Get To Use The Extra Help, You Must Enroll In A Medicare - Vda Virginia

Filling out the application for extra help with Medicare prescription drug plan costs is an important step toward receiving the financial assistance you may be entitled to. This guide will provide you with a structured approach to completing the necessary form online, ensuring you understand each part of the process.

Follow the steps to effectively complete your application

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your personal details, including your name and social security number in the designated fields. Ensure that you use capital letters as specified and write each character in separate boxes to maintain clarity.
3. Indicate your marital status by checking the appropriate box. If you are married, provide your spouse's information as required, including their name and social security number.
4. Complete the financial questions regarding savings, investments, and real estate. Specify whether you or your spouse have assets above the limits provided and list any cash or investments you may have.
5. Fill in details regarding any life insurance policies. If applicable, enter the cash value of these policies, not the face value.
6. Answer questions about your household income and any expenses that you or your spouse might incur for daily living. This includes reporting monthly income from specified sources.
7. Review the signatory section at the end of the form where both you and your spouse must sign, if applicable. Provide the necessary contact details.
8. After you have filled out all sections and ensured accuracy, you can proceed to submit your form. Save changes, download a copy for your records, or print the completed application if needed.

Complete your documents online to gain access to the extra help you may be eligible for.