12.07.2015 Views

applying for the medicare savings programs (msp) - State of Illinois

applying for the medicare savings programs (msp) - State of Illinois

applying for the medicare savings programs (msp) - State of Illinois

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What <strong>for</strong>m do I use?To apply <strong>for</strong> a state medical card and MSP:◦ Apply online at www.dhs.state.il.us,◦ Mail Form 2378H to <strong>the</strong> DHS <strong>of</strong>fice – download <strong>the</strong> <strong>for</strong>m atwww.hfs.illinois.gov/assets/hfs2378h.pdf, or◦ Go to <strong>the</strong> DHS <strong>of</strong>fice and apply in personTo apply <strong>for</strong> MSP only◦ Apply online at www.dhs.state.il.us,◦ Mail Form 2378M to <strong>the</strong> DHS <strong>of</strong>fice – download <strong>the</strong> <strong>for</strong>m atwww.hfs.illinois.gov/assets/hfs2378m.pdf, or◦ Go to <strong>the</strong> DHS <strong>of</strong>fice and apply in personTo apply through SSA – file <strong>the</strong> LIS application atwww.ssa.gov or use Form SSA1020

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