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  1. 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.

  2. www.medicare.gov › ready-to-sign-up-for-part-a-part-b › how-to-drop-part-a-part-bHow to drop Part A & Part B - Medicare

    If you change your mind about cancelling your coverage, you need to contact SSA before the date your coverage ends. Contact your local Social Security office. If you’re dropping Part B and keeping Part A, we’ll send you a new Medicare card showing you have only Part A coverage.

  3. How to disenroll from Medicare Part A. If you pay a premium for Part A and wish to disenroll from Medicare Part A, visit your local Social Security office or by call 1-800-772-1213 (TTY 1-800-325-0778). You will need to fill out a CMS Form 1763 (Request for Termination of Premium Hospital and Medical Insurance).

  4. If you are enrolled in Medicare and wish to voluntarily stop your Medicare coverage, complete a CMS-1763 Form. This form was released by the U.S. Department of Health and Human Services . You can download a fillable Form CMS 1763 through the link below .

  5. 9 Σεπ 2024 · You can only cancel Part C and Part D during certain enrollment periods. If you have questions about your coverage or cancellation, contact Medicare at 800-633-4227 (TTY: 877-486-2048).

  6. Deciding to cancel your Medicare coverage is a big decision that should not be taken lightly. It is important to weigh the pros & cons & consider all factors before making a decision. In this guide, we have provided you with a step-by-step process on how to navigate the cancellation process.

  7. 14 Φεβ 2024 · Form CMS-1763, or Request for Termination of Premium Hospital and/or Supplementary Medical Insurance, is the only way to cancel Medicare hospital insurance (Medicare Part A) and supplementary medical insurance (Medicare Part B).

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