If you have employees ready for Medicare or coming off of a group health plan, you may need these documents.
To meet with an Employer Outreach Specialist please contact Gina at 614-226-5306.
Request for Employer Information (pdf)Download
Application for Medicare Part B (pdf)Download
IRRMA-Income Related Monthly Adjusted Amount (pdf)Download
2021 Medicare & You (pdf)Download
Get Your Medicare Verification Letter v3.1.21 (pdf)Download
Medicare Easy Pay - Pay Part B (pdf)Download
How to Apply Online for Medicare Only (pdf)Download
2020 - Medicare Amounts (pdf)Download
Who Pays First - updated 8.2020 (pdf)Download
2019 High Income Earners (pdf)Download
© 2023 Medicare Resource Center - Columbus
“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.”
NOT CONNECTED WITH THE FEDERAL MEDICARE PROGRAM.