You can either attach a picture to this form OR complete the personal information. Please take the time to fill out a Health Care Power of Attorney form.The Family Caregiver Reimbursement Program (FCRP) is no longer taking applications. Organizing financial documents and medical records can help you understand your loved ones eligibility for public health insurance or VA benefits. To start the application process, you can call us at 888-621-6880 (toll-free) or register an application online in Health-e-Arizona Plus. The easiest way to apply for benefits is online through Health-e-Arizona Plus. AHCCCS offers health insurance for individuals 65 and older. For those who qualify, there are no monthly premiums.