Form HCA13-705 Hca Premium Payment Program Intake - Washington

Form HCA13-705 Hca Premium Payment Program Intake - Washington

What Is Form HCA13-705?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA13-705?A: Form HCA13-705 is an application form for the HCA Premium Payment Program Intake in Washington.

Q: What is the HCA Premium Payment Program?A: The HCA Premium Payment Program is a program in Washington that helps eligible individuals pay for their health insurance premiums.

Q: Who is eligible for the HCA Premium Payment Program?A: Individuals who meet certain eligibility requirements, such as income and residency, may be eligible for the HCA Premium Payment Program.

Q: How can I apply for the HCA Premium Payment Program?A: You can apply for the HCA Premium Payment Program by filling out and submitting Form HCA13-705.

Q: What documents do I need to submit with Form HCA13-705?A: You may need to submit documents such as proof of income, proof of residency, and other supporting documents with Form HCA13-705.

Q: When is the deadline to submit Form HCA13-705?A: The deadline to submit Form HCA13-705 for the HCA Premium Payment Program may vary, so it's best to check the official guidelines or contact the Washington Health Benefit Exchange.

Q: Is there a fee to apply for the HCA Premium Payment Program?A: No, there is no fee to apply for the HCA Premium Payment Program.

Q: What if I have questions or need assistance with Form HCA13-705?A: If you have questions or need assistance with Form HCA13-705 or the HCA Premium Payment Program, you can contact the customer support of the Washington Health Benefit Exchange.

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Form Details:

  • Released on March 1, 2017;
  • The latest edition provided by the Washington State Health Care Authority;
  • 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 HCA13-705 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-705 Hca Premium Payment Program Intake - Washington

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