We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Executive Forms
  • Executive Department HHS Forms
  • Cms 40b

Get Cms 40b

PRA Reports Clearance Officer, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. CMS-40B (04/19) 2 Form Approved OMB No. 0938-1230 Expires: 02/20 SPECIAL MESSAGE FOR INDIVIDUAL APPLYING FOR PART B This form is your application for Medicare Part B (Medical Insurance). You can use this form to sign up for Part B: During your Initial Enrollment Period (IEP) when you re first eligible for Medicare During the General Enrollment Period (GEP) from January 1 through March 31 of eac.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

Tips on how to fill out, edit and sign Cms 40b online

How to fill out and sign Cms 40b online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The preparation of legal documents can be expensive and time-consuming. Nevertheless, with our ready-made online templates, everything becomes easier.

Now, completing a CMS-40B takes no more than 5 minutes. Our state-specific web-based forms and straightforward guidelines eliminate human errors.

Utilize the quick search and advanced cloud editor to create an accurate CMS-40B. Eliminate the hassle and generate documents online!

  1. Locate the web template in the directory.
  2. Fill in all required details in the relevant editable fields. The user-friendly drag-and-drop interface allows you to easily add or rearrange sections.
  3. Verify that everything is filled out accurately, with no typos or missing components.
  4. Add your electronic signature to the PDF document.
  5. Just click Done to finalize the changes.
  6. Download the documents or print your PDF version.
  7. Submit immediately to the intended recipient.

How to Modify Get Cms 40b: Personalize Forms Online

Complete and endorse your Get Cms 40b swiftly and without mistakes. Locate and adjust, and endorse customizable form examples within a convenient single tab.

Your documentation workflow can become significantly more effective if everything you require for adjustment and overseeing the flow is neatly organized in one location. If you are looking for a Get Cms 40b form example, this is the right spot to obtain it and complete it without the need for external solutions.

Simply enter the name of the Get Cms 40b or any other form to discover the appropriate template. If the example appears relevant, you can begin modifying it immediately by clicking Get form. There’s no need to print or even download it. Hover and click on the interactive fillable sections to input your details and sign the document within a singular editor.

Utilize additional editing features to personalize your form:

Store the form on your device or convert it to your desired format. When supplied with an intelligent forms catalog and a robust document editing tool, handling documentation becomes simpler. Discover the form you require, complete it instantly, and sign it right there without downloading it. Simplify your paperwork routine with a solution crafted for form editing.

  1. Select interactive checkboxes in forms by clicking them.
  2. Examine other segments of the Get Cms 40b form text by using the Cross, Check, and Circle tools.
  3. If you need to input additional text into the document, make use of the Text tool or add fillable fields with the appropriate button. You can also define the content of each fillable section.
  4. Incorporate images into forms with the Image button. Upload images from your device or capture them with your computer's camera.
  5. Include custom graphic elements to the document. Use Draw, Line, and Arrow tools to illustrate on the document.
  6. Draw over the text in the document if you wish to obscure it or emphasize it. Conceal text portions using the Erase, Highlight, or Blackout tool.
  7. Add personalized elements such as Initials or Date using the respective tools. They will be produced automatically.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

CMS 40B | CMS
You can apply online or you can mail your completed CMS 40B, Application for Enrollment in...
Learn more
cms-40b
WHEN DO YOU USE THIS APPLICATION? Use this form: • If you're in your Initial Enrollment...
Learn more

Related links form

AETC 410 2006 AF IMT 131 1997 AF IMT 1541 1982 AF IMT 174 1986

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Visit your local Social Security office. Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778). If you worked for a railroad, call the RRB at 1-877-772-5772. If you already have Part A and want to sign up for Part B, complete an Application for Enrollment in Part B (CMS-40B).

call us at 1-800-MEDICARE (1-800-633-4227). Ask for the exact time limit for filing a Medicare claim for the service or supply you got. If it's close to the end of the time limit and your doctor or supplier still hasn't filed the claim, you should file the claim.

If you are already enrolled in Medicare Part A and you want to enroll in Part B, please complete form CMS-40B, Application for Enrollment in Medicare Part B (medical insurance).

When you first get Medicare When you're first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B. If you're eligible for Medicare when you turn 65, you can sign up during the 7-month period that: Begins 3 months before the month you turn 65.

If you are already enrolled in Medicare Part A and you want to enroll in Part B, please complete form CMS-40B, Application for Enrollment in Medicare Part B (medical insurance).

Other Medicare Enrollment Options To sign up, please call our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You also may contact your local Social Security office. You can find your local Social Security office by using our Office Locator.

You can sign up for Medicare Part B at any time that you have coverage through current or active employment. Or you can sign up for Medicare during the eight-month Special Enrollment Period that starts when your employer or union group coverage ends or you stop working (whichever happens first).

Online at www.SocialSecurity.gov. By calling Social Security at 1-800-772-1213 (TTY users 1-800-325-0778), Monday through Friday, from 7AM to 7PM. In-person at your local Social Security office.

In most cases, you will receive your Medicare card about 3 weeks after you apply. If you are already receiving Social Security benefits when you turn 65, your enrollment into Medicare is automatic. Your card will just show up in your mailbox about 2 months before you turn 65.

Form # CMS 40B. Application for Enrollment in Medicare - Part B (Medical Insurance)

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Cms 40b
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Cms 40b
This form is available in several versions.
Select the version you need from the drop-down list below.
2018 CMS-40B
Select form
  • 2018 CMS-40B
  • 2017 CMS-40B
  • 1990 CMS-40B
  • Cms 40b
Select form