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Medicare Forms & Publications

  1. How to Apply Online for Medicare Only
    Medicare & You
    CMS Publication 10050 | The official U.S. government Medicare handbook.
  2. How to Apply Online for Medicare Only
    FACT SHEET
    Deciding Whether to Enroll in Medicare Part A and Part B When You Turn 65
  3. Retirement Benefits
    How to Apply Online for Medicare Only

    SSA Publication 05-10531 | Step-by-step instructions on using the online Medicare-only benefit application, complete with screenshots.
  4. Medicare & You
    Application for Enrollment in Medicare Part B (Medical Insurance)

    Form CMS-40B | One of the two main forms to enroll in Medicare after age 65 is this Part B application to complete yourself.
  5. Application for Enrollment in Medicare Part B
    Request for Employment Information

    Form CMS-L564 | When you retire after 65 and enroll in Medicare, your employer must complete this form.
  6. IRMAA Appeal
    IRMAA Appeal

    Form SSA-44 | Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event. You may use this form to request a reduction in your income-related monthly adjustment amount.
  7. Supplemental Security Income (SSI)
    Understanding the Extra Help with Your Medicare Prescription Drug Plan

    SSA Publication 05-10508 | Overview of the Extra Help available to cover the costs of a Medicare prescription drug plan.
  8. Understanding the Extra Help with Your Medicare Prescription Drug Plan
    Disability Benefits

    SSA Publication 05-10029 | Overview of the Social Security Disability Insurance (SSDI) program.
  9. Application for Retirement Insurance Benefits
    Supplemental Security Income (SSI)

    SSA Publication 05-11000 | Overview of the eligibility requirements for SSI.
  10. Disability Benefits
    Retirement Benefits

    SSA Publication 05-10035 | Overview of Social Security retirement benefits: 1) How you earn coverage. 2) How to apply. 3) How benefits are figured.
  11. Request for Employment Information
    Application for Retirement Insurance Benefits

    Form SSA-1-BK | Information you need to apply for retirement benefits or Medicare.
  12. Publication CMS-11037 Medicare Coverage Outside the United States
    Publication CMS-11037 Medicare Coverage Outside the United States

    Publication CMS-11037 Medicare Coverage Outside the United States

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