Medicare Forms

Applications

Application for Enrollment in Medicare Part B

The CMS-40B form is for enrolling in Part B. You must apply for Part A first.

Request for Employment Information

The CMS-L564 form is used when applying for employer group health plan coverage.

Medicare Easy Pay

This form is used to sign up for Medicare's Easy Pay electronic, automatic payment option.

Handbooks

Medicare & You

This handbook covers plans and benefits, beneficiaries' rights, and frequently asked questions.
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