Social Security Link to apply for Medicare benefits
Click on the button below to open a new page connecting to the Social Security Adminstration page for the on-line application for Medicare benefits.
Medicare Forms - PDFs
Below are a number of links to both Social Security forms and online pages (scroll down page) to assist applying for your Medicare benefits.
If you need assitance please call or visit your local Social Security office. While our agency is knowledgable in "process" and common formology - those folks are the experts. Here is a link to their Contact page. Application processing times can run 3-6 weeks - so don't expect to get a Medicare Card in a few days.
These are the most common Social Security forms (links) related to Medicare benefits.
Applying for Social Security using your earned income - Form SSA-1-BK.
Applying for Social Security using your spouse's earned income - Form SSA-2-BK.
Applying for Social Security Lump-Sum Death Benefit - Form SSA-8.
Appealing Income-Related Monthly Adjusted Amount - Form SSA-44.
Submitting Proof of Employment Information (income or insurance) - Form L564E
You have Part A and delayed enrollment in Medicare Part B - Form CMS 40B
Application for Medicare Part D "Extra Help" - Form SSA-1020-OCR-SM
Order a Replacement Medicare Card
Links to the Social Security Administration pages
Social Security Link to apply for Extra Help with Rx drugs
Clicking the button below will open a new page in your browser and connect to the Social Security Administration page for applying for Extra Help with Medicare Part D Prescription Drug Coverage.
Social Security Homepage
Clicking the button below bring you to the Social Security Administration home page on their website. Scrolling down you will find links to view your Benefits Verification Letter, or other helpful links.