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1. 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.

2. 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 for people who want to sign up for Medicare Part B (Medical Insurance) after they have Part A. You need to fill out this form and send it to Social Security with your Medicare number and a completed CMS-L564 form if you're in a Special Enrollment Period.

3. www.cms.gov › Medicare › CMS-FormsCMS 40B | CMS - Centers for Medicare & Medicaid Services

   www.cms.gov › Medicare › CMS-Forms

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   10 sty 2024 · CMS 40B is a form for enrolling in Medicare Part B (Medical Insurance) if you have Part A and are covered by a group health plan based on current employment. You also need to submit CMS L564 and proof of employment and health coverage.

4. medicareschool.com › how-to-fill-out-medicare-forms-cms-l564-and-cms-40-bHow to Fill Out Medicare Forms CMS-L564 and CMS 40-b

   medicareschool.com › how-to-fill-out-medicare-forms-cms-l564-and-cms-40-b

   Learn how to complete the CMS-L564 and CMS-40b forms if you are enrolling in Medicare after your initial eligibility at 65. Find out what information you need, how to avoid penalties, and where to get help.

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

   www.ssa.gov › medicare › sign-up

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   Learn how to sign up for Medicare Part B online or by mail, and when to use the Application for Enrollment in Medicare Part B (CMS-40B) and the Request for Employment Information (CMS-L564). Find out if you qualify for a Special Enrollment Period or a General Enrollment Period.

6. www.medicare.gov › basics › get-started-with-medicareReady to sign up for Part A & Part B - Medicare

   www.medicare.gov › basics › get-started-with-medicare

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

   www.ssa.gov › pubs › EN-05-10012

   Learn how to enroll in Medicare Part B online or by mail if you have group health coverage based on current employment. Find out what forms you need to complete and submit, and when your coverage will start.