PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form MC008
for the current year.
Form MC008 Qualified Medicare Beneficiary Program Information Notice - California
What Is Form MC008?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Qualified Medicare Beneficiary Program?A: The Qualified Medicare Beneficiary (QMB) Program is a California state program that helps low-income Medicare beneficiaries pay for Medicare premiums, deductibles, and coinsurance.
Q: Who is eligible for the QMB Program in California?A: To be eligible for the QMB Program in California, you must be enrolled in Medicare Part A and meet certain income and resource limits.
Q: What does the QMB Program cover?A: The QMB Program covers Medicare Part A and Part B premiums, deductibles, and coinsurance.
Q: Is the QMB Program available in other states?A: Yes, the QMB Program is available in all 50 states, including California.
Form Details:
- Released on October 1, 2011;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form MC008 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form MC008 Qualified Medicare Beneficiary Program Information Notice - California
1
2
3
