Helpful Resources & Tools Don'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 Below From enrollment forms to checklists – we have you covered. Important Enrollment Forms Part 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 Checklists Turning 65 Initial Enrollment Period (IEP) ChecklistAnnual Enrollment Period (AEP) Checklist Helpful Guides IRMAA OverviewKey Dates CalendarParts of Medicare ExplainedSEP Overview10 Things People Didn’t Know About Medicare Videos Coming Soon 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 Publications 2019 Medicare & You (CMS) Contact Us 1934 Old Gallows Road, #350Vienna, Virginia 22182 1-703-214-4600 info@medicareportal.org Website Usage Services After Enrollment Blog Events Contact Menu Services After Enrollment Blog Events Contact Facebook Linkedin
