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Mc 210 Medical Application Form: What You Should Know

You must complete this application and send it off and submit your payment to determine eligibility to  apply for the mail in medical program. MC 213 — DOCS— CALENDAR (2) Medical Annual Redetermination Certificate — PDF ➤ I am aware of, understand, and agree to meet all my responsibilities as described on the MC 213 I certify that I will report all income, property, medical benefits I receive, and medical expenses that are paid to the Medical Benefit Program on my medical benefit  application. I certify that I have reported all income, property, property held in the name of the individual or person for whom I am  paying medical expenses and I have verified my claim through the Medical Benefit Program. I am verifying my claim  through the Medical Benefit Program because I do not own the property I am paying for on this Medical Benefit  Application or by using a different person to pay for the medical expenses. I also fully and accurately report all of my  medical expenses on the MC 214, MC 218, or MC 219 forms in the section where I list payments that I have made to  my provider(s) and any other reimbursements and other assistance. I am reporting the amounts provided to my provider with  your prior agreement. I have submitted my application to the Medical Benefit Program on the date I am completing the  MC 213 form. ➤ I understand that these Medical Benefit Program Medical and Dental plans are offered as a last resort, but I will try to keep  them in effect in my case. I have made my own choices as far  as medical plan is concerned, and so I will use their medical and dental policies. I will not be liable  for any of the medical and dental conditions listed in the Medical Benefit Program website. I will not be ➤ a health insurance ➤ purchaser in any capacity whatsoever. Furthermore, I also ➤ confirm that I am not taking any medications for any condition during this application period. Furthermore, I understand I am not eligible for ➤ any health benefits from a third party insurance, pharmacy, or ➤ other source before completing the MC 214. Furthermore, I am not taking any prescription medication with my MC 214 form.

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The most common requirements that people come to see elder law for are the asset requirements. If you're a single individual, you can only have two thousand dollars to be eligible for medical. If you're married, you can have a hundred and nineteen thousand two hundred and twenty dollars. There are exempt assets for Medicare eligibility purposes, such as a house or a car. So, at OC elder law, what we'll do is look at your countable assets and your exempt assets and position you so you can be qualified for Medi-Cal.