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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

NEW YORK STATE DEPARTMENT OF HEALTH Office of …

NEW YORK STATE DEPARTMENT OF HEALTH Office of …

www.health.ny.gov

If you are applying for the Medicare Savings Program, you must report your SSN, unless you are a pregnant woman. The laws requiring this are: 18NYCRR Sections 351.2, 360-1.2, and 360-3.2(j)(3); 42USC 1320b-7. SSNs are used in many ways, both within the local social services districts and also between local

  Health, York, Programs, Department, States, Medicare, Savings, New york state department of health, The medicare savings program

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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