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The document is a Level of Care (LOC) and At Risk Evaluation form from the State of Hawaii's Department of Human Services, Med-QUEST Division. It is used to assess patients' eligibility for Medicaid services based on their health conditions and functional status. The form includes sections for patient information, assessment details, medical necessity determination, and caregiver support evaluation.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (51 Votes)
2014	4.3 Satisfied (340 Votes)
2009	4 Satisfied (40 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I apply for health insurance in Hawaii?

Online: mybenefits.hawaii.gov Phone: Call our Help Center at 1-877-628-5076. In person: There may be counselors in your area who can help. Visit our website or call 1-877-628-5076 for more information.

What is the difference between Med-QUEST and Medicaid?

Medicaid, or Med-QUEST in HI, is a health insurance program for low-income individuals of all ages. While this program provides coverage for various groups of Hawaii residents, our focus is on long-term care Medicaid eligibility for elders, aged 65 and over.

How do I apply for quest medical in Hawaii?

Apply for Medicaid Call Med-QUEST Customer Service: 1-800-316-8005 toll-free TTY users, call 1-855-889-4325 toll-free or 711. Fillable PDF Application. Fill out the application as completely as possible. Print the completed application then mail or fax to the Med-QUEST Division Eligibility Office nearest you.

What is the maximum income to qualify for Quest Hawaii?

You may be eligible for QUEST (Medicaid) if: Youre 19 or older with a total household income at or below 138% of the federal poverty level (for example, $23,888 for a single person or $49,514 for a family of 4 in 2024)

Is $200 a month expensive for health insurance?

On average, in the United States, health insurance premiums for an Affordable Care Act (ACA) plan without subsidies are around $477 per month2. For a Silver plan, the average cost is about $621 per month. So, $200 a month is actually quite reasonable compared to these averages.

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What is the income limit for Quest Hawaii?

Most people in Hawaii have health care coverage through their employment or through Medicare or Medicaid. However, there were some people who fell through the s. The federal Affordable Care act gave states permission to open their local Medicaid programs to more low-income people.

How much does health insurance cost per month in Hawaii?

Health insurance in Hawaii costs $523 per month, on average, without subsidies. Your rate will change depending on what company you choose, what plan tier you buy, how old you are, where you live, how many people are on your plan, and whether or not you smoke or use tobacco.

Get the up-to-date state of hi med quest application 2025 now

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Got questions?

How do I apply for health insurance in Hawaii?

What is the difference between Med-QUEST and Medicaid?

How do I apply for quest medical in Hawaii?

What is the maximum income to qualify for Quest Hawaii?

Is $200 a month expensive for health insurance?

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What is the income limit for Quest Hawaii?

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