Medicare

Sign up for Medicare Part B Online, by Fax or Mail

August 6, 2020 • By

Reading Time: 1 Minute

Last Updated: August 6, 2020

For many people, signing up for Medicare Part B doesn’t require you to leave the comfort of home.  Please visit our Medicare Part B webpage if:

  1. You are already enrolled in Medicare Part A.
  2. You would like to enroll in Part B during the Special Enrollment Period.

You can complete form CMS-40B (Application for Enrollment in Medicare – Part B [Medical Insurance]) and CMS-L564 (Request for Employment Information) online.

You can also fax the CMS-40B and CMS-L564 to 1-833-914-2016; or return forms by mail to your local Social Security office.  Please contact Social Security at 1-800-772-1213 (TTY 1-800-325-0778) if you have any questions.  

 Note:  When completing the forms:

  • State, “I want Part B coverage to begin (MM/YY)” in the remarks section of the CMS-40B form or online application.
  • If your employer is unable to complete Section B, please complete that portion as best you can on behalf of your employer without your employer’s signature.
  • Submit one of the following types of secondary evidence by uploading it from a saved document on your computer:
    • Income tax returns that show health insurance premiums paid.
    • W-2s reflecting pre-tax medical contributions.
    • Pay stubs that reflect health insurance premium deductions.
    • Health insurance cards with a policy effective date.
    • Explanations of benefits paid by the GHP or LGHP.
    • Statements or receipts that reflect payment of health insurance premiums.

 Please let your friends and loved ones know about this online, mail, or fax option.

 

Did you find this Information helpful?

Yes
No
Thanks for your feedback!

Tags:

See Comments

About the Author

Darlynda Bogle, Assistant Deputy Commissioner

Darlynda Bogle, Assistant Deputy Commissioner

Related Articles

Online Bill Payment for Medicare Premiums

In Times Like These, Every Cent Counts

Social Security Celebrates the Americans with Disabilities Act

Ten Years Since Hurricane Katrina

Comments

  1. Lydia A.

    If I should Fax in my papers CMS 40B & CMS L564 to the number listed would you recommend a cover page?

    • Vonda V.

      Hi Lydia, thanks for using our blog. Check out our Frequently Asked Questions web page for the many options in submitting the Medicare Part B forms. A cover letter is not necessary as the forms require all of the necessary details. We hope this helps!

  2. Inez Y.

    I NEED help with understanding a letter I received regarding payment. I called the hardship line and was put on hold for 15 minutes, 12 minutes and once more. . My calls were dropped each time. What are my choices???

    • Vonda V.

      Hi Inez, thanks for using our blog. We are sorry to hear about your experience. For your security, we do not have access to private information in this venue. Please work with your local Social Security office. Look for the general inquiry telephone number at the Social Security Office Locator. The number may appear under Show Additional Office Information. Please be aware that our call wait times are longer than normal. We hope this information helps.

  3. Paul B.

    I was scammed into dropping Part B by an ad on TV that said I could keep the $144 paid to SS by getting their insurance (thru Esurance). I took the bait and signed up, meanwhile dropping Part B. I had a stroke 8 weeks ago and found out that my new insurance company would not cover even a part of the bill.
    I talked to S.S. and was told I’ve been out of the coverage for over3 months disqualifying me. What can I do… I needed the $144 to live on..
    Thank you, Paul Lancaster

    • Vonda V.

      Hi Paul, thanks for using our blog. In most cases, if you don’t sign up for Medicare when you’re first eligible, you may have to pay a higher monthly premium which is why we advise people to apply for Medicare benefits as soon as they are eligible. You may have to wait for the General Enrollment Period (GEP) to sign up. The GEP lasts from January 1 through March 31. Coverage would begin July 1. Most people who sign up for Part B during the GEP will have a 10 percent increase in monthly premiums for each 12-month period they did not enroll, but were eligible.

      You can call us at 1-800-772-1213 for assistance or you can contact your local Social Security office. Please look for the general inquiry telephone number at the Social Security Office Locator. The number may appear under Show Additional Office Information. Please be aware that our call wait times are longer than normal. We hope this information helps.

  4. Hospitals &.

    Hydrocortisone, Eucalyptus, Lavender or Peppermint (HELP) Act of 2020 HA-11-8-20 http://www.title24uscode.org/help.pdf

    A BILL To prescribe HELP – Hydrocortisone creme on the nose and/or chest and essential oil of Eucalyptus, Lavender or Peppermint aromatherapy to cure coronavirus and mold allergies. To devaluate the dollar to pay for all special issue and t-bonds from fiscal year 2020 by an exact amount to be determined before the beginning of the new fiscal year on October 1, 2020. To repeal the OASDI tax loophole for the rich and state employees and create an SSI Trust Fund to end child poverty by 2024 and all poverty by 2030. To tax energy export tax in order to afford United Nations Arrears and Certain Iranian Assets.To award a third of pandemic compensation expiration beneficiaries and their family disability. To credit the DI Trust Fund with an estimated $192 billion (2020) tax rate adjustment investigation loan and the OASI Trust Fund for adjusting the tax rate to ensure there is no DI deficit. To fully fund the Ticket-to-work program with a prescription for HELP for all pandemic compensation expiration applicants for disability. To require the Secretaries of Health and Human Services and Environmental Protection Agency to produce a list of chemical, infectious and communicable air pollutants and best available treatment. To make orphan a qualify disability. To require State Medicaid programs to pay for all insulin prescriptions. To provide an automatic 3 percent annual COLA and increase in federal minimum wage. To require the Secretary of Labor to estimate the cost to contributors for unemployment compensation to pay new mothers for six months of exclusive breastfeeding or sabbatical every ten years. To stop the Congress and President from paying for speed tickets (ephedrine) and sanctioning civilian and military officials and judges, legalize marijuana and abolish funding for the FBI (norovirus and coronavirus torturer), DEA, ICE, Interagency Drug and Crime Enforcement, Office of National Drug Control Policy (from CMS), Sentencing Commission, international military finance, military education, international narcotic control and law enforcement and non-UN peacekeeping. To require the Office of Management and Budget, Congressional Budget Office and Treasury Bureau of Fiscal Services to accurately account for federal outlays and revenues. To draft a Convention on Pandemic Treatment to prescribe Oseltamivir (Tamiflu), Zanamivir (Relenza) and Amantadine (Symmetrel) to cure influenza; INH and rifampin, or INH, rifampin and ethambutol with or without pyrazinamide to cure tuberculosis and non-tubercular mycobacterial disease; and hydrocortisone, eucalyptus, lavender or peppermint (HELP) to cure coronavirus and mold allergies. The Act is supported by the 2020 Message of the Public Trustee: Revised to Treat the COVID-19 Pandemic.

  5. Indra

    Good Articel…Aqiqah Bandung

  6. Danny R.

    I made an appointment with ssa in Oklahoma city but can’t remember what time or date it was.

  7. Kristy H.

    I would like to know more about this and all the benefits on this . Is there a age you have to be before you can be unrolled?

  8. Xclusivepop

    Thanks for this lovely work please keep it up

  9. Xclusivepop

    Thanks for this lovely work please keep it up

  10. John C.

    Thanks a lot for making things more easier.
    Regards. John C. Myers
    https://trove.nla.gov.au/list/146017

Comments are closed.