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You can also fax the cms 40b and cms l564 to 1 833 914 2016.
How to apply for medicare b online. Visit apply for medicare and find other important information. Go to apply online for medicare part b during a special enrollment period and complete cms 40b and cms l564. Signing up for medicare online is an easy process if you ve never enrolled in medicare part a and part b. Go to the social security administration website. You can apply for medicare online even if you are not ready to start your retirement benefits.
We ll process your application and contact you if we need more information. Fax your forms to 1 833 914 2016. You can complete form cms 40b application for enrollment in medicare part b medical insurance and cms l564 request for employment information online. If you re eligible for medicare at age 65 your initial enrollment period begins three months before your 65th birthday and ends three months. Application for medicare coverage only.
Applying online can take less than 10 minutes. Then upload your evidence of group health plan or large group health plan. Or return forms by mail to your local social security office. To sign up online the first step is to create a my social security account. This is a recommended practice for everyone regardless of age because it enables you to check your personal social security statements periodically to ensure annual earnings reflected are accurate.
There are no forms to sign and we usually require no documentation.
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