Helpful Resources & ToolsDon't See the Document You Need? Call us at 703-214-4600 Don't See the Document You Need? Call us at 703-214-4600 Download Our Checklists & More BelowFrom enrollment forms to checklists – we have you covered. Important Enrollment FormsPart B Enrollment Application FormPart B Employer FormEFT Electronic Form To Pay For Part BIRMAA Appeal FormCancellation Form For Part A Or Part BLEP Late Enrollment Penalty Appeal Form Medicare ChecklistsTurning 65 Initial Enrollment Period (IEP) ChecklistAnnual Enrollment Period (AEP) Checklist Helpful GuidesIRMAA OverviewKey Dates CalendarParts of Medicare ExplainedSEP Overview10 Things People Didn’t Know About Medicare VideosWatch our brief educational videos about Medicare here! Enrollment Calculator Your Birthdate (required) Calculate IEP Your Initial Enrollment Period (Start Date) Your Initial Enrollment Period (End Date)We can remind you when your Initial Enrollment Period in Medicare starts. Please note that your reminder will be sent 120 days before your 65th birthday. If your birthday is within 120 days, give us a call at 703-214-4600 if you need help. Name Email Add To Google Calendar Submit Publications2021 Medicare & You (CMS)Contact Us 1934 Old Gallows Road, #350Vienna, Virginia 22182 1-703-214-4600 info@medicareportal.orgWebsite UsageServicesAfter EnrollmentBlogFAQ’sContact MenuServicesAfter EnrollmentBlogFAQ’sContact Facebook Linkedin
