Forms, Publications, & Mailings - Medicare
Get Medicare forms for different situations, like filing a claim or appealing a coverage decision.
What kind of form are you looking for? - Medicare
Find a Medicare Supplement Insurance (Medigap) policy; Find publications; Get Medicare information in other languages; Talk to someone; Manage your email preferences
Enrollment Forms - Medicare
Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798.
Other Forms - Medicare
Send the form to the company that processes your Medicare claims. To get the address, log into (or create) your secure Medicare account and view a different claim Medicare paid, or check a Medicare Summary Notice you got for another service.
Filing a claim - Medicare
You can download and fill out a form, called the Patient Request for Medical Payment form (CMS-1490S). This form is also available in Spanish. What do I submit with the claim? Follow the instructions on the form for the type of claim you're filing. Generally, you’ll need to submit:
Get started with Medicare
Medicare is health insurance for people 65 or older. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease). Some people get Medicare automatically, others have to actively sign up -- it depends if you start getting retirement or disability benefits from ...
Welcome to Medicare | Medicare
Get your Medicare information faster by getting your “Medicare & You” handbook and Medicare Summary Notices (MSNs) electronically.
Appeals Forms - Medicare
What’s the form called? Transfer of Appeal Rights (CMS-20031) What’s it used for? Transferring your appeal rights to your provider or supplier so they can file an appeal if Medicare decides not to pay for an item or service.
Formularios, publicaciones y correspondencias - Medicare
Obtenga formularios de Medicare para distintas situaciones, como presentar un reclamo o apelar una decisión de cobertura.
"Medicare & You" handbook
The "Medicare & You" handbook is mailed to all Medicare households each fall. It includes a summary of Medicare benefits , rights, and protections; lists of available health and drug plans; and answers to frequently asked questions about Medicare.