Home
Forms Library
Department of human services iowa

Form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia-2025

department of human services iowa Preview on Page 1

See details

1 out of 5

14257 votes

The document is an application form from the Iowa Department of Human Services for health coverage and financial assistance with medical costs. It outlines various health insurance options available, including affordable private plans, tax credits, and Medicaid or CHIP for families earning up to $94,000 annually. The application can be completed for all family members, including those already insured or immigrants. It provides guidance on required information, application submission procedures, and resources for assistance.

Here's how it works

01. Edit your department of human services iowa online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dhs iowa gov via email, link, or fax. You can also download it, export it or print it out.

The best way to modify Form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on paperwork with our feature-rich and user-friendly PDF editor is simple. Adhere to the instructions below to fill out Form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia online easily and quickly:

Log in to your account. Sign up with your email and password or register a free account to test the service before choosing the subscription.
Upload a document. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia. Easily add and highlight text, insert pictures, checkmarks, and signs, drop new fillable areas, and rearrange or delete pages from your document.
Get the Form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia accomplished. Download your adjusted document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to promptly handle your paperwork online!

See more form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia versions

We've got more versions of the form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia form. Select the right form 470-5170 - Iowa Department of Human Services - Iowa.gov - dhs state ia version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (40 Votes)
2016	1 Satisfied (14257 Votes)
2015	4.3 Satisfied (46 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

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 maximum income for Medicaid in Iowa?

Medical Family SizeFamilys Yearly Countable Income: MedicaidFamilys Yearly Countable Income: Hawki Children may be eligible for FREE coverage under Medicaid.* Children may be eligible for FREE coverage under Hawki.** 1 Up to $25,151 $25,152 to $27,419 2 Up to $34,139 $34,140 to $37,211 3 Up to $43,128 $43,129 to $47,0035 more rows

Who is eligible for Hawki insurance in Iowa?

Find out if youre eligible for Medicaid by taking a quick assessment on Iowas Department of Health and Human Services (HHS) website. If your familys income is too high to meet the income requirements for the Iowa Health Link program, your children may still qualify for health benefits through Hawki.

Can I still get Medicaid if my income is too high?

Since Obamacare, Medicaid eligibility is based on household income, not assets, except for nursing home care. If your family income is too high for Medicaid you might be eligible for subsidized Obamacare. And if it is too high for subsidies then you shouldnt be trying to cheat the system.

What is the monthly income limit for Medicare in Iowa?

Specified Low Income Medicare Beneficiary (SLMB): The income limit is from QMB levels up to $1,478 a month if single and $1,992 a month if married. SLMB pays for Part B premiums. Qualified Individuals (QI): The income limit is from SLMB levels up to $1,660 a month if single and $2,239 a month if married.

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

In Iowa, the Hawki program covers children whose household income is as high as 300% of the federal poverty level. What does Hawki cost? For many eligible households, there is no premium, so the cost is zero. For others, the cost is $10 per child per month with a cap of $20 per month.

dhs iowa gov forms

Https form 470 5170 iowa department of human services iowa gov dhs state ia Form 470-0254 Download form 470 5170 iowa department of human services iowa gov dhs state ia DHS Iowa gov forms Dhs Iowa Medicaid iowa medicaid form 470-4202 form 470-5112 Iowa DHS portal

Does Iowa Medicaid check your bank account?

Bank Account Checks: An Integral Part of Eligibility Medicaid eligibility in Iowa is largely determined by income and asset limitations. Therefore, bank account checks are an integral part of the process. Medicaid wants to ensure that recipients truly need the assistance.