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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

   You must sign up for Part B using this form. NOTE: Your IEP lasts for 7 months. It begins 3 months before your 65th birthday (or 25th month of disability) and ends 3 months after you reach 65 (or 3 months after the 25th month of disability).

2. 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).

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

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

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   To sign up for Part B in one of these situations, you’ll also need to fill out and submit an Application for Enrollment in Part B (CMS-40B) form at the same time. Sign up for Part A & Part B using a Special Enrollment Period.

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

   www.cms.gov › files › document

   You must sign up for Part B using 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.

6. 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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   Apply online to sign up for Part B if you already have Part A. Have the employer fill out form CMS-L564. Send the completed form to your local Social Security office by fax or mail. If the employer can’t fill it out, complete Section B of the CMS-L564 form as best you can, but don’t sign it.

7. www.ssa.gov › medicare › sign-upSign up for Medicare | SSA

   www.ssa.gov › medicare › sign-up

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   Medicare is our country’s health insurance program for people age 65 or older. You’ll sign up for Medicare Part A and Part B through Social Security, so you can make both retirement and Medicare choices and withhold any premiums from your benefit payments.