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Where can you find Medicare forms? You can find most Medicare forms on Medicare.gov. The specific forms you need will depend on what you are trying to do.Below are some common situations where you may need to submit a form to Medicare.Medicare Enrollment FormIf you are newly eligible and would like to enroll in Medicare, and youre not automatically enrolled, you will need to submit a Medicare enrollment application to Social Security. You can get this application:What form do you use for Medicare Part B?When you are looking to enroll in Medicare Part B after already being enrolled in Medicare Part A, youll need an application for Part B enrollment called Application for Enrollment in Part B (CMS-40B). You may also need to provide proof of employment with the form called Request for Employment Information (CMS-L564). This form is for providing the Social Security Administration proof that youre eligible to sign up for Medicare Part B using a Special Enrollment Period for one of these reasons:It is important to note that you will need to submit both forms if you are signing up for Medicare Part B using a Special Enrollment Period. Initial Enrollment QuestionnaireIf youre new to Medicare, youll need to fill out an Initial Enrollment Questionnaire (IEQ), which lets Medicare know about other health insurance you may have that could be a primary payer (meaning it pays before Medicare). Examples of other coverage include employer coverage, veterans benefits, and workers compensation.You can fill out the IEQ online at MyMedicare.gov. You should receive a letter in the mail about three months before your Medicare coverage starts with your MyMedicare.gov username, password, and instructions for filling out the IEQ.NEW TO MEDICARE?Learn what you need to know in 15 min or less.Setting up Medicare auto-paymentsIf youd like to sign up for Medicare Easy Pay, which automatically deducts your premium payments from a bank account, you will need to fill out an Authorization Agreement for Preauthorized Payments form. This document can be found on the Medicare website.If youd like to allow Medicare to disclose your personal health information to a person other than you, such as your spouse, youll need to fill out an Authorization to Disclose Personal Health Information form. You can find this form on Medicare.gov or contact Medicare for more information.Filing a claim for services or suppliesMedicare covers certain services and supplies, and in most cases you wont need to file any claims. If youre enrolled in a Medicare Advantage plan and wish to file a claim for Medicare-covered services or supplies that werent covered, fill out a Patient Request for Medical Payment form and submit it to your health insurance company. You can find this form on Medicare.gov or contact Medicare directly. If youre enrolled in Original Medicare, Part A and Part B, claims are handled by doctors and suppliers.Filing an appealIf you disagree with a Medicare coverage or payment decision, you can file an appeal. The Medicare appeals process is a five-step process. You will need to submit a separate form at each level of appeal. If you need to request assistance for this process, you will need a form called Appointment of Representative (CMS-1696), which will provide another person with legal permission to help you file an appeal. Filing a complaintIf youd like to file a complaint, also known as a grievance, against a Medicare provider because of the quality of care or service you received, the process will depend on who or what your complaint is about. Contact the specific points of contact below to ask which forms you need to file a complaint.Note that a complaint is different from an appeal. A complaint is related to the quality of service or treatment that you received from a provider. If you disagree with your Medicare plans decision to not cover or pay for a service or supply, you would file an appeal.If you cant find a Medicare formThe above list includes some of the more common situations where you may need to submit a form to Medicare. If you know the name of the form you need, you can search for the document on Medicare.gov or the Centers for Medicare & Medicaid Services website.For help getting the right form, you can call Medicare directly to speak with a representative. You can reach Medicare at 1-800-MEDICARE (). TTY users can call . Representatives are available 24 hours a day, seven days a week.If youre in a Medicare plan from a private insurance company, such as Medicare Advantage or a Medicare Part D Prescription Drug Plan, contact your insurance company for more information about which forms you need to submit. You can find this contact information on the back of your Medicare plan insurance card. Download a form, learn more about a letter you got in the mail, or find a publication. What do you want to do? Get Medicare forms for different situations, like filing a claim or appealing a coverage decision. Read, print, or order free Medicare publications in a variety of formats. Find out what to do with Medicare information you get in the mail.

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