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This form is your application for Medicare Part B (Medical Insurance). You can use this form to sign up for Part B: • During your Initial Enrollment Period (IEP) when you’re first eligible for Medicare • During the General Enrollment Period (GEP) from January 1 through March 31 of each year • If you’re eligible for a Special ...
Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798.
Part B helps pay for your basic healthcare services. If you already have Part A, you can add Part B during specific enrollment periods. It's important to sign up promptly to avoid gaps in coverage or late enrollment penalties.
Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private health insurance company to help pay your share of out-of-pocket costs in Original Medicare, like copayments, coinsurance, and deductibles.
Forms. Get Medicare forms for different situations, like filing a claim or appealing a coverage decision. Find Forms. Publications. Read, print, or order free Medicare publications in a variety of formats. Get Publications. Mailings. Find out what to do with Medicare information you get in the mail. Find Mailings.
Medicare Supplement Insurance Application. Follow these easy steps to apply for a Humana Medicare Supplement insurance policy. 1 Have Your Medicare Card Ready. Please print legibly and complete the entire form. You will need to fill in the information exactly as it appears on your Medicare card. Each person must complete a separate application.
30 Ιαν 2024 · Medicare Supplement plans cover some of the healthcare costs Original Medicare (Medicare Part A and Part B) leaves behind. These plans, also known as Medigap plans, are supplemental coverage that helps fill your coverage gaps, including copayments, deductibles, and coinsurance.
