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1. 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).

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

     If you prefer, you can fax or mail the completed forms –...

2. 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.

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.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).

5. www.cms.gov › cms-l564-request-employment-informationCMS-L564: Request for Employment Information

   www.cms.gov › cms-l564-request-employment-information

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   You need to get the completed form from your employer and include it with your Application for Enrollment in Medicare (CMS-40B). Then you send both together to your local Social Security office. Find your local office here: www.ssa.gov. GET HELP WITH THIS FORM. Phone: Call Social Security at 1-800-772-1213.

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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   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.