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You can complete form cms 40b application for enrollment in medicare part b medical insurance and cms l564 request for employment information online.
How to register for medicare part b. In order to qualify for medicare part b you must satisfy at least one of these main eligibility requirements. You would like to enroll in part b during the special enrollment period. If you want to sign up for part b during the general enrollment period gep from january 1 march 31 each year. Fax them to 1 833 914 2016. You can obtain the application online at medicare gov.
You can enroll in medicare part a and or medicare part b in the following ways. You won t get medicare automatically. If you already have part a and want to sign up for part b complete an application for enrollment in part b cms 40b. The package explains how to sign up for part b the risks for delaying enrollment and other decisions you may need to make about your medicare coverage. You must sign up for part b using this form.
Get this form and instructions in spanish. If you worked for a railroad call the rrb at 1 877 772 5772. You can apply online at the social security website using the application for enrollment in part b apply in person at your local social security office or call the social security office number. Fill out the application to apply for medicare part b. There are several ways to sign up for medicare part b.
Call social security at 1 800 772 1213 tty. Sign up for medicare online or contact social security. This package notifies people of the chance to enroll in part b during the general enrollment period. If you worked for a railroad the rrb can assist you with your application. There is an application you must complete in order to qualify for medicare part b.
It includes a letter and booklet. Or return forms by mail to your local social security office. You may complete the forms online by visiting the apply for medicare part b online during a special enrollment period webpage. You re 65 years old or over. You have a disability and receive disability payments.
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