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  2. How To Apply for NC Medicaid

    medicaid.ncdhhs.gov/apply

    Download and fill out a printable application to apply by: Mail, email or fax. In person (to fill out the form ahead of time) Download Printable Application (PDF) If you are a single adult with no dependents or health care coverage from your employer, use the “short form” application (DHB-5201-ia). Other forms may be needed in certain situations.

  3. Application for Health Coverage & Help Paying Costs

    www.medicaid.gov/state-resource-center/mac...

    Application for Health Coverage & Help Paying Costs. Use this application to see what coverage you qualify for. • Afordable private health insurance plans that ofer comprehensive coverage to help you stay well. • A new tax credit that can immediately help pay your premiums for health coverage.

  4. Application for Medicaid and Affordable Health Coverage - SC DHHS

    www.scdhhs.gov/sites/default/files/FM 3400.pdf

    Use this application to see what coverage choices you qualify for • Affordable private health insurance plans that offer comprehensive coverage to help you stay well. • A new tax credit that can immediately help pay your premium for health coverage. • Free or low-cost insurance from Medicaid or the Children’s Health Insurance Program ...

  5. Print Form What. Application for Health Coverage & Help Paying Costs. Use this application to see what coverage choices you qualify for • Affordable private health insurance plans that offer comprehensive coverage to help you stay well • A new tax credit that can immediately help pay your premiums for health coverage

  6. Forms | Texas Health and Human Services

    www.hhs.texas.gov/handbooks/medicaid-elderly...

    Application for Assistance - Your Texas Benefits H1200-A: Medical Assistance Only (MAO) Recertification H1200-EZ: Application for Assistance - Aged and Disabled (Large Print) H1200-MBI: Application for Benefits - Medicaid Buy-In H1200-MBIC: Application for Benefits - Medicaid Buy-In for Children: ES: H1200-MSP-C: Medicare Savings Program Notice ...

  7. Apply for Medicaid Benefits | Commonwealth of Pennsylvania

    www.pa.gov/en/services/dhs/apply-for-medicaid...

    There are a few ways you can apply for Medicaid. If you’re looking for standard health coverage, you can apply online via COMPASS, in-person at a County Assistance Office, by phone, or via mail.

  8. How to apply for Medicaid and CHIP - USAGov

    www.usa.gov/medicaid-chip-insurance

    You can apply for Medicaid anytime in one of the following ways: Find and check with your state's Medicaid agency to apply. You must be a resident of the state where you are applying for benefits. Create an account with the Health Insurance Marketplace and fill out an application.