| Form | When To Use this Form | Form Number | Link To Form |
| Sign up for Medicare | If you’re 65 or older, you can enroll online for Parts A and B, or Part A only. You can delay Part B if you’re already covered through an employer group health plan. | Online Form | https://secure.ssa.gov/iClaim/rib
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| Application For Enrollment in Medicare Part B | To apply for Medicare Part B which is coverage for Medical Insurance. This forms gets the process started for you and by filling it our during the correct timeframes, you will avoid penalties. | Form SSA-40B | https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS017339 |
| Proof of Creditable Coverage When Applying for Medicare | 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 | https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS009718 |
| Enroll in Medicare Easy Pay – Automatic Premium Withdrawal | 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 | https://www.cms.gov/sf5510-authorization-agreement-preauthorized-payments |
| Income Related Monthly Adjustment (IRMAA) Appeal | 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 | https://www.ssa.gov/forms/ssa-44.pdf |
| Application For Termination of Medicare Part A and/or Part B | To request to cancel your Medicare Part A and / or Medicare Part B coverage. | Form CMS-1763 | https://www.cms.gov/medicare/cms-forms/cms-forms/downloads/cms1763.pdf |
| File A Complaint About The Quality of Healthcare You Received | 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 | https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1240839 |
| File A Medicare Claim | To file a claim. | Form CMS-1490S | https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS012949 |
