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The first step is to complete an automatic payment authorization form sf 5510 and mail it to the following address.
How to sign up for medicare easy pay. You can also get the sf 5510 as a pdf form in spanish or hmtl form in spanish. How do i sign up for medicare easy pay. You may have to wait six to eight weeks for your form to be processed and for your mep account to be set up. You can download the pdf in english or spanish. Mail your completed sf 5510 to.
Medicare premium collection center po box 979098 st. Louis mo 63197 9000 you ll need your red white and blue medicare id card and a voided blank check from the bank account you want to use in order to complete the form. Anytime you get a bill for your medicare premium you can sign up for medicare easy pay. Once you complete the form mail it to the following address. Medicare premium collection center.
Medicare premium collection center po box 979098 st. To complete the form you will need your 11 character medicare number and supply a blank check. To sign up for mep print out the authorization agreement for pre authorized payments form fill it out and mail it to. First you fill out the authorization agreement for pre authorized payments form sf 5510.
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