Medicare Forms and Help

How to Apply for Medicare using SSA.gov

Step-by-step guide for applying for Medicare.pdf

Download PDF • 2.66MB

Prefer to mail in your Medicare application instead of applying online? Use this form.

Medicare Part A.pdf

Download PDF • 235KB

Applying for Medicare Part B Only?

You need these two forms AND proof that you have been covered by creditable coverage.

Once complete, scan and send these back to our office at info@schealthinsurance.net

Part B Medicare Application.pdf

Download PDF • 84KB

Part B Medicare_ Employment Info.pdf

Download PDF • 72KB