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HUSKY Health Program Member Handbook HUSKY B Revised 9/23/2015
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How to fill out husky health program husky

How to Fill out Husky Health Program Husky:
01
Visit the official website of Husky Health Program.
02
Look for the application form section on the website.
03
Download or print the application form.
04
Fill out the form with accurate and up-to-date information.
05
Provide personal details such as your name, address, date of birth, and contact information.
06
Enter information about your household, including the number of people living with you and their relationship to you.
07
Provide details about your income and employment status, including any government assistance programs you may be receiving.
08
If you have any specific health needs or conditions, make sure to mention them in the appropriate section of the form.
09
Double-check all the information you have provided for accuracy and completeness.
10
Complete any additional documentation required, such as proof of income or identification.
11
Submit the completed application along with any necessary documentation through the designated submission method.
Who needs Husky Health Program Husky?
01
Individuals and families who are residents of Connecticut.
02
People with low income or those who are unemployed or underemployed.
03
Pregnant women and children under the age of 19.
04
Individuals who do not have access to or cannot afford private health insurance.
05
Those who meet the specific income guidelines set by the Husky Health Program.
06
Residents who require medical coverage, including but not limited to doctor visits, hospital stays, prescription medications, and preventive care services.
Note: It is important to review the specific eligibility criteria and requirements of the Husky Health Program to determine if you or your family members qualify for enrollment.
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