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Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem. Cost: If you have Part B, you pay a Part B premium each month.
The form CMS-L564, also referred to as CMS-R-297, is used, in conjunction with form CMS40B, Application for Supplementary Medical Insurance, during an individuals special enrollment period (SEP). Completed by an employer, the CMS-L564 provides proof of an applicants employer group health coverage.
CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report. And if youre a Medicare managed care program provider, CMS requires that you retain the patient records for 10 years.
If you prefer, you can fax or mail the completed forms CMS-40B Application for Enrollment in Medicare Part B (Medical Insurance) and CMS-L564 Request for Employment Information to your local Social Security office. Be sure to carefully read the instructions on the forms.
The CMS-L564 Medicare form, also known as the Request for Employment Information, verifies an individuals group health plan coverage under an employer. This form is typically required for those who delayed enrolling in Medicare Part B because they or their spouse were covered by employer-sponsored insurance.
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