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  • How To Meet Your Monthly Spenddown And Receive A Medical Card - Dhs State Il

Get How To Meet Your Monthly Spenddown And Receive A Medical Card - Dhs State Il

PAYIN SPENDDOWN STATEMENT Date of Notice (Customer Name & Address) Case No.: RIN: Your monthly spenddown amount is . You can decide how to meet your spenddown. Pay now If you will need to fill.

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How to fill out the How To Meet Your Monthly Spenddown And Receive A Medical Card - Dhs State Il online

This guide provides clear instructions on how to fill out the How To Meet Your Monthly Spenddown And Receive A Medical Card - Dhs State Il form online. It aims to support users in understanding each section of the form to ensure successful completion and submission.

Follow the steps to successfully complete your spenddown form

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter your personal information at the top of the form, including your name and address as well as your case number and RIN.
  3. Fill in your monthly spenddown amount indicated in the notice, and decide whether to pay now or later based on your anticipated medical needs.
  4. If paying now, complete the bottom portion of the form, specifying your payment amounts for each month you would like to apply your payment towards.
  5. Indicate any available amounts from form 458SP-1C that should be subtracted from your payment to determine the total amount sent.
  6. Choose an appropriate payment method, avoiding personal checks. If using a debit or credit card, fill in the cardholder's name, signature, card number, and expiration date.
  7. Review all entries for accuracy before saving changes, downloading, printing, or sharing the completed form.

Complete your form online today to receive your medical card efficiently.

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MEDICAID APPLICATION DOCUMENTS DRIVERS LICENSE, PHOTO ID CARD, OR PASSPORT. SOCIAL SECURITY CARD FOR APPLICANT (and spouse if living) RED, WHITE, AND BLUE MEDICARE CARD. HEALTH INSURANCE CARDS, PREMIUM AMOUNT STATEMENT.

This may include medical care/treatment/supplies, nursing home services, in-home personal care, Medicare premiums, and prescription drugs. Effective April 2023 – March 2024, the Medically Needy Income Limit (MNIL) in IL is $1,215 / month for an individual and $1,643 / month for a couple.

In approximately half of the states, ABD Medicaid's income limit is $914 / month for a single applicant and $1,371 for a couple. In the remaining states, the income limit is generally $1,215 / month for a single applicant and $1,643 / month for a couple.

TTY users can call 855-889-4326. To learn more about Illinois Medicaid, please visit the Department of Healthcare and Family Services. Medicaid provides free or low-cost health coverage to eligible needy persons....Illinois Medicaid? Household Size*Maximum Income Level (Per Year)4$41,4005$48,4946$55,5877$62,6804 more rows

Individuals with income up to 138 percent of the federal poverty level (monthly income of $1,366/individual, $1,845/couple) can be covered.

Who is eligible for Medicaid? If you are 65 or older, you are eligible for Medicaid if you have income below $973 a month and countable assets below $2,000. People on SSI or SSDI or who are disabled ing to the Social Security definition of disability are also eligible for Medicaid.

The amount of the “deductible” is called the “spenddown amount.” When you have collected medical bills (paid or unpaid) greater than your excess income, you will get Medicaid for that month you met your spend down amount through the end of your spend down budget period.

Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232