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 …
(Publication No. 05-10043), or go online to www.socialsecurity.gov/ · pubs/EN-05
-10043.pdf. Who should use the online. Medicare application? You should, if you:
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
Form Approved. OMB No. 0960-0566. Instructions for Using this Form. Complete
this form only if you want us to give information or records about you, a minor, or
a legally incompetent adult, to an individual or group (for example, a doctor or an
insurance company). If you are the natural or adoptive parent or legal guardian,.
2018 and April 2019, we'll be removing Social Security Numbers from Medicare
… You'll get a new Medicare Number that's unique to you, and it will only be used
for … TTY users can call. 1-877-486-2048. You can also call your State Health
Insurance. Assistance Program (SHIP). See pages 125–128 for the phone number.
Call Social Security at 1-800-772-1213. TTY users can call. 1-800-325-0778. You
can apply for Extra Help by phone or ask for a paper application. □ Contact your
State Medical Assistance (Medicaid) office. Visit Medicare.gov/contacts, or call 1-
800-MEDICARE. (1-800-633-4227) to get the phone number. TTY users can …
Apply for Social Security retirement,. Medicare or spouse's benefits www. socialsecurity.gov/applyforbenefits. Apply for Social Security disability benefits
www.socialsecurity.gov/applyfordisability … If you get benefits. Change your
address or telephone number www.socialsecurity.gov/coa. Get a replacement Medicare card.
Contact Social Security if you want to apply for Medicare for the first time. WHEN
DO YOU … Your current address and phone number. • Form CMS-L564 … Form
Approved. OMB No. 0938-1230. APPLICATION FOR ENROLLMENT IN MEDICARE PART B (MEDICAL INSURANCE). 1. Your Social Security Claim Number. –. –.
May 25, 2017 … The toll-free telephone number is 1-800-772-1213. The TTY/TDD number for
individuals with hearing and/or speech difficulties is 1-800-325-0778. Individuals
may also be able to apply for. Medicare online at www.ssa.gov. Individuals can
also call 1-800-MEDICARE if they have questions about Medicare.
IF YOU GET BENEFITS. Create a mySocial Security account and: • Get your
benefit verification letter;. • Check your benefit and payment information and your
earnings record;. • Change your address and phone number;. • Start or change
direct deposit of your benefit payment; and. • Get a replacement SSA-1099/
or request a replacement Medicare card.) If you are deaf or hard of hearing, you
may call our TTY number, 1-800-325-0778. We treat all calls confidentially. We
also want to make sure you receive accurate and courteous service. That is why
we have a second Social Security repre- sentative monitor some telephone calls.
STREET ADDRESS: CITY: STATE: ZIP: MAILING ADDRESS: CITY: STATE: ZIP: SOCIAL SECURITY. NUMBER: TELEPHONE. NO: COUNTY WHERE YOU LIVE:
Did someone help you fill out this application? Was it your? SPOUSE. POWER
OF ATTORNEY AUTHORIZED REPRESENTATIVE. OTHER, PLEASE EXPLAIN:.
Telephone Number. Website. Where to Get Answers. How to get or replace a Medicare card. Questions about general Medicare coverage,. Part D Prescription
… Social Security Administration. Medicare carrier. CLAIM. Centers for Medicare
and Medicaid. Services (CMS). Medicare carrier. Missouri Quality Improvement …
Medicare Fraud .What Is Medical Identity Theft? Medical identity theft occurs
when someone steals your personal information (like your name, Social Security
… Medicare number. Don 't give information to telephone marketers who claim to
be from Medicare or Social Security and ask for payment over the phone or
U.S. Department of Homeland Security, U.S. Citizenship and Immigration ….. The Phone Book. Your local phone book (telephone directory) contains phone numbers and important information about federal, state, and local community
services. … Receive Social Security, Supplemental Security Income, and Medicare.
No. Medicare isn't part of the Marketplace. If you have Medicare, you're covered
and don't need to do anything about the Marketplace. The Marketplace won't
affect your Medicare choices or benefits. No matter how you get Medicare,
whether … collecting Social Security benefits). • If you're paying a premium for
Part A, you …
Apr 20, 2016 … ETF if your home address or telephone number changes, especially if you are
terminating WRS-covered … Direct deposit is the most secure, reliable and
convenient method of receiving payments and is …. Retirees enrolled in Parts A
and B of Medicare and their spouses and dependents who were insured.