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How to use this website
Starting your application
Help filling out your application
People in your home
Your vehicles
Your bills
Help with your expenses
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Save and finish later
Legal information
Signature page
More Questions about your bills
Medical Expenses
Who Pays
Amount
Per
Enter the Medical Expenses for anyone who is disabled or over age 59 that are NOT paid by insurance
-- Select --
Every week
Every two weeks
Once a month
Every six months
Once a year
Help Paying Expenses
Do you get help from anyone paying your bills?
Yes
No
 
 
Quick Tips
Included at the end of the application is a list of agencies that provide help paying for utilities:
Click here to find the phone number of your county DHS office
Each time you move to a new page, your information is saved. By exiting your application, you will lose any changes you have made to the current page and your application will not be submitted. Do you wish to continue?
By restarting your application, all information you entered for this application will be lost. Do you wish to continue?
All material Copyright © State of Iowa, 2012
Version
20140101.3.0.0