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

    If you have a special situation, fill out the Application for Medicare Part A and B — Special Enrollment Period (Exceptional Conditions) (CMS-10797) (PDF). Find your Social Security office and fax or mail us the completed form.

  2. www.ssa.gov › pubs › EN-05-10012EN-05-10012- How to Apply for Medicare Part B During Your Special...

    Go to “Apply Online for Medicare Part B During a Special Enrollment Period” and complete CMS-40B and CMS-L564. Then, upload your evidence of Group Health Plan (GHP) or Large Group Health Plan (LGHP) coverage based on current employment.

  3. www.medicare.gov › get-more-coverage › joining-a-planSpecial Enrollment Periods - Medicare

    If you sign up for Part A or Part B during a Special Enrollment Period because of an exceptional situation, you’ll have 2 months to join a Medicare Advantage Plan (with or without drug coverage) or a Medicare drug plan (Part D).

  4. faq.ssa.gov › en-us › TopicHow do I sign up for Medicare Part B if I already have Part A? -...

    If you qualify for an SEP, you can apply online at Apply for Medicare Part B Online during a Special Enrollment Period. You can also fax or mail your completed Application for Enrollment in Medicare – Part B (CMS-40B) and the Request for Employment Information (CMS-L564) enrollment forms and evidence of employment to your local Social ...

  5. www.medicareresources.org › the-medicare-part-b-special-enrollment-periodThe Medicare Part B special enrollment period

    12 gru 2023 · What is the Medicare Part B special enrollment period (SEP)? The Medicare Part B SEP allows you to delay taking Part B if you have coverage through your own or a spouse’s current job, and then sign up for Part B — without a late enrollment penalty — as long as you do so within eight months of the employer-sponsored coverage ending.

  6. www.medicareinteractive.org › get-answers › medicare-health-coverage-optionsPart B Special Enrollment Periods for ... - Medicare Interactive

    This chart explains different times when you may qualify for a Special Enrollment Period to enroll in Medicare Part B (and premium Part A) without penalty. To use these SEPs submit form CMS-10797 to the Social Security Administration.

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

    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