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If you're unable to apply online using MI Bridges, you may use the DCH-1426, Application for Health Coverage & Help Paying Costs, the fillable paper application to apply for healthcare coverage in Michigan. Health care coverage refers to Medicaid, Healthy Michigan Plan, Children’s Health Insurance Program (CHIP), private health insurance ...
Assistance Application (MDHHS-1171) A packet containing an application for assistance, an information booklet and a filing form. The best way to apply for assistance is online using MI Bridges. If you need to use this paper application, keep in mind that you'll need to print and complete the application, and then take it to your local MDHHS office.
Report any changes to household or income. Report changes at Michigan.gov/MIBridges or by calling local MDHHS office. If they get a renewal packet, be sure to fill it out, sign the forms and return it by the due date with any proof required.
If you think you might be eligible, apply today and see if you qualify. Choose from one of the following options to apply. Apply online at www.michigan.gov/mibridges. Call the Michigan Health Care Helpline at 1-855-789-5610. Visit your local Department of Human Services office.
2. List yourself and the name of each family member who lived with you at any time during the first month or who you claim as a dependent on your tax return. Check yes if the person has unpaid medical expenses this month. 2.
Apply for benefits online with MI Bridges to get temporary assistance when times are tough.
MI Bridges is the state of Michigan's benefits portal where you can apply for food assistance online or by phone.
You can apply for health care coverage by mailing or having someone take this form into your local Michigan Department of Health and Human Services (MDHHS) office. Your application must be approved or denied within: • 45 days, or • 90 days if disability is a factor in determining your health care coverage eligibility.
Most children who are eligible for U-19 Medicaid are enrolled in a Medicaid health plan. This program provides a comprehensive package of health care benefits including vision, dental, and mental health services. Contact the local MDHHS office in your county to apply for this program or apply online at www.michigan.gov/mibridges. MIChild
The MDHHS-1171 packet includes an information booklet, the assistance application, and program specific supplement forms. A filing form used to preserve the application filing date for programs other than Medicaid, is available in the MDHHS-1171 and online at www.michigan.gov/dhs-forms.