Get the free 11873-Sign up for Medicare Part B letter and booklet
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OMB No. 09381378 Expires: 7/31/20242024 Enrollment Form Who can use this form?Reminders:People with Medicare who want to join a Medicare Advantage PlanTo join a plan, you must: Be a United States
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How to fill out 11873-sign up for medicare
How to fill out 11873-sign up for medicare
01
Go to the official Medicare website or call 1-800-MEDICARE to start the sign-up process.
02
Choose the type of coverage you want - Original Medicare, Medicare Advantage, or a Medicare Supplement plan.
03
Provide your personal information, including your name, address, and Social Security number.
04
Verify your eligibility by checking if you meet the requirements for Medicare enrollment.
05
Review your options and select a plan that best fits your healthcare needs.
06
Complete the application by submitting any necessary documents and payment information.
07
Wait for confirmation of your enrollment and start using your Medicare benefits.
Who needs 11873-sign up for medicare?
01
Anyone who is approaching the age of 65 and is eligible for Medicare benefits.
02
Individuals with certain disabilities or medical conditions may also qualify for Medicare coverage.
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What is 11873-sign up for medicare?
11873-sign up for medicare refers to the process or form required for enrolling in Medicare, a federal health insurance program primarily for individuals aged 65 and older.
Who is required to file 11873-sign up for medicare?
Individuals who are age 65 or older, as well as those under 65 with certain disabilities or health conditions, are required to file 11873 to enroll in Medicare.
How to fill out 11873-sign up for medicare?
To fill out 11873-sign up for medicare, applicants need to provide personal information such as name, address, date of birth, Social Security number, and any relevant insurance details.
What is the purpose of 11873-sign up for medicare?
The purpose of 11873-sign up for medicare is to formally enroll individuals into the Medicare program, ensuring access to necessary health care services.
What information must be reported on 11873-sign up for medicare?
The information reported on 11873 includes personal identification details, insurance coverage specifics, and any previous Medicare enrollment status.
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