Link: https://www.cms.gov/cms40b-application-enrollment-part-b
Description: Web ResultThis 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.
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Link: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS017339
Description: Web ResultYou can apply online or you can mail your completed CMS 40B, Application for Enrollment in Medicare - Part B (Medical Insurance) to your local Social Security office. You’ll also need to send CMS L564 - Request for Employment Information, and a required proof of employment, Group Health Plan (GHP), or Large Group …
DA: 63 PA: 82 MOZ Rank: 4
Link: https://www.cms.gov/files/document/cms-40b-application-enrollment-medicare-part-b-medical-insurance.pdf
Description: Web ResultThis 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.
DA: 26 PA: 42 MOZ Rank: 6
Link: https://www.medicare.gov/basics/forms-publications-mailings/forms/enrollment
Description: Web ResultWhat’s the form called? Application for Enrollment in Part B (CMS-40B) What’s it used for? Signing up for Part B when you already have Part A. Give proof of employment when you sign up for Part B. What’s the form called? Request for Employment Information (CMS-L564) What’s it used for?
DA: 4 PA: 87 MOZ Rank: 36
Link: https://www.ssa.gov/medicare/sign-up/part-b-only
Description: Web ResultFill out the Application for Enrollment in Medicare Part B (CMS-40B) (PDF). If you are applying during the Special Enrollment Period, also fill out the Request for Employment Information (CMS-L564) (PDF).
DA: 77 PA: 24 MOZ Rank: 18
Link: https://blog.ssa.gov/sign-up-for-medicare-part-b-online-by-fax-or-mail/
Description: Web ResultAug 6, 2020 · You can complete form CMS-40B ( Application for Enrollment in Medicare – Part B [Medical Insurance]) and CMS-L564 (Request for Employment Information) online. You can also fax the CMS-40B and CMS-L564 to 1-833-914-2016; or return forms by mail to your local Social Security office .
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Link: https://www.medicare.gov/media/11873-Sign-up-Part-B-package-US.pdf
Description: Web ResultDownloading Form CMS-40B (Application for Enrollment in Medicare Part B) at Medicare.gov/basics/forms-publications-mailings/forms/enrollment. Complete the application and sign it. Return the completed application to your local Social Security ofice. Calling Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.
DA: 60 PA: 73 MOZ Rank: 84
Link: https://irp.cdn-website.com/746b10ee/files/uploaded/CMS%20%20Form-40B.pdf
Description: Web ResultPeople with Medicare who have Part A but not Part B. NOTE: If you do not have Part A, do not complete this form. 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 Initial Enrollment Period (IEP) and live in Puerto Rico.
DA: 75 PA: 69 MOZ Rank: 33
Link: https://www.medicare.gov/basics/get-started-with-medicare/sign-up/ready-to-sign-up-for-part-a-part-b
Description: Web ResultFill out form CMS-40B. Send the completed form to your local Social Security office by fax or mail. Download Form. Contact Social Security to submit your forms or get help: Send completed forms to your local Social Security office by fax or mail. Call 1-800-772-1213. TTY users can call 1-800-325-0778. Contact your local Social …
DA: 18 PA: 85 MOZ Rank: 5
Link: https://smartasset.com/retirement/form-cms-40b
Description: Web ResultMar 19, 2023 · Form CMS-40b is a form from the Center for Medicare & Medicaid Services that you use when applying for Medicare part B. Medicare part B is insurance coverage from Medicare that covers things like outpatient care, preventive services and medical equipment. It can also cover part-time home health services …
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