Get Medicare Card Application Online

Completing the Medicare card application online is a straightforward process that allows individuals to obtain or transfer their Medicare card effectively. This guide provides detailed, step-by-step instructions to ensure users can complete the application accurately and confidently.

Follow the steps to fill out the Medicare Card Application online

1. Press the 'Get Form' button to access the Medicare Card Application form and open it in your browser.
2. Review the purpose of the form on the first page to understand whether you need to transfer or copy your Medicare card. Select your desired action by checking the appropriate box: 'transfer to a new card,' 'copy to a new card,' 'transfer to an existing card,' or 'copy to an existing card'.
3. Fill out your personal information, including your name, address, email, and daytime phone number. Use block letters and ensure consistency in the information provided.
4. Provide your Medicare card number if applicable. Indicate if you have ever used or been known by another name by filling out the relevant fields.
5. Complete the identification section by providing appropriate documentation, such as a birth certificate or driver's license, if required. Ensure that the form is signed and dated before submission.
6. If applicable, include details for any additional persons being copied or transferred on the Medicare card by filling out their information as prompted in the form.
7. Review all entered information carefully to confirm accuracy. Once complete, save your changes, and proceed with the options to download, print, or share the submitted form.

Start completing your Medicare Card Application online now!