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Indiana Care Select Health Risk Screening Please note that this information pertains to you and/or your dependent s health care. (one form per person) Section 1: Background Information Name of member:
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What is indiana care select health?
Indiana Care Select Health is a program designed to provide health insurance coverage to low-income individuals and families in the state of Indiana.
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Individuals and families who meet the income and eligibility requirements set forth by the program are required to file for Indiana Care Select Health.
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To fill out Indiana Care Select Health, individuals can apply online through the state's healthcare marketplace or by contacting a certified enrollment counselor for assistance.
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The purpose of Indiana Care Select Health is to ensure that low-income individuals and families have access to affordable health insurance coverage.
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Individuals must report their income, household size, and other relevant information to determine their eligibility for Indiana Care Select Health.
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