Apply online for medicare part b during sep

Related Answers

• How to enroll in Medicare if you are turning 65 without Social Security or Railroad Retirement benefits

  If you currently have Medicare Part A and are thinking of fully transitioning to Medicare, you may be wondering what you need to do to apply for Medicare Part B. With the current pandemic, there have been modifications to the process of applying for Medicare Part B. Here is what you need to know to apply at this time.

  Medicare Part B Enrollment During the COVID-19 Pandemic:

  Social Security Field Offices are currently closed. During the COVID-19 pandemic, the Social Security Administration will be taking Medicare Part B enrollment applications online for working aged individuals who qualify for a Special Enrollment Period (SEP).

  You may use this online enrollment application if you are 65 or older and you have or had group health plan (GHP) coverage within the last 8 months through your or your spouse’s current employment.

  To complete this online enrollment application you will need:

  • Your Medicare number
  • Your current address and phone number
  • A valid email address
  • Documentation verifying your GHP coverage through your or your spouse’s current employment.

  Click here to apply online: https://secure.ssa.gov/mpboa/medicare-part-b-online-application/ 

  IMPORTANT: You will need to digitally sign the form to complete your application. To complete your digital signature, you will need to provide an email address. You will receive an email from [email protected] asking you to confirm your digital signature. If you do not receive the confirmation email within a few minutes of submitting your email address, please check your email Junk folder in case the confirmation was delivered there instead of your inbox. YOUR SIGNATURE IS NOT COMPLETE AND YOUR APPLICATION WILL NOT BE PROCESSED UNTIL YOU COMPLETE THE INSTRUCTIONS IN YOUR EMAIL.

  Once you have applied for your Medicare Part B benefits, call for an appointment with Twin City Underwriters. The earliest we can meet to submit an application on your behalf is the month prior to your Part B start date. One of our agents will assist you in narrowing down your health options and determine what is most suitable for you based on your health and lifestyle needs.

  NOTE: Your IEP lasts for 7 months. It begins 3 months before your 65th birthday (or 25th month of disability) and ends 3 months after you reach 65 (or 3 months after the 25th month of disability).

  WHAT INFORMATION DO YOU NEED TO COMPLETE THIS APPLICATION?

  You will need:

  • Your Medicare Number
  • Your current address and phone number
  • Form CMS-L564 ”Request for Employment Information” completed by your employer if you’re signing up in a SEP.

  WHAT HAPPENS NEXT?

  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.

  HOW DO YOU GET HELP WITH THIS APPLICATION?

  • Phone: Call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
  • En español: Llame a SSA gratis al 1-800-772-1213 y oprima el 2 si desea el servicio en español y espere a que le atienda un agente.
  • In person: Your local Social Security office. For an office near you check www.ssa.gov.

  REMINDERS

  • If you sign up for Part B, you must pay premiums for every month you have the coverage.
  • If you sign up after your IEP, you may have to pay a late enrollment penalty (LEP) of 10% for each full 12-month period you don’t have Part B but were eligible to sign up.

  You have the right to get Medicare information in an accessible format, like large print, Braille, or audio. You also have the right to file a complaint if you feel you’ve been discriminated against. Visit https://www.medicare.gov/about-us/accessibilitynondiscrimination-notice, or call 1-800-MEDICARE (1-800-633-4227) for more information. TTY users can call 1-877-486-2048.

  CMS-40B (04/19)

   

  DEPARTMENT OF HEALTH AND HUMAN SERVICES
  CENTERS FOR MEDICARE & MEDICAID SERVICES

  Form Approved
  OMB No. 0938-1230
  Expires: 02/20

  APPLICATION FOR ENROLLMENT IN MEDICARE PART B (MEDICAL INSURANCE)

  1. Your Medicare Number

  2. Do you wish to sign up for Medicare Part B (Medical Insurance)? YES

  3. Your Name (Last Name, First Name, Middle Name)

  4. Mailing Address (Number and Street, P.O. Box, or Route)

  5. City

  State

  Zip code

  6. Phone Number (including area code) () -

      

  7. Written Signature (DO NOT PRINT)

  8. Date Signed / /

   

  IF THIS APPLICATION HAS BEEN SIGNED BY MARK (X), A WITNESS WHO KNOWS THE APPLICANT
  MUST SUPPLY THE INFORMATION REQUESTED BELOW.

  9. Signature of Witness

  10. Date Signed / /

   

  11. Address of Witness

  12. Remarks

  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 information collection is 0938-1230. The time required to complete this information is estimated to average 15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, Attn: PRA Reports Clearance Officer, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

  Can I submit my Medicare Part B application online?

  Apply online (at Social Security) – This is the easiest and fastest way to sign up and get any financial help you may need. You'll need to create your secure my Social Security account to sign up for Medicare or apply for Social Security benefits online. Call 1-800-772-1213. TTY users can call 1-800-325-0778.

  How far in advance should I apply for Medicare B?

  Generally, you're first eligible to sign up for Part A and Part B starting 3 months before you turn 65 and ending 3 months after the month you turn 65. If you don't sign up for Part B when you're first eligible, you might have to wait to sign up and go months without coverage.

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

  Medicare will enroll you in Part B automatically. Your Medicare card will be mailed to you about 3 months before your 65th birthday. If you're not getting disability benefits and Medicare when you turn 65, you'll need to call or visit your local Social Security office, or call Social Security at 1-800-772-1213.

  Can you retroactively apply for Medicare Part B?

  If you missed your initial enrollment period when you first became eligible for Medicare, you can only sign up for Part A and/or Part B during the General Enrollment Period, which runs from January 1 to March 31 each year.