Discussion Period Request 2020-2024 Form

Instructions and help about Medicare Forms To Sign, Complete,and Return

if you're enrolling in Medicare Part B after turning 65 and you're coming off a group health plan based on your current employment or your spouse's current employment you need to know how to fill out form CMS l564 coming up next we'll show you how to fill out the form without any mistakes [Music] watch our previous video how to complete form CMS 40b which enrolls you in Medicare Part B but you need both form 40b and form l564 to complete a special enrollment period application for Part B we'll link to that at the end as well as in the video description below now remember a special enrollment period is when you'll be on the seven month initial enrollment period for Medicare and you're coming off a Group Health Plan through your employer or your spouse's employer to avoid a late enrollment penalty you need to submit the application while covered on the group plan based on current employment or during the eight months immediately after separating service from the employer you need to subm