Form DSS-EA-FSSA Application for Health Coverage & Help Paying Costs - South Dakota

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Form DSS-EA-FSSA Application for Health Coverage & Help Paying Costs - South Dakota

What Is Form DSS-EA-FSSA?

This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DSS-EA-FSSA?A: Form DSS-EA-FSSA is an application used in South Dakota to apply for health coverage and financial assistance to help with healthcare costs.

Q: Who can use Form DSS-EA-FSSA?A: South Dakota residents who need health coverage and financial assistance can use Form DSS-EA-FSSA to apply.

Q: What does DSS-EA-FSSA stand for?A: DSS-EA-FSSA stands for Department of Social Services-Eligibility Assistance-Financial Services and Support Administration.

Q: What type of health coverage can I apply for with Form DSS-EA-FSSA?A: You can apply for Medicaid, the Children's Health Insurance Program (CHIP), or other public health insurance programs available in South Dakota.

Q: How can I get help paying for health costs with Form DSS-EA-FSSA?A: If you qualify, Form DSS-EA-FSSA can help you get financial assistance to help pay for health insurance premiums, deductibles, copayments, and other healthcare costs.

Q: What documents do I need to complete Form DSS-EA-FSSA?A: You will need documents such as proof of income, residency, citizenship, and social security numbers for your household members to complete Form DSS-EA-FSSA.

Q: How long does it take to process a Form DSS-EA-FSSA application?A: The processing time for Form DSS-EA-FSSA can vary, but it typically takes about 30 days from the date your application is received.

Q: Can I get assistance with filling out Form DSS-EA-FSSA?A: Yes, you can get assistance with filling out Form DSS-EA-FSSA from local health and social services offices or certified application counselors.

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Form Details:

  • Released on March 1, 2023;
  • The latest edition provided by the South Dakota Department of Social 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 DSS-EA-FSSA by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download Form DSS-EA-FSSA Application for Health Coverage & Help Paying Costs - South Dakota

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