Transcription of How to Complete the Medicare Savings Program …
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How to Complete the Medicare Savings Program …
How to Complete the Medicare Savings Program APPLICATION DOH-4328. Instructions: Step 1: Print the Medicare Savings Program APPLICATION. Step 2: Complete the Application Be sure to answer all the questions. If you are married and living with your spouse, you must Complete both the Self & Spouse questions on the application (even if the spouse is not applying for the MSP). Step 3: Read all the information on page #2. Step 4: Sign and Date the Application If both spouses are applying, both must sign the MSP application. Step 5: Gather and include the following verification documents (or equivalents) with your application: A photocopy of the front and back of your Medicare card (red, white and blue card).
Step 1: Print the MEDICARE SAVINGS PROGRAM APPLICATION. Step 2: Complete the Application . Be sure toanswer all the questions. If you are married and living with your spouse, you must complete both the “Self” & “Spouse” questions on the application (even if the spouse is not applying for the MSP). Step 3: Read all the information on page #2
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