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Illinois Department on Aging PO Box 19003 Springfield, Illinois 627949003 2006 Form IL1363 Application Booklet Seniors or Persons with Disabilities Apply on Form IL1363 for Illinois Cares Rx (help

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How to fill out illinois cares rx

01

To fill out Illinois Cares RX, follow these steps:

02

Start by gathering all the required information. This includes your personal details such as name, address, contact information, and Social Security Number.

03

Next, you will need to provide information about your prescription drug coverage, if any. Details like the name of your current prescription drug plan or any other coverage you have can be filled out in this section.

04

Then, you will be asked to provide information about your income. This is essential to determine if you are eligible for the Illinois Cares RX program. Make sure to accurately report your income and any deductions you may have.

05

After that, you will need to provide details about your health insurance, if applicable. This can include the name of your health insurance plan, policy number, and other relevant information.

06

Finally, review all the information provided for accuracy and completeness. Once you are confident that everything is correct, submit your Illinois Cares RX application.

07

Note: It is advised to keep a copy of the filled application for your records in case any discrepancies or inquiries arise later on.

Who needs illinois cares rx?

01

Illinois Cares RX is designed for individuals who meet certain criteria and need assistance with their prescription drug costs.

02

The program is primarily for low-income seniors aged 65 and above who live in Illinois.

03

Additionally, individuals under the age of 65 with disabilities may also qualify for the program, provided they meet the income requirements.

04

It is important to note that eligibility and specific requirements may vary. It is recommended to check the official Illinois Cares RX website or contact the program administrators for the most up-to-date information and eligibility criteria.

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