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Get PA PA 162 MI-1 2010-2024

ORTANT INFORMATION ABOUT YOUR MEDICAL ASSISTANCE Based on the information provided by Social Security Administration, or SSA, the person(s) listed is/are not eligible to have their Medicare Part A and/or Part B premium paid by the commonwealth. This is because your income and/or your resources exceed the limits. Single individuals may have income up to $1,218.99 and resources up to $6,600. A married couple may have combined income up to $1,639.99 and resources up to $9,910. You are receiving thi.

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