Application for Enrollment in Medicare Part B

This form is for enrolling in Part B. You must apply for Part A before applying for Part B.

Choosing a Medigap Policy

Consider a Medigap policy to help pay for things that original Medicare doesn’t cover, like copayments, coinsurance, and deductibles.

Request for Employment Information

Used when applying for Part B when you already have Part A and are covered by an employer plan. This is filled out by your employer.

Your Right to Buy a Medigap Policy

Describes the situations under Federal law that give you a right to buy a Medigap policy, what type you can buy and when you can apply.

What are the Prescription Drug Provisions in the Inflation Reduction Act?

A timeline of the implementation of the IRA’s prescription drug changes for Medicare.

Life-changing Event Form

If you have had a major life-changing event and your income has gone down, use this form to request a change to your monthly adjustment amount.

Medicare Coverage Outside the US

Describes the exceptional situations when Medicare coverage applies outside the United States.