Form 94A Application for Health Coverage & Help Paying Costs - Georgia (United States)

What Is Form 94A?

This is a legal form that was released by the Georgia Department of Human Services - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 94A?A: Form 94A is an application for health coverage and help paying costs in Georgia.

Q: Who can use Form 94A?A: Georgia residents who need health coverage and assistance with costs can use Form 94A.

Q: What does Form 94A help with?A: Form 94A helps with applying for health coverage and determining eligibility for financial assistance with costs.

Q: What information is needed to complete Form 94A?A: To complete Form 94A, you will need information about your household, income, and citizenship or immigration status.

Q: Is there a fee for submitting Form 94A?A: No, there is no fee for submitting Form 94A.

Q: Can I get help with completing Form 94A?A: Yes, you can get help with completing Form 94A from trained assisters, brokers, or navigators.

Q: What happens after I submit Form 94A?A: After you submit Form 94A, your eligibility for health coverage and financial assistance will be determined.

Q: Is there a deadline to submit Form 94A?A: The deadline to submit Form 94A varies, so it's best to check with the Georgia Division of Family and Children Services or the Health Insurance Marketplace for current deadlines.