Cms40b 2018-2019 form-2025

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If youre 65 or older, you can enroll online for Parts A and B, or Part A only. You can delay Part B if youre already covered through an employer group health plan. The application is for retirement benefits and Medicare, or Medicare only.
You can complete your Medicare Part B Enrollment online. You will electronically sign the online application, so you will need to provide an email address.
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).
Apply online (at Social Security) This is the easiest and fastest way to sign up and get any financial help you qualify for.
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