The Medicare forms people actually need
Official enrollment, appeal, and assistance forms — straight from CMS and Social Security — plus a real person to help you fill them out correctly the first time.
Application for Enrollment in Medicare Part B
Sign up for Part B if you didn't when first eligible (often used with CMS-L564).
Open official formRequest for Employment Information
Proves you had employer coverage — needed for a Special Enrollment Period without penalty.
Open official formMedicare IRMAA — Life-Changing Event
Ask Social Security to lower your income-based Part B/D surcharge after a qualifying event.
Open official formExtra Help with Prescription Drug Costs (LIS)
Apply for the Low-Income Subsidy that lowers Part D premiums and copays.
Open official formRequest to Terminate Part B
Voluntarily disenroll from Part B (usually completed with SSA).
Open official formAuthorization to Disclose Personal Health Information
Let Medicare share your information with a person you name — like your agent or a family member.
Open official formNot sure which form you need?
The wrong form — or the wrong timing — can cost you a Special Enrollment Period or a lower IRMAA. Send us a note and we'll tell you exactly which form applies and help you complete it, at no cost.
Ask us which formLinks go to official CMS and Social Security pages. Mere Benefits is not connected with or endorsed by the U.S. government or the federal Medicare program. This page is educational and not legal or tax advice; form availability and versions change — always use the current official version.
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