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Commonly Asked Questions about Medicare part b Application Forms

The processing time for Medicare Part B applications typically ranges from one to three months, starting from when the Social Security Administration receives your application. Its best to apply as early as possible, especially if youre nearing your 65th birthday or the end of your Initial Enrollment Period.
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.
This form is used for proof of group health care coverage based on current employment. This information is needed to process your Medicare enrollment application.
Apply online to sign up for Part B if you already have Part A. Have the employer fill out form CMS-L564. Send the completed form to your local Social Security office by fax or mail.
Fill 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).
Send the application (and the Request for Employment Information, if applicable) to your local Social Security Office. Find your local office at .ssa.gov.
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.
You must call Social Security at (1-800-772-1213) to sign up for Part B. TTY users can call 1-800-325-0778. If you dont enroll in Part B when youre first eligible, you may have to pay a late enrollment penalty for as long as you have Part B.
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.