Get the free Washtenaw Health Plan at Health Services Access

Appendix D. WHO Drug Formula Key updated: 6/25/2009Washtenaw Health Plan at Health Services Access 555 OWNER STREET, YPSILANTI, MI 48197 Phone: (734)5443030 Fax: (734)5446775 TOLL FREE PHONE: (866)

How to fill out washtenaw health plan at

How to fill out Washtenaw Health Plan:

1. Gather necessary documents: Before starting the application, gather important documents such as proof of income, identification, Social Security numbers, and any other required documentation.
2. Access the application form: Visit the official website of the Washtenaw Health Plan or contact their customer service to obtain the application form. You may also request a physical copy if preferred.
3. Provide personal information: Begin by filling in your personal information, including your full name, address, phone number, and email address.
4. Household information: Provide information about the individuals in your household who will be covered under the plan. Include their names, dates of birth, Social Security numbers, and any other requested details.
5. Income details: Provide accurate information about your income sources, including wages, self-employment income, government assistance, or any other sources. Attach necessary proof of income, such as pay stubs or tax documents.
6. Current health coverage: Indicate whether you currently have any health coverage, such as Medicaid, employer-sponsored insurance, or private insurance. If applicable, provide information about your existing coverage.
7. Medical expenses: If you or anyone in your household has significant medical expenses, be sure to mention them. This information may impact your eligibility or benefits under the Washtenaw Health Plan.
8. Submitting the application: Once you have completed the application form, review it thoroughly for any errors or missing information. Make sure to sign and date the form as required. Determine the preferred method of submission, whether online, by mail, or in person.

Who needs Washtenaw Health Plan:

1. Low-income individuals: The Washtenaw Health Plan is primarily designed for residents of Washtenaw County with limited income who do not qualify for other health insurance programs.
2. Individuals without employer-sponsored insurance: If you do not have access to health insurance through your employer or are self-employed, the Washtenaw Health Plan can provide essential coverage.
3. Residents without Medicaid: The Washtenaw Health Plan serves as a vital resource for individuals who do not qualify for Medicaid or other government health insurance programs.

Note: It's important to consult the official Washtenaw Health Plan website or contact their customer service for specific eligibility requirements and application procedures.

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What is washtenaw health plan at?

Washtenaw Health Plan is a program that provides healthcare coverage to low-income residents of Washtenaw County.

Who is required to file washtenaw health plan at?

Residents of Washtenaw County who meet the income guidelines and do not have access to other healthcare coverage may be eligible to apply for Washtenaw Health Plan.

How to fill out washtenaw health plan at?

To apply for Washtenaw Health Plan, individuals must complete an application form and provide documentation of income and residency.

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The purpose of Washtenaw Health Plan is to ensure that low-income residents have access to healthcare services and coverage.

What information must be reported on washtenaw health plan at?

Applicants must report their income, household size, and residency status when applying for Washtenaw Health Plan.