Social Security Forms | SSA
All forms are FREE. Not all forms are listed. If you can't find the form you need, or you need help completing a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we will help you.
Sign up for Medicare | SSA - The United States Social Security ...
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.
Forms, Publications, & Mailings | Medicare
Download a form, learn more about a letter you got in the mail, or find a publication. What do you want to do? Get Medicare forms for different situations, like filing a claim or appealing a coverage decision. Read, print, or order free Medicare publications in a variety of formats. Find out what to do with Medicare information you get in the mail.
Contact Social Security if you want to apply for Medicare for the first time. WHEN DO YOU USE THIS APPLICATION? • If you want to sign up for Part B during the General Enrollment Period (GEP) from January 1 – March 31 each year. • If you’re eligible for a …
SSA-1020 Forms | Social Security Forms | SSA - The United States Social …
To use the Extra Help, you must enroll in a Medicare prescription drug plan. If you need help completing the application, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You can find more information at www.ssa.gov .
Medicare Benefits | SSA - The United States Social Security …
Social Security enrolls you in Original Medicare (Part A and Part B). Medicare Part A (hospital insurance) helps pay for inpatient care in a hospital or limited time at a skilled nursing facility (following a hospital stay). Part A also pays for some home health care and hospice care.
Enrollment Forms - Medicare
Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798.
Form SSA-1 - The United States Social Security Administration
Whether you or anyone else has ever filed for Social Security benefits, Medicare or Supplemental Security Income on your behalf (if so, we will also ask for information on whose Social Security record you applied);
CMS L564 | CMS - Centers for Medicare & Medicaid Services
Sep 30, 2023 · You can also fax your enrollment forms and evidence of employment and health coverage to your local Social Security office. You can find your local Social Security office by clicking “SSA Office Locator” under the “Related Links” section below.
Use this form: • If you’re eligible for Social Security benefits but only want to get Medicare. You must at least 64 and 8 months. (You won’t pay a premium for Part A.) • If you’re not eligible for Social Security benefits and want to sign up for Part A. You can sign up only during certain times— see next page.
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