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You can only sign up using this form if you already have Medicare Part A Hospital Insurance. If your answer to this question is no then you don t need to fill out this application. This application is to sign up to get medical insurance under Medicare. You must sign up for Part B using this form. HOW DO YOU GET HELP WITH THIS Phone Call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778. when you applied for Medicare but now want Part B. If you want to sign up for Part B d ...

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Versions	Form popularity	Fillable & printable
CMS-40B 2021	4.8 Satisfied (113 Votes)
CMS-40B 2019	4.2 Satisfied (66 Votes)
CMS-40B 2018	4.3 Satisfied (204 Votes)
CMS-40B 2017	4.1 Satisfied (58 Votes)
CMS-40B 1990	4.3 Satisfied (43 Votes)

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How do I submit Medicare 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.

How do I get a CMS-L564 form?

You need to get the completed form from your employer and include it with your Application for Enrollment in Medicare (CMS-40B). Then you send both together to your local Social Security office. Find your local office here: www.ssa.gov.

Where do I send my CMS 40B?

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.