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Ashford Insurance

How to Apply Online for Medicare Part B During a Special Enrollment Period

Sonia Ashford

Sonia Ashford

Sonia Ashford is the owner of Ashford Insurance an independent health insurance agency specializing in Texas and Oklahoma Medicare insurance.

This is a step-by-step tutorial on how to enroll online for Medicare Part B during a Special Enrollment Period. So, if you delayed taking your Part B of Medicare, this is how to apply.

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”.

SSA.gov

On the Online Services page click on “Apply for Medicare Benefits”.

Apply for Medicare Benefits

On the Medicare Benefits Page click on “Apply Online for Medicare Part B During a Special Enrollment Period

Apply Online for Medicare Part B During a Special Enrollment Period

You will land on the Medicare Part B Enrollment Page:

Part B Application

Read the Disclaimers and check the “I Understand and agree to the above statement” box.

Then click on the “Start Application” box

Disclaimers Statement

The fillable application will open and you click the “Continue” button.

Continue Button

Click the yellow “Start” button.

Yellow Start Button

Fill in the form.

Fillable Form

In the number 7. Remarks area, enter “My Desired Coverage Start Date is:” and enter the date.

Remarks

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.

Upload CMS- L564

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.

Header Photo by Adam Nieścioruk on Unsplash

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Sonia Ashford

Sonia Ashford

Sonia Ashford, “The Medicare Insurance Lady”, has been helping Medicare eligibles in Texas with their Medicare Insurance since 2005.