Medicare Documents
- Medicare and You Handbook 2024
- Part A & B application, Form OMB No. 0938-1426 (must have SEP)
- LEP Reconsideration Request Form
- Creditable Coverage Form, Example
- CMS-L564 Spanish, Employment Verification
- CMS-L564 English, Employment Verification
- CMS-20033, 2nd Level Appeal Form
- CMS-20027, 1st Level Appeal Form
- CMS40B-Spanish, Has Part A & Needs Part B
- CMS40B-English, Has Part A & Needs Part B
- CMS 1763 Request to cancel parts A and-or B
- 2023 Financial Update, SS & Medicare
Disability Forms
- Checklist – Adult Disability Interview
- Checklist for ONLINE Adult Disability Application (December 2021)
- Entire – Child Disability Starter Kit
- Entire – Adult Disability Starter Kit
- Fact Sheet- What You Should Know Before You Apply for Social Security Disability Benefits
- SSDI Disability Benefits Handbook
- SSI Disability Benefits Handbook
- SSI vs SSDI for Children Disability Benefits Handbook
- Working While Disabled – How We Can Help
- Working with Disability
Find More Information & Apply Here
After receiving 24 months of SSDI payments you will be eligible for Medicare and able to enroll in extra coverage. Let us know when you are getting close to your 24th month!
