Get Does Estate Recovery Apply For Kentucky Qmb Recipients Form
Medical coverage: Questions? Need Help? Call 1- 800-635-2570 Qualified Medicare Beneficiary (QMB) Specified Low Income Medicare Beneficiary (SLMB) Qualified Individual (QI-l) For Hearing Impaired? Call 1 - 800-648-6056 Estate Recovery does not apply to these programs. Instructions: 1. 2. 3. 4. Complete the whole form. If you need more room to write, attach additional pages. Include copies of documents where requested. Read your rights and responsibilities on the last page. Sign the applicat.
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