CMS-4040
Request for Enrollment in Medicare Part B (Medical Insurance)
65 fillable fields
CMS-L564
Medicare Request for Employment Information
45 fillable fields
CMS-18-F-5
Application for Medicare Part A (Hospital Insurance)
127 fillable fields
CMS-40B
Request for Enrollment in Medicare Part B (Medical Insurance)
47 fillable fields
CMS-43
Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease
155 fillable fields
CMS-1763
Request for Termination of Premium Hospital Insurance of Supplementary Medical Insurance
29 fillable fields
CMS-10798
Application for Enrollment in Part B Immunosuppressive Drug Coverage
32 fillable fields
CMS-10797
Application For Medicare Part A and Part B Special Enrollment Period (Exceptional Circumstances)
72 fillable fields
What is in Medicare enrollment?
Medicare enrollment holds 8 CMS forms. Open any one and it loads in the editor, where you can fill it in your browser for free.
Search within the topic to narrow the list as you type, or go back to the forms library to see every topic. Check the edition date before you file.
Which other form topics can I browse?
Looking for a different kind of form?
The forms library groups U.S. government forms by topic, from individual income tax and business forms to immigration.
Open the forms libraryMedicare claims & billing
4 CMS forms
Medicare appeals
3 CMS forms
Medicare representatives & authorizations
2 CMS forms
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Medicare enrollment FAQs
What forms are in this topic?
It holds 8 CMS forms, such as CMS-4040, CMS-L564, and CMS-18-F-5.
Are these forms free to fill?
Yes. Open any form and fill it in your browser for free. Sign in when you want to download or print the filled copy.
How do I find one form in this topic?
Type a form number or a word in the search box above the list. The list narrows as you type.
Should I check the edition date?
Yes. Agencies retire old editions, so check the edition date on the form before you file it.
Where are the other forms?
The forms library lists every form topic. Open it to browse the topics this page does not cover.