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1. medicaid.georgia.gov › form-94a-medicaid-streamlined-application › downloadApplication for Health Coverage & Help Paying Costs

   medicaid.georgia.gov › form-94a-medicaid-streamlined-application › download

   You may qualify for a free or low-cost program even if you earn as much as $94,000 a year (for a family of 4). • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage.

2. medicaid.georgia.gov › document › publicationGEORGIA DEPARTMENT OF HUMAN SERVICES Division of Family and...

   medicaid.georgia.gov › document › publication

   Application for Health Coverage & Help Paying Costs. Form Approved. OMB No. 0938-1191. You may qualify for a free or low-cost program even if you earn as much as $94,000 a year (for a family of 4). Who can use this application? Apply faster online. What you may need to apply. Why do we ask for this.

3. dch.georgia.gov › dch › filesGEORGIA DEPARTMENT OF HUMAN SERVICES Division of Family and...

   dch.georgia.gov › dch › files

   • Free or low-cost insurance from Medicaid. You may qualify for a free or low-cost program even if you earn as much as $94,000 a year (for a family of 4). Who can use this application? • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be

4. dhs.georgia.gov › sites › dhsGeorgia Department of Human Services Application for Benefits

   dhs.georgia.gov › sites › dhs

   Step 1. Fill out the application. Read the questions carefully and give accurate information. Sign and date the application. Step 2. Turn in the application. You will need to tear off pages 1 -3 and keep it for yourself. Mail, fax, or bring in pages 4-8 of this application to your local Division of family & Children Services (DFCS) office.

5. dfcs.georgia.gov › apply-medicaidApply for Medicaid | Georgia Department of Human Services...

   dfcs.georgia.gov › apply-medicaid

   • Αποθηκευμένο αντίγραφο

   For info on applying for Medicaid, please review the attached documents. Medicaid Application - English (PDF, 456.05 KB) Medicaid Application - Spanish (PDF, 949.13 KB) Medicaid Application - Attachment A (PDF, 163.25 KB) Medicaid Application - Attachment B (PDF, 139.29 KB)

6. dfcs.georgia.gov › sites › dfcsApplication for Benefits - Division of Family & Children Services

   dfcs.georgia.gov › sites › dfcs

   Application for Benefits. YOU MUST HAND DELIVER, FAX or MAIL THE COMPLETED APPLICATION TO YOUR LOCAL COUNTY OFFICE. or call 1-877-423-4746. If you are deaf or hard of hearing, ple. se call GA Relay at 71. What Services Do We Offer at the Division of Family and Children Services (DFCS)? DFCS offers the following services: Food Assistance.

7. dfcs.georgia.gov › form-94a-medicaid-streamlined-application-lppdf › downloadGEORGIA DEPARTMENT OF HUMAN SERVICES Division of Family and...

   dfcs.georgia.gov › form-94a-medicaid-streamlined-application-lppdf › download

   Application for Health Coverage & Help Paying Costs. THINGS TO CONSIDER. Use this application to see what coverage you qualify for. able private health insurance plans that offer comprehensive coverage to help yo. A new tax credit that can immediately help pay your premium for health coverage. Free or low-cost insurance from Medical Assistance.