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State Form 49228 Application for Medicare Savings Program (Qmb, Slmb, Qi) - Indiana
What Is State Form 49228?
This is a legal form that was released by the Indiana Family and Social Services Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 49228?A: Form 49228 is the application for the Medicare Savings Program (QMB, SLMB, QI) in Indiana.
Q: What is the Medicare Savings Program?A: The Medicare Savings Program is a state program that helps low-income individuals and families pay for their Medicare premiums and other healthcare costs.
Q: What does QMB stand for?A: QMB stands for Qualified Medicare Beneficiary.
Q: What does SLMB stand for?A: SLMB stands for Specified Low-Income Medicare Beneficiary.
Q: What does QI stand for?A: QI stands for Qualifying Individual.
Q: Who is eligible for the Medicare Savings Program?A: Eligibility for the Medicare Savings Program is based on income and resource limits. You must also be enrolled in Medicare Part A and meet other specific requirements.
Q: What documents do I need to include with Form 49228?A: You may need to include documents such as proof of income, bank statements, and your Medicare card with your application.
Q: How long does it take to process the application?A: The processing time for Form 49228 varies, but it typically takes a few weeks. It is important to submit the application as soon as possible to avoid any gaps in coverage.
Form Details:
- Released on April 1, 2019;
- The latest edition provided by the Indiana Family and Social Services Administration;
- 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 fillable version of State Form 49228 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Indiana Family and Social Services Administration.
Download State Form 49228 Application for Medicare Savings Program (Qmb, Slmb, Qi) - Indiana
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