Helpful Resources Don't See the Document You Need? Don't See the Document You Need? Contact us today. Download Our Checklists And More Below From enrollment forms to checklists – we have you covered. Important Forms CMS-40B – Part B Enrollment Application FormCMS L564 – Part B Employer FormMedicare Easy PayIRMAA 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) ChecklistSpecial Enrollment Period (SEP) Checklist Helpful Guides IRMAA AEP Important Dates and DeadlinesParts of Medicare Explained10 Things People Didn’t Know About Medicare2022 Medicare & You (CMS)Spanish translationChinese translationKorean translation Vietnamese translation Events Explore our schedule of upcoming events:Medicare Educational WebinarsMedicare Annual Enrollment Meetings Videos Watch our brief educational videos about Medicare:Medicare OverviewAre You Eligible for Medicare?How to Enroll in Medicare when Turning 65 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 Contact Us 1934 Old Gallows Road, #350Vienna, Virginia 22182 1-703-214-4600 info@medicareportal.org Facebook Linkedin Instagram Youtube Twitter