Use this form to apply for Medicare Part B which is coverage for Medical Insurance. This form gets the process started for you and by filling it our during the correct timeframes, you will avoid penalties. Form #SSA-40B
Proof of Creditable Coverage When Applying for Medicare
Use this form to prove you had creditable health insurance when you sign up for Medicare Part B after age 65. This form makes sure you don’t get a Part B penalty for having a gap in coverage. Form# CMS-L564
Enroll in Medicare Easy Pay – Automatic Premium Withdrawal
Use this form to set up automatic monthly payment of your Part B premium directly from your bank account. This form makes sure you’ll never miss an important payment. Form# SF-5510
Use this form to appeal your IRMAA surcharge due to a “life-changing event” such as work stoppage / reduction, loss of income-producing property, and many other reasons. Form# SSA-44
File A Complaint About The Quality of Healthcare You Received
Use this form to file a complaint to the Center for Medicare & Medicaid Services about the quality of care you received. This form ensures the Medicare program knows about any issues, so they can be resolved and improved in the future. Form# CMS-10287
