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Get Mi Dch-0373 2011-2025
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How to fill out the MI DCH-0373 online
Filling out the MI DCH-0373 form online is a vital step in applying for low-cost health coverage for children and pregnant individuals. This guide provides clear instructions to assist you in completing the form efficiently.
Follow the steps to successfully fill out the MI DCH-0373 form online.
- Click ‘Get Form’ button to obtain the form and open it in your browser.
- Begin by entering your home address, including any apartment or lot numbers, in the designated fields.
- Complete the adult information section by providing the names, date of birth, social security numbers (if available), and contact information for the adults in your household.
- Indicate whether the adults are married and provide information about income sources, including any cash assistance received in the last four months.
- Fill out the children's information by listing each child living in the home, even if not applying for them. Include their names, date of birth, and any relevant health insurance details.
- Complete the income section, listing all sources of income and documenting monthly amounts for each adult's gross and net income.
- Review the document for any optional fields. Choose a health and dental plan. You may contact the toll-free number for assistance regarding available plans.
- Ensure you have signed and dated the application on the final page, confirming the accuracy of the information provided.
- Save your changes, then download, print, or share the completed form as needed.
Complete your MI DCH-0373 form online today to ensure your application is processed swiftly.
The income limit to qualify for Medicaid in Michigan varies based on your household size and other factors. Generally, you must meet specific income thresholds relative to the federal poverty level. To determine your eligibility accurately, you can refer to the MI DCH-0373, which outlines the necessary qualifications and income requirements.
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