Jul 1, 2025 · If you don't have Part A, don't complete this application —instead, contact Social Security to apply for Medicare for the first time. Submit your completed and signed form by mail, fax, or by …

Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798.

Fill out the Application for Enrollment in Medicare Part B (CMS-40B) (PDF). If you are applying during the Special Enrollment Period, also fill out the Request for Employment Information (CMS-L564) (PDF).

process your SEP enrollment request. Send the application (and the “Request for Employment Information,” if applicable) to your local Social Security Office. Find your local office at www.ssa.gov. …

To begin your Medicare Part B enrollment, download the CMS-40B form from the official Social Security website (SSA.gov) or Medicare's site (Medicare.gov). Alternatively, you can request the...

The Medicare Part B enrollment Form CMS-40B has been updated as of early 2024. This video shows you how to complete the form properly when you need to turn it in to your local Social Security...

What Is Medicare Form CMS 40-B? The CMS 40-B Medicare form, formally titled “Application for Enrollment in Medicare Part B,” is used to apply for Medicare Part B coverage. This form allows …

Use this form if you already have Medicare Part A and want to sign up for Part B (Medical Insurance). You can use this form to sign up for Part B during these times: If you don’t have Part A, don’t …

Fill out form CMS-40B. Send the completed form to your local Social Security office by fax or mail.

Use this form if you already have Medicare Part A and want to sign up for Part B (Medical Insurance). You can use this form to sign up for Part B during these times: If you don’t have Part A, don’t …