Get Ssa-1026-ocr-sm-rede 2009-2025

Completing the SSA-1026-OCR-SM-REDE form is essential for reviewing your eligibility for Extra Help with Medicare Prescription Drug plan costs. This guide provides clear, step-by-step instructions to assist you in filling out the form accurately and efficiently.

Follow the steps to successfully complete the SSA-1026-OCR-SM-REDE form online.

1. Press the 'Get Form' button to obtain the SSA-1026-OCR-SM-REDE form and open it in the editor.
2. Begin filling out the form by entering your name and personal details. Ensure you write each letter in separate boxes and use capital letters without any handwritten comments.
3. Indicate your marital status in the appropriate section. If your marital status has changed, provide the date of the change.
4. Refer to the Income and Resources Summary and confirm if the information remains the same. Check the corresponding box and proceed as necessary.
5. If any information about your resources has changed, fill in the new amounts in the specified boxes, ensuring all monetary values are rounded to the nearest dollar.
6. Complete the section regarding household size and indicate the number of relatives who depend on you financially, excluding yourself and your spouse.
7. Report any income not from work based on the information provided and confirm whether it has changed. Enter the new amounts where applicable.
8. Provide the details of earned income if applicable, ensuring all amounts are correctly filled out for both you and your spouse.
9. Complete the questions regarding any disability or blind work expenses, indicating if such expenses are applicable.
10. Review the entire form for accuracy, then sign and date the appropriate sections.
11. Use the enclosed pre-addressed envelope to submit your completed form to the Social Security Administration.
12. After submission, it may be helpful to save a copy of the completed form for your records.

Complete the SSA-1026-OCR-SM-REDE form online today to ensure your continued eligibility for Extra Help.