fees to submit this form?
A: There are no fees to submit this form.
Q: What documents are required to complete this form?
A: You may need to provide proof of income, resources, and other personal information when completing this form.
Q: Can I apply for Medicare Savings Programs if I already have Medicaid?
A: Yes, individuals who already have Medicaid may still be eligible for certain Medicare Savings Programs.
Q: How long does it take to process this application?
A: The processing time for this application may vary. You can contact the Washington state healthcare authority for more information.
Form Details:
Download a fillable version of Form HCA13-691 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.