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).

Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798.

Request for Enrollment in Medicare Part B (Medical Insurance) Use this form if you already have Medicare Part A and want to sign up for Part B (Medical Insurance).

the Social Security Act, as amended (42 U.S.C. 1395o, 1395s, and 1395ii) for your enrollment in Medicare Part B. Social Security and the Centers for Medicare & Medicaid Services (CMS) need …

Jul 1, 2025 · Request for Enrollment in Medicare Part B (Medical Insurance) Use this form if you already have Medicare Part A and want to sign up for Part B (Medical Insurance). If you don't have Part A, …

Feel confident in your Medicare coverage Selecting Medicare coverage means finding a plan that fits your health needs and your budget — and while that might look different for everyone, enrolling in …

To sign up for Part A or Part B, you’ll need to contact SSA. We can help you find the easiest way to sign up based on your situation.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this …

Mar 13, 2024 · How do I sign up for Medicare Part B if I already have Part A? If you have Medicare Part A, but you did not enroll in Medicare Part B during your Initial Enrollment Period (IEP), you may sign …

Aug 7, 2024 · What is Medicare Part B? Medicare Part B helps cover medical services like doctors' services, outpatient care, and other medical services that Part A doesn't cover. Part B is optional. …