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Call social security at 1 800 772 1213 tty.
Social security part b enrollment form. Visit your local social security office. The form you are looking for is not available online. If you get benefits from the railroad retirement board contact your local. Or return forms by mail to your local social security office.
To sign up please call our toll free number at 1 800 772 1213 tty 1 800 325 0778 you also may contact your local social security office. Many forms must be completed only by a social security representative. If you worked for a railroad call the rrb at 1 877 772 5772. Social security and the centers for medicare medicaid services cms need your information to determine if you.
Social security is authorized to collect your information under sections 1836 1840 and 1872 of the social security act as amended 42 u s c. You can also fax the cms 40b and cms l564 to 1 833 914 2016. If you live in puerto rico you will not receive medicare part b medical insurance automatically. Fill out a short form and send it to your local social security office.
When do i sign up. 1395o 1395s and 1395ii for your enrollment in medicare part b. If you already have part a and want to sign up for part b complete an application for enrollment in part b cms 40b. You can also fax your enrollment forms and evidence of employment to 1 833 914 2016.
Or return the forms by mail to your local social security office. State i want part b coverage to begin mm yy in the remarks section of the cms 40b form or the online application. Fax them to 1 833 914 2016. Please call us at 1 800 772 1213 tty 1 800 325 0778 monday through friday between 8 a m.
Visit faq ssa gov or call social security to free at 1 800 772 1213 tty 1 800 325 0778 for more information. Or contact your local social security office. 1395o 1395s and 1395ii for your enrollment in medicare part b. You may complete the forms online by visiting the apply for medicare part b online during a special enrollment period webpage.
Signing up for part b is easy apply by march 31. Get this form and instructions in spanish. Your employer doesn t need to sign section b of the cms l564 form. If you don t already have part a you can apply online at ssa gov benefits medicare.
Tty users can call 1 800 325 0778. If you have questions please contact social security at 1 800 772 1213 tty 1 800 325 0778. Visit faq ssa gov or call social security toll free at 1 800 772 1213 for more information. Please contact social security at 1 800 772 1213 tty 1 800 325.
Call social security at 1 800 772 1213. Social security is authorized to collect your information under sections 1836 1840 and 1872 of the social security act as amended 42 u s c.
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