How to Apply Online for Medicare Part B During a Special Enrollment Period
What you need to begin:
- Medicare Number
- Social Security Number
- Employers Name and Address
- Employer Group Health Plan Begin and End Dates
- Employee Start and End Dates
- A PDF of a filled-out CMS- L564 REQUEST FOR EMPLOYMENT INFORMATION form on the device you are using so you can upload.
First Go to https://secure.ssa.gov and click on “Online Service”.
On the Online Services page click on “Apply for Medicare Benefits”.
On the Medicare Benefits Page click on “Apply Online for Medicare Part B During a Special Enrollment Period”
You will land on the Medicare Part B Enrollment Page:
Read the Disclaimers and check the “I Understand and agree to the above statement” box.
Then click on the “Start Application” box
The fillable application will open and you click the “Continue” button.
Click the yellow “Start” button.
Fill in the form.
In the number 7. Remarks area, enter “My Desired Coverage Start Date is:” and enter the date.
When you get to the bottom of the page is where you can attach the PDF of the filled-out CMS- L564 REQUEST FOR EMPLOYMENT INFORMATION form.
Lastly, review the application information, digitally sign and submit the form.
That’s all there is to it. If you need assistance with this process Ashford Insurance Agents can help. Call 817-952-3153.
