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Form MC176 P-C QMB / SLMB / QI Qualified Medicare Beneficiary (Qmb) / Specified Low-Income Medicare Beneficiary (Slmb) / Qualifying Individual (Qi) Property Work Sheet - Child - California
What Is Form MC176 P-C QMB/SLMB/QI?
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 Form MC176 P-C?A: Form MC176 P-C is a property worksheet for QMB/SLMB/QI Qualified Medicare Beneficiary (Qmb)/ Specified Low-Income Medicare Beneficiary (Slmb)/ Qualifying Individual (Qi).
Q: What is QMB?A: QMB stands for Qualified Medicare Beneficiary.
Q: What is SLMB?A: SLMB stands for Specified Low-Income Medicare Beneficiary.
Q: What is QI?A: QI stands for Qualifying Individual.
Q: What is the purpose of Form MC176 P-C?A: The purpose of Form MC176 P-C is to provide a property worksheet for QMB/SLMB/QI.
Q: Who is eligible for QMB?A: Individuals with limited income and resources who meet the QMB eligibility criteria are eligible for the QMB program.
Q: Who is eligible for SLMB?A: Individuals with limited income and resources who meet the SLMB eligibility criteria are eligible for the SLMB program.
Q: Who is eligible for QI?A: Individuals with limited income and resources who meet the QI eligibility criteria are eligible for the QI program.
Q: What is the QMB program?A: The QMB program is a Medicaid program that helps pay Medicare premiums, deductibles, copayments, and coinsurance for eligible individuals.
Q: What is the SLMB program?A: The SLMB program is a Medicaid program that helps pay Medicare Part B premiums for eligible individuals.
Q: What is the QI program?A: The QI program is a Medicaid program that helps pay Medicare Part B premiums for eligible individuals.
Q: What information is needed for Form MC176 P-C?A: Form MC176 P-C requires information about the property of the QMB/SLMB/QI applicant and their children in California.
Form Details:
- Released on May 1, 2007;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form MC176 P-C QMB/SLMB/QI by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.
