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The Medicare Savings Program Application

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How to Complete the Medicare Savings Program …

How to Complete the Medicare Savings Program

www.health.ny.gov

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

  Programs, Applications, Medicare, Savings, The medicare savings program, The medicare savings program application

Medicare Savings Program - Louisiana Department of Health

Medicare Savings Program - Louisiana Department of Health

ldh.la.gov

• If you have Medicare, fill out this application to see if you qualify for the Medicare Savings Program. • If you want to apply for someone who does not have Medicare, please complete the full Application for Health Coverage. To get an application, call 1-888-342-6207 or visit online www.MyMedicaid.la.gov.

  Programs, Applications, Medicare, Savings, Medicare savings program, The medicare savings program

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