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1. www.cms.gov › Medicare › CMS-FormsApplication for Enrollment in Medicare Part B (Medical Insurance)

   www.cms.gov › Medicare › CMS-Forms

   WHEN DO YOU USE THIS APPLICATION? Use this form: • If you’re in your IEP and refused Part B or did not sign up when you applied for Medicare, but now want Part B. • If you want to sign up for Part B during the General Enrollment Period (GEP) from January 1 – March 31 each year. • If you’re eligible for a Special Enrollment Period (SEP).

2. www.medicare.gov › basics › forms-publications-mailingsEnrollment Forms - Medicare

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

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

3. www.cms.gov › cms40b-application-enrollment-part-bCMS40B - Application for Enrollment in Part B | CMS

   www.cms.gov › cms40b-application-enrollment-part-b

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   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

4. www.ssa.gov › medicare › sign-upSign up for Part B only | SSA

   www.ssa.gov › medicare › sign-up

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   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).

5. www.cms.gov › files › documentApplication for Enrollment in Medicare Part B (Medical Insurance)

   www.cms.gov › files › document

   SPECIAL MESSAGE FOR INDIVIDUAL APPLYING FOR PART B . 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

6. blog.ssa.gov › sign-up-for-medicare-part-b-online-by-fax-or-by-mailSign 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

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   17 paź 2024 · 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 – to your local Social Security office. Be sure to carefully read the instructions on the forms.

7. www.medicare.gov › sign-up › ready-to-sign-up-for-part-a-part-bReady to sign up for Part A & Part B - Medicare

   www.medicare.gov › sign-up › ready-to-sign-up-for-part-a-part-b

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   Download Form. To submit your forms: Send completed forms to your local Social Security office by fax or mail. If you or your spouse worked for a railroad, visit RRB.gov, or call the Railroad Retirement Board at 1-877-772-5772. TTY users can call 1-312-751-4701.