Showing posts with label Medicare Part B Forms. Show all posts
Showing posts with label Medicare Part B Forms. Show all posts

Friday, April 17, 2026

Signing Up For Part A & B | Request For Employment Information

You can sign up for Medicare A & B through Social Security in four ways.

 - Telephone  1 (800) 772-1213 and provide supporting documents by mail or fax.

 - In Person Appointment

     Social Security Office

     140 Union St, Lynn, MA 01901

     Phone: (866) 366-7792

 - Online (create a my social security account)  https://www.ssa.gov/benefits/medicare/ and provide supporting documents by upload, mail or fax. Use this online checklist to be sure and have all the information needed to create an online My Social Security Account and complete the online medicare. 

 Paper Application with supporting documents by fax or mail.

Once you have your Medicare card, or Medicare part B effective date, our SHINE counselors will be happy to assist with enrolling into secondary plans one month prior to the Medicare effective date. 

>>Click HERE for Printable Version of Medicare A or to Read Publication>>





































 




























































































Wednesday, June 8, 2022

Medicare Premiums: Rules for Higher-Income Beneficiaries


>>Click HERE to Download or Print Life Changing Event Form  >>


You may use this form if you received a notice that your monthly Medicare Part B (medical insurance) or prescription drug coverage premiums include an income-related monthly adjustment amount (IRMAA) and you experienced a life changing event that may reduce your IRMAA.  



Tuesday, August 21, 2018

Medicare Part B - Durable Medical Equipment - Patient Request for Medical Payment Form

How do I file a claim?
Fill out the claim form, called the Patient Request for Medical Payment form (CMS-1490S) [PDF, 52KB). Follow the instructions for the type of claim you're filing:
CLAIMS FOR DURABLE MEDICAL EQUIPMENT (DME)