Medicare Resources for Seniors & Caregivers

Helpful Resources

Download Our Checklists And More Below

From enrollment forms to checklists – we have you covered.

Important Forms

CMS-40B – Part B Enrollment Application Form
CMS L564 – Part B Employer Form
Medicare Easy Pay
IRMAA Appeal Form
Cancellation Form For Part A Or Part B
LEP Late Enrollment Penalty Appeal Form

Medicare Checklists

Turning 65 Initial Enrollment Period (IEP) Checklist
Annual Enrollment Period (AEP) Checklist
Special Enrollment Period (SEP) Checklist

Helpful Guides

IRMAA
AEP Important Dates and Deadlines
Parts of Medicare Explained
10 Things People Didn’t Know About Medicare
2022 Medicare & You (CMS)
- Spanish translation
- Chinese translation
- Korean translation
- Vietnamese translation

Events

Explore our schedule of upcoming events:

Medicare Educational Webinars
Medicare Annual Enrollment Meetings

Videos

Watch our brief educational videos about Medicare:

Medicare Overview
Are You Eligible for Medicare?
How to Enroll in Medicare when Turning 65

Enrollment Calculator

Your Birthdate (required)

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

Add To Google Calendar

Call 703-214-4600

Call 703-214-4600

Helpful Resources

Download Our Checklists And More Below

Important Forms

Medicare Checklists

Helpful Guides

Events

Videos

Enrollment Calculator

Contact Us

Call 703-214-4600

Call 703-214-4600

Helpful Resources

Don't See the Document You Need?

Download Our Checklists And More Below

Important Forms

Medicare Checklists

Helpful Guides

Events

Videos

Enrollment Calculator

Contact Us