Form 3400 Application-2025

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The document is an application for Medicaid and Affordable Health Coverage, providing information on how to apply for health insurance options, including Medicaid and private plans. It outlines the necessary information required for the application, eligibility criteria, and instructions for submission. The document emphasizes the importance of providing accurate income and family details to determine coverage eligibility and includes resources for assistance in multiple languages.

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What is the income limit to qualify for Medicaid in SC?

Income Limits Family SizeMonthly Income (Eff. 03/01/2025)Annual Income (Eff. 03/01/2025) 1 $2,609.00 $31,300.00 2 $3,525.00 $42,300.00 3 $4,442.00 $53,300.00 4 $5,359.00 $64,300.005 more rows

What is form 3400?

CBP Form 3400. Page 1. CBP Form 3400 (03/25) Page of. Use this form to authorize the U.S. Department of Homeland Security (DHS) to disclose information to yourself and/or records about you to a third party.

What is the tax form for Medicaid in SC?

The tax form you received, Form 1095-B, represents health coverage for your Medicaid household for the 2022 tax year. You, your spouse, and/or one or more of your dependents were enrolled in Medicaid for at least part of one month of the previous calendar year.

How long does it take to get approved for Medicaid in SC?

Make Us Your First Choice today! If you need a form, please call 1-888-549-0820 today or visit Opens a new window. NEW TO MEDICAID? Learn how to apply and pick our plan!

How to apply for Medicaid in Greenville, SC?

Please contact Healthy Connections at (888) 549-0820 for more information. Our online application is the easiest way to apply. If you need assistance filling it out, SC Thrive can help.

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How do I apply for Medicaid first choice in SC?

Healthy Connections is SCs Medicaid Program.

How do I upload documents to SC Medicaid?

You can submit your documents in four easy steps: Visit apply.scdhhs.gov and select Document Upload tool. Enter your contact info. Enter info to help us find your Medicaid case or pending application. To upload your document, choose the type of document you are providing (if you are unsure, select Other Document)

Form 3400 Application-2025

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The easiest way to modify Form 3400 Application in PDF format online

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Got questions?

What is the income limit to qualify for Medicaid in SC?

What is form 3400?

What is the tax form for Medicaid in SC?

How long does it take to get approved for Medicaid in SC?

How to apply for Medicaid in Greenville, SC?

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How do I apply for Medicaid first choice in SC?

How do I upload documents to SC Medicaid?

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