This booklet provides basic information about what. Medicare is, who's covered,
and some of the options you have for choosing Medicare coverage. For the latest
information about Medicare, visit the website or call the toll-free number listed
below. Medicare. Website: www.Medicare.gov. Toll-free number: 1-800- MEDICARE.
What is Medicare? Medicare is a federal health insurance plan for people who
are age 65 or older. People who are disabled or have permanent kidney failure
can get …. Call us toll-free at. 1-800-772-1213 or at our TTY number,. 1-800-325-
0778, if you're deaf or hard of hearing. If you need to speak to a person, we can.
Why use Social Security's online services? Using our online services, you can: •
Start immediately; there's no need to wait for an appointment. • Conveniently
complete much of your. Social Security-related business from home, or on any
computer, and skip the trip to a Social Security office. How secure is my personal
socialsecurity.gov/ssa.gov/disabilityssi/appeal.html. Have a Medicare
Prescription Drug Plan, a Medi- care Advantage Plan (like an HMO or PPO), or a. Medicare Supplement Insurance (Medigap) policy, and have questions about
your plan or policy. Your plan or policy. The phone number and website are on
For more information, call your Medicaid office. You can get the phone number by
visiting Medicare.gov/contacts, or by calling 1-800-MEDICARE. Supplemental
Security Income (SSI): SSI is a monthly benefit paid by Social Security to people
with limited income and resources who are disabled, blind, or 65 or older.
If your address needs to be corrected, contact Social Security at ssa.gov/
myaccount or 1-800-772-1213. TTY users can call 1-800-325-0778. □ Beware of
anyone who contacts you about your new Medicare card. We'll never ask you to
give us personal or private information to get your new. Medicare Number and
Social Security Number. • Medicare number (You can find this on his or her red,
white, and blue. Medicare card.) • Medicare plan enrollment (See pages 13–14
for information on how to check his or her current coverage.) • Other insurance
plans and policy numbers, including long-term care insurance. • Contact
9. Your Benefits May Be Taxable. Married Couple,. Filing Jointly. — $31,999 or
less – no Federal tax. — $32,000 – $44,000 – pay Federal tax on 50% of Social Security benefit. — More than $44,000 – pay Federal tax on up to 85% of Social Security benefit. For more information, call IRS toll free: 1-800-829-3676 …
OMB No. 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.
Retired early but delaying Social Security until full retirement age? • If no, contact Social Security up to three months before you turn 65, or within three months after
, to enroll in Medicare. Contact Social Security for Part B premium payment
options/questions. 3. Chart your deadlines. • I start Medicare on: (First of month
Others may be eligible for Medicare Part A at no cost if they paid Medicare taxes.
Please contact the Social Security. Administration to check on your status (1-800-
772-1213). Others may be able to purchase Medicare or may qualify for help from
the State to purchase Medicare benefits. When to Enroll. Although you may be …
If you are over age 65, blind or disabled, or if you are eligible for Medicare, use
this application to apply for. AHCCCS … If you are under age 65 and not
receiving Social Security Disability income, a disability determination will be part
of your …. Call the behavioral health telephone number on your AHCCCS ID
Card. What if I …
No. 05-10003). If your child has HIV/AIDS, he or she may be able to get
Supplemental Security Income (SSI) if your household income is low enough.
Benefits paid under two programs. We pay disability benefits under two programs
: the Social Security disability insurance … on Medicare, contact us for the
booklet, go to our special worksite pages at www.socialsecurity.gov/work. Call
our toll-free number. In addition to using our website, you can call us toll-free at 1-
800-772-1213. We treat all calls confidentially. We can answer specific questions
from 7 a.m. to 7 p.m., Monday through Friday. Generally, you'll have a shorter wait
May 5, 2016 … The Centers for Medicare & Medicaid Services (CMS) is issuing this Informational
Bulletin to inform … Social Security Numbers from Medicare ID cards and replace
existing Medicare Health Insurance … All-State SSNRI Forum call which includes
representatives from the Center for Medicare (CM),. CMCS …
EPIC also pays the Medicare Part D plan premiums, up to … For more information call the toll-free EPIC Helpline at 1-800-332-3742 (TTY 1-800-290-9138).
Download an … Social Security Number. Spouse's Social Security. Number. Sex.
Your Date of Birth. Month. Day. Year. Spouse's Date of Birth. Your Telephone Number.
Medicare. 1-800-633-4227. Website: www.medicare.gov. Social Security
Administration and Extra Help. 1-800-772-1213. Website: www.socialsecurity.gov
. ADA—Persons with … is Medicare Part D? Beginning in 2006, the Medicare Part
D option became available to … For ques- tions about Medicare Part D call: Medicare …
employee on January 1, 1983.) If you don't automatically qualify for Part A, and
you are age. 65 or older, you may be able to buy it; contact the. Social Security
Administration. You must pay premiums for Part B coverage, which are withheld
from your monthly Social. Security payment or your annuity. You must have Medicare …