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Sign up for Medicare. If you're 65 or older, you can enroll online for Parts A and B, or Part A only. You can delay Part B if you're already covered through an employer group health plan. The application is for retirement benefits and Medicare, or Medicare only. Apply online.
Forms. All forms are FREE. Not all forms are listed. If you can't find the form you need, or you need help completing a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we will help you.
If you have Medicare, you can get information and services online. Find out how to manage your benefits. If you are enrolled in Medicare Part A and you want to sign up for Part B, please complete form CMS-40B, Application for Enrollment in Medicare – Part B (medical insurance).
If you have a special situation, fill out the Application for Medicare Part A and B — Special Enrollment Period (Exceptional Conditions) (CMS-10797) (PDF). Find your Social Security office and fax or mail us the completed form.
The easiest way to apply for Medicare is by using our online application or you can make an appointment by calling us at 1-800-772-1213 (TTY 1-800-325-0778), 8:00 a.m. – 7:00 p.m., Monday through Friday. For more information read our Medicare publication.
Supplemental Security Income for Age 65+ You’re 65 or older. And it's hard to pay for essentials like food, clothing, and a home. Learn how to apply. Check eligibility if you're not sure what to apply for. Apply for Medicare if you only need health insurance right now.
It's important to sign up as soon as possible to avoid penalties or gaps in coverage. Find out when to sign up. Sign up for Medicare. You'll sign up for Medicare Part A and Part B through Social Security. You can learn more and sign up for other parts at Medicare.gov.
By completing this form, you will start your application process for a Medicare Savings Program. We will send information to your State who will contact you to help you apply for a Medicare Savings Program unless you tell us not to by answering question 15 on this form.
Medicare Part D provides drug coverage. The Extra Help program helps with the cost of your prescription drugs, like deductibles and copays. You can apply for Extra Help any time before or after you enroll in Part D.
Choose to sign up for Medicare only and delay filing for retirement benefits. Because of your age, you can use the application to sign up for Medicare only (no monthly retirement benefits) or Medicare and monthly retirement benefits.