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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.
Most people age 65 or older are eligible for free Medicare hospital insurance (Part A) if they have worked and paid Medicare taxes long enough. You can sign up for Medicare medical insurance (Part B) by paying a monthly premium. Some beneficiaries with higher incomes will pay a higher monthly Part B premium.
No matter which one you select whether thats Original Medicare or one of the many Medicare Advantage plans all of them offer Part B coverage. Part B is the workhorse of your medical insurance.
If you did not enroll for Part B during your initial enrollment period, you may qualify for a Special Enrollment Period (SEP) to sign up for Part B (and/or Part A) anytime as long as you or a spouse is working and youre covered by a group health plan through that employment.
CMS 40B. Form Title. Application for Enrollment in Medicare - Part B (Medical Insurance) Revision Date. 2021-07-31.
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Send your completed and signed application to your local Social Security office. If you sign up in a SEP, include the CMS-L564 with your Part B application. If you have questions, call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
I have Part A want to add Part B Fill out Form CMS-40B (Application for Enrollment in Medicare Part B). Send the completed form to your local Social Security office by fax or mail. Call 1-800-772-1213. TTY users can call 1-800-325-0778.
Yes. In fact, if you are signed up for both Social Security and Medicare Part B the portion of Medicare that provides standard health insurance the Social Security Administration will automatically deduct the premium from your monthly benefit. The standard Part B premium in 2022 is $170.10 a month.
Contact Social Security to sign up for Part B: Fill out Form CMS-40B (Application for Enrollment in Medicare Part B). Call 1-800-772-1213. Contact your local Social Security office. If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.
Most people pay the standard Part B monthly premium amount ($170.10 in 2022). Social Security will tell you the exact amount youll pay for Part B in 2022. You pay the standard premium amount if: ■ You enroll in Part B for the first time in 2022.

cms 40b form 2022