Social security office form cms40b 2025

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El documento es un formulario aprobado por el Departamento de Salud y Servicios Humanos para la solicitud de inscripción en la Parte B de Medicare, que proporciona seguro médico. Está destinado a personas que ya tienen la Parte A de Medicare y desean inscribirse en la Parte B durante su Período Inicial de Inscripción, Período de Inscripción General o Período Especial de Inscripción. Incluye instrucciones sobre cómo completar el formulario, información necesaria, y detalles sobre las consecuencias de no inscribirse a tiempo.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What form do I fill out for Medicare Part B?

CMS-40B. Application for Enrollment in Medicare - Part B (Medical Insurance) CMS-L564. Request for Employment Information.

What forms do I need to fill out for Medicare Part B?

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).

How do I enroll in Medicare Part B for the first time?

Most people pay the standard Part B monthly premium amount ($185 in 2025). Social Security will tell you the exact amount youll pay for Part B in 2025. You pay the standard premium amount if you: Enroll in Part B for the first time in 2025.

Can I fill out form CMS 40B online?

Call us at 1-800-772-1213, Monday through Friday, 8:00 a.m. to 7:00 p.m., with your Part B enrollment questions. To learn more about Medicares Open Enrollment Period (October 15-December 7) or if you have other Medicare questions, visit Medicare.gov or call 1-800-MEDICARE.

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