Medicare form 40b fillable 2025

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The document is an application form for enrollment in Medicare Part B (Medical Insurance) provided by the Centers for Medicare & Medicaid Services. It outlines who can use the application, the process for submitting it, and the necessary information required to complete it. The form is intended for individuals who have Medicare Part A but not Part B, detailing enrollment periods, potential penalties for late enrollment, and instructions for filling out the application.

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Got questions?

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

Can I fill out a Medicare application online?

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.

What form do I fill out for Medicare 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.

Can I fill out form cms 40B online?

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.

Can I check my Medicare Part B status online?

Log into (or create) your secure Medicare account. Youll usually be able to see a claim within 24 hours after Medicare processes it. A notice you get after the doctor, other health care provider, or supplier files a claim for Part A or Part B services in Original Medicare.

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