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The document is a Medical Baseline Allowance Self-Certification Request Form from Pacific Gas and Electric Company (PG&E). It outlines the process for customers to self-certify their eligibility for additional energy allowances based on medical needs. The form requires customer and resident information, details about the medical condition, and preferences for outage notifications. It specifies different certification requirements depending on whether the medical condition is permanent or not, and provides instructions for submitting the application.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (80 Votes)
2013	4.4 Satisfied (141 Votes)
2002	4.2 Satisfied (46 Votes)

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Got questions?

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

What is the baseline for PGE?

No, the medical baseline allowance does not guarantee services. You are still required to continue to pay your monthly bill. Nonpayment can result in the disconnection of your utility services. For more information, visit our Discover Ways to Pay and Save on Your Bill page.

Is a CPAP machine considered medical equipment?

Durable medical equipment (DME) refers to all the hardware a person needs in order to treat their healthcare problems. Common forms of DME include walkers, neck braces, post-surgery protective eyewear, and a host of other thing. CPAP machines also belong in the category.

How much discount do you get for medical baseline pge?

This depends on when and how much energy you use. Medical Baseline customers on the Electric Home (E-ELEC), E-TOU-D, and EV2-A rates may be eligible to receive a 12% discount (D-MEDICAL) on their electric charges.

Does a CPAP machine qualify for a medical baseline?

Baseline Allowance is a measure of energy sold at the lowest price.

What medical conditions qualify for PGE medical baseline?

You may be eligible for the Medical Baseline Allowance program if you rely on life support equipment, have a life-threatening illness or health condition, or have a compromised immune system and rely on electrically powered medical equipment or devices.

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Who is eligible for medical baseline allowance?

Oxygen is forcefully delivered through a face mask into your lungs. It is a rescue intervention for short term use. (Note: CPAP or Continuous Positive Airway Pressure is often used for sleep apnea which is not a form of life-sustaining treatment.)

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What is the baseline for PGE?

Is a CPAP machine considered medical equipment?

How much discount do you get for medical baseline pge?

Does a CPAP machine qualify for a medical baseline?

What medical conditions qualify for PGE medical baseline?

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Who is eligible for medical baseline allowance?

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