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Get Nd Sfn 958 2017-2026

Pply for Health Care Coverage, complete the Application for Health Care Coverage (SFN 1909) or the Application for Assistance (SFN 405). Case Number: Instructions For Application For Health Care Coverage This application may be used to apply for Health Care Coverage, the Medicare Savings Programs, Aid to the Blind, or Basic Care. See the Guidebook for more information. What Do I Need to Do to Get Health Care Coverage? Follow these steps to apply for Health Care: Step 1: Check the assistance.

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How to fill out the ND SFN 958 online

This guide provides clear instructions for users on how to effectively fill out the ND SFN 958, a health care application for elderly and disabled individuals, online. Follow these steps to ensure your application is completed accurately and efficiently.

Follow the steps to complete your application online.

  1. Press the ‘Get Form’ button to access the ND SFN 958 and open it in an online editor.
  2. Indicate the assistance programs for which you are applying by checking all relevant boxes. This may include health care coverage, aid to the blind, Medicare savings programs, or basic care assistance. Refer to the application guide for more information on each program.
  3. Proceed to answer all questions as completely as possible. If you encounter any difficulty, consider seeking assistance from a friend or relative, or contact your local county social service office for support.
  4. If additional space is needed for any answers, attach a separate sheet of paper detailing your responses.
  5. Include verifications of citizenship or alien status, current assets, expenses, income, and identity by attaching the necessary documentation, as outlined in the application instructions.
  6. Complete the section with your personal information, including your first name, last name, address, contact details, and any preferred methods of notification such as text or email.
  7. List all household members, their relation to you, and pertinent information, such as age, marital status, social security number, and ethnic background as required by the form.
  8. Detail your household assets and income. You will need to indicate if you or other household members own any assets or receive any types of income.
  9. Sign and date the form to certify that all information provided is true and correct. Ensure that you review the rights and responsibilities before submission.
  10. Submit your completed application along with any attachments to your local county social service office. Ensure that you keep a copy for your records.

Start filling out your ND SFN 958 application online today for health care coverage.

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How can this program help me? This program lets you get Medicaid benefits even if your income is higher than Medicaid program guidelines. It works by letting you spend down your income so that you meet Medicaid income limits. The spend-down amount is the amount of income that is over the Medicaid limit.

Covers medical and surgical services performed by a doctor; supplies and drugs given at the doctor's office; and X-rays and laboratory tests needed for diagnosis and treatment.

Some individuals may qualify for ND Medicaid benefits at no cost while others may have to pay a portion of their medical bills. This is called Client Share (Recipient Liability). Client Share is the monthly amount an individual must pay in medical bills before the Medicaid program will pay for care received.

In certain circumstances, ND Medicaid may cover urgent or emergency services for a member who is temporarily traveling outside of North Dakota.

Medicaid provides comprehensive medical, dental and vision coverage to North Dakota children and adults through a variety of coverage programs and waivers, including: Autism Spectrum Disorder Waiver provides services for young children from birth through age 11 who have a diagnosis of an autism spectrum disorder.

Who is eligible for North Dakota Medicaid Program? Household Size*Maximum Income Level (Per Year) 1 $20,030 2 $27,186 3 $34,341 4 $41,4964 more rows

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