Medicare card Application Forms

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Commonly Asked Questions about Medicare card Application Forms

To sign up for Part B in one of these situations, youll also need to fill out and submit an Application for Enrollment in Part B (CMS-40B) form at the same time.
Ways to sign up: Online (at Social Security) Its the easiest and fastest way to sign up and get any financial help you may need. (Youll need to create your secure my Social Security account to sign up for Medicare or apply for benefits.)
You 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.
Apply online (at Social Security) This is the easiest and fastest way to sign up and get any financial help you qualify for. Youll create your secure my Social Security account to sign up for Medicare or apply for Social Security benefits online.
Form SSA-1 | Information You Need To Apply For Retirement Benefits Or Medicare. You can apply: Online; or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.
What documents do I need to enroll in Medicare? your Social Security number. your date and place of birth. your citizenship status. the name and Social Security number of your current spouse and any former spouses. the date and place of any marriages or divorces youve had.
Call 800-772-1213 and tell the representative you want to apply for Medicare because you have ESRD. Available in most U.S. time zones Monday through Friday, 8 a.m. to 7 p.m., in English, Spanish, and other languages.
You can apply for Medicare online, by phone, or at a local Social Security office. Medicare applications typically take between 30 to 60 days to receive approval. The status of your application can be viewed online. You can also call or ask in person.