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Use this form: • If you have premium Part A or Part B, but wish to no longer be enrolled. • If you have Part B, but recently re-joined the workforce with access to employer-sponsored health insurance and wish to voluntarily terminate this coverage.
To drop Part B (or Part A if you have to pay a premium for it), you usually need to send your request in writing and include your signature. Contact Social Security. If you recently got a welcome packet saying you automatically got Medicare Part A and Part B, follow the instructions in your welcome packet, and send your Medicare card back.
3 Σεπ 2024 · In certain situations, you may decide to end your enrollment in Part B but still keep Part A coverage. To cancel Part B, simply fill out a form for Social Security and send back your Medicare...
To find out more about how to terminate Medicare Part B or to schedule a personal interview, contact us at 1-800-772-1213 (TTY: 1-800-325-0778) or visit your nearest Social Security office. If you send us a request to terminate your Part B and then change your mind, you must send a request to cancel the request of termination before the date ...
Cancel Part A or B. Fill out Request for Termination of Premium Hospital Insurance of Supplementary Medical Insurance (Form CMS-1763) (PDF) and fax or mail it to your local Social Security office. You can cancel Part A only if you pay a premium for it. You can cancel Part B at any time.
Download Fillable Form Cms-1763 In Pdf - The Latest Version Applicable For 2024. Fill Out The Request For Termination Of Premium Part A, Part B, Or Part B Immunosuppressive Drug Coverage Online And Print It Out For Free.
The only way you can do so is to withdraw your application for retirement or disability benefits at this time — or, if you’ve already been drawing those benefits, to repay the government for all the payments you’ve already received.
