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  2. Enrollment Forms - Medicare

    www.medicare.gov/basics/forms-publications-mailings/forms/enrollment

    Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798.

  3. Sign up for Medicare | SSA

    www.ssa.gov/medicare/sign-up

    Sign up for Medicare. If you're 65 or older, you can enroll online for Parts A and B, or Part A only. You can delay Part B if you're already covered through an employer group health plan. The application is for retirement benefits and Medicare, or Medicare only. Apply online.

  4. Forms, Publications, & Mailings | Medicare

    www.medicare.gov/basics/forms-publications-mailings

    Get Medicare forms for different situations, like filing a claim or appealing a coverage decision.

  5. How do I sign up for Medicare?

    www.medicare.gov/basics/get-started-with-medicare/sign-up/how-do-i-sign-up-for...

    Need help with costs, or have a disability or a chronic condition. Some people get Medicare Part A and Part B automatically, and some have to sign up for it. Answer a few questions to find out how to sign up based on your situation.

  6. Sign up for Part B only | SSA

    www.ssa.gov/medicare/sign-up/part-b-only

    Fill out the Application for Enrollment in Medicare Part B (CMS-40B) (PDF). If you are applying during the Special Enrollment Period, also fill out the Request for Employment Information (CMS-L564) (PDF).

  7. Learn how Medicare works for people 65 and older or with a disability. See if you are eligible, how to enroll, and locate a Medicare-certified provider.

  8. MEDICARE ENROLLMENT APPLICATION - Centers for Medicare & Medicaid...

    www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855b.pdf

    Clinics, group practices, and other suppliers can apply for enrollment in the Medicare program or make a change in their enrollment information using either: The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or. The paper CMS-855B enrollment application.

  9. Application for Enrollment in Medicare Part B (Medical Insurance)

    www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS40B-E.pdf

    This form is your application for Medicare Part B (Medical Insurance). You can use this form to sign up for Part B: • During your Initial Enrollment Period (IEP) when you’re first eligible for Medicare • During the General Enrollment Period (GEP) from January 1 through March 31 of each year

  10. Medicare Benefits | SSA

    www-origin.ssa.gov/benefits/medicare

    If you have Medicare, you can get information and services online. Find out how to manage your benefits. If you are enrolled in Medicare Part A and you want to sign up for Part B, please complete form CMS-40B, Application for Enrollment in Medicare – Part B (medical insurance).

  11. Sign up for Medicare Part B Online, by Fax, or by Mail

    blog.ssa.gov/sign-up-for-medicare-part-b-online-by-fax-or-by-mail

    You can complete your Medicare Part B Enrollment online. You will electronically sign the online application, so you will need to provide an email address. If you prefer, you can fax or mail the completed forms – CMS-40B Application for Enrollment in Medicare – Part B (Medical Insurance) and CMS-L564 Request for Employment Information ...