0938-1230. APPLICATION FOR ENROLLMENT IN MEDICARE PART B (
MEDICAL INSURANCE). WHO CAN USE THIS APPLICATION? People with Medicare who have Part A but not Part B. NOTE: If you do not have Part A, do not
complete this form. Contact Social Security if you want to apply for Medicare for
the first time.
WHAT DO I DO WITH THE FORM? Fill out Section A and take the form to your
employer. Ask your employer to fill out Section B. 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
worked long enough under Social Security or in a. Medicare-covered
government job. Medicare Part B (medical insurance). Anyone who's eligible for Medicare Part A at no cost can enroll in Medicare Part B by paying a monthly
premium. Some people with higher incomes will pay a higher monthly Part B
premium. For more …
(If "Yes," answer (b) and (c).) Do not answer question 9 if you are one year past
full retirement age or older; go to question 10. (a) Have you (or has someone on
your behalf) ever filed an application for Social Security, Supplemental Security.
Income, or hospital or medical insurance under Medicare? (c) Enter Social Security …
The other three parts of Medicare require premium payments, and if you don't enroll when you're first eligible, you may have to pay a late enrollment penalty for
as long as you have coverage. Also, you may have to wait to enroll, which will
delay coverage: • Part B (medical insurance) helps pay for doctors' services,.
coverage costs and Medicare Part B (medical insurance) premiums and other
expenses. Some people also … The Extra Help program helps pay your Medicare
prescription drug plan costs. If you have little income, … send information to your
State unless you tell us on your Extra Help application not to send it. You also
you have Medicare prescription drug coverage. However, you won't pay a
penalty if you get Extra Help or another eligible prescription drug plan coverage.
NOTE: The Medicare prescription drug plan late enrollment penalty is different
than the Medicare Part B late enrollment penalty. If you don't enroll in Part B
when you're …
If you reside in Puerto Rico, get Social Security benefits, and become eligible for Medicare, you'll automatically get Medicare hospital insurance (Part A). You will
not automatically get Medicare medical insurance. (Part B). You must sign up for
Part B during your initial enrollment period, or you'll pay a higher monthly.
Social Security. Find out if you're eligible for Part A and/or Part B and how to enroll, make changes to your Part A and/or Part B coverage, get a replacement
Social. Security card, report a change to your address or name, apply for Extra
Help with Medicare prescription drug costs, ask questions about Part A and Part B.
Jan 10, 2017 … When do I enroll in Medicare? When you turn age 65, or if you are certified as
disabled by the. Social Security Administration (SSA), you may become eligible
for Medicare. If you're already collecting Social Security, you may be
automatically enrolled in Medicare Part A and Part B. Otherwise, it is up to YOU …
Determine if an individual is eligible for. Medicare benefits. ➢ Enroll the individual
for Medicare. ▫Part A. ▫Part B. ▫Part D Limited Income Subsidy. ➢ Collect the
monthly Medicare premiums. Who Can Get Medicare? 65 & older or. Receiving Social Security disability benefits at least 24 months or. Permanent Kidney failure
If you are not entitled to Medicare Part A and have purchased Part B, you can
disenroll in Medicare Part B with no impact on CHAMPVA benefits. I did not enroll
in Medicare Part B, but am required to have it to be CHAMPVA eligible. Can I still
obtain Part. B coverage? Yes. Contact your local Social Security office to find out.
4. Social Security is the foundation for a secure retirement, but you also will need
other savings and investments. If you want to learn more about how and why to
save, visit www.mymoney.gov. Save for a Secure Future …
Medicare Overview – Medicare Part B. Part B is for medical coverage. Retirees
are enrolled: • Automatically at age 65 – if receiving SSA benefits. • Under age 65
with certain disabilities. • At age 65 during Initial Enrollment Period – if not
receiving SSA benefits …
get disability benefits from Social Security for. 24 months. If you have ALS (
Amyotrophic. Lateral Sclerosis, also called Lou Gehrig's disease), you will get
Part A and Part B automatically the month your disability benefits begin. Do I
need to enroll in Part B? It is true you cannot use Medicare at VA facilities.
However, if you …
The Social Security Administration (SSA) is authorized to collect information on
this form under sections 1836, 1840, and 1872 of the Social Security Act, as
amended (42 U.S.C. 1395o,. 1395s, and 1395ii). The information on this form is
needed to enable SSA and the Centers for. Medicare Medicaid Services (CMS)
Oct 13, 2017 … The Premium Assistance Application will be online in 2018 … Medicare Part B. (
Medical Insurance). • Federally funded. • Covers doctor visits and outpatient care.
• Surgical services and supplies. • Durable medical … Call Social Security at 1-
800-772-1213 (TTY 1-800-325-0778) to apply over the phone.
Medicare Part. B premiums for both you and your spouse. for married couples
who live together. MassHealth Buy-In for people who are eligible for Medicare.
What is MassHealth … this refund in the same way as you now get your social security: … begin as early as three months before your application month. You
will get a …