Get Application For Health Coverage & Help Paying Costs - Maryland ...

This guide provides clear and step-by-step instructions on how to complete the Application for Health Coverage & Help Paying Costs, specifically tailored for Maryland residents. By following these instructions, users can easily navigate the process of applying for health coverage online.

Follow the steps to effectively complete your health coverage application.

1. Press the 'Get Form' button to access the application. This will open the form in the relevant editor, allowing you to begin filling out the necessary fields.
2. Begin by providing your personal information in Step 1, including your first, middle, and last name, home address, and contact details. Ensure that you list a contact person if required.
3. In Step 2, provide details about your family members. Include yourself, your spouse, children under 21 who live with you, and any other dependents. Be mindful of who must be included based on tax filing status.
4. Continue with Step 2 for each family member. For every additional person, ensure that all relevant information is accurately recorded, including names, relationships, dates of birth, and whether they need health coverage.
5. In Step 3, answer additional questions to determine if any family members are currently enrolled in health coverage. Specify the type of coverage and the individual's details.
6. In Step 4, review the coverage options available based on the provided details and calculate potential costs and assistance based on reported income.
7. Read and sign the application in Step 5. Ensure that you confirm all information is accurate to the best of your knowledge and acknowledge your rights and responsibilities.
8. Finally, in Step 6, submit your application by mailing it to the designated address, or follow any electronic submission guidelines that may apply.

Complete your application online for health coverage and assistance today!