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Get the free Application for Extra Help with Medicare Prescription ... - Social Security

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P O BOX 436 VALLEY CITY, OH 44280PHONE: 330/2257704 FAX: 330/2733834 EMAIL: Karen×rusty oak. Employment Application!APPLICANT INFORMATION Last NameFirstM. I. Street AddressDateApartment/Unit #CityStateZIPPhon e Date
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How to fill out application for extra help

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How to fill out application for extra help

01
Step 1: Gather all necessary documents and information, such as social security number, proof of income, and Medicare card.
02
Step 2: Visit the official website of the Social Security Administration or contact your local Social Security office to obtain the application form.
03
Step 3: Fill out the application form accurately and provide all required information. Make sure to answer all questions and include all supporting documentation if needed.
04
Step 4: Review the completed application form to ensure everything is correct and all required documents are attached.
05
Step 5: Submit the application form either online or in person at your local Social Security office.
06
Step 6: Wait for a response from the Social Security Administration regarding your application. This may take some time, so be patient.
07
Step 7: If approved, you will receive a notification and start receiving the extra help benefits. If denied, you have the option to appeal the decision.

Who needs application for extra help?

01
Anyone who is enrolled in Medicare and meets the income and resource limits may need to fill out an application for extra help. This program is designed to assist individuals with limited income and resources in paying for prescription drugs and other Medicare-related expenses.
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The application for extra help is used to apply for assistance with prescription drug costs.
Individuals with limited income and resources who need help with prescription drug costs are required to file an application for extra help.
The application for extra help can be filled out online, over the phone, or in person at a local Social Security office.
The purpose of the application for extra help is to determine eligibility for assistance with prescription drug costs.
The application for extra help requires information about income, resources, and prescription drug coverage.
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