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  1. Contact Social Security if you want to apply for Medicare for the first time. 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.

  2. Sign up for Part B only. Part B helps pay for your basic healthcare services. If you already have Part A, you can add Part B during specific enrollment periods. It's important to sign up promptly to avoid gaps in coverage or late enrollment penalties.

  3. 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

    Giving the Social Security Administration proof you’re eligible to sign up for Part B if: You’re still working. You retired within the last 8 months. You lost job-based health coverage within the last 8 months.

  5. 3 dni temu · You will electronically sign the online application, so you will need to provide an email address. If you prefer, you can fax or mail the completed forms – CMS-40B Application for Enrollment in MedicarePart B (Medical Insurance) and CMS-L564 Request for Employment Information – to your local Social Security office.

  6. Sign up for Medicare. 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.

  7. 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.

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