Get Ssa-1020b-ar-inst 2013-2025

This guide provides clear, step-by-step instructions for completing the SSA-1020B-AR-INST form online. It is designed for individuals seeking assistance with prescription drug costs under the Medicare program, ensuring accessibility for users with varying levels of experience.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling out your personal information, including your full name as it appears on your Social Security card. Use a separate box for each letter.
3. Enter your Social Security number in the designated field, making sure to follow the format provided.
4. Provide your date of birth in the specified format (MM-DD-YYYY).
5. If you are married and living with your spouse, fill in their information as well, including their name and Social Security number.
6. Indicate whether your spouse would like to apply for additional assistance as well.
7. Answer questions regarding your financial situation, listing any bank accounts, investments, or properties you own.
8. If applicable, state whether you or your spouse have any burial expenses that will be covered by the assets listed.
9. Review and enter any income sources you or your spouse have, ensuring to detail monthly amounts.
10. Follow the instructions for indicating any expected changes in income during the year.
11. Once all sections are filled out correctly, review your entries to ensure all information is accurate and complete.
12. Save your changes, then download the completed form, and choose whether to print it or share it as needed.

Start filling out your SSA-1020B-AR-INST form online today for assistance with your Medicare prescription drug costs.