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)
DownloadApplication for Medicare Part B (pdf)
Download2024 IRRMA-Income Related Monthly Adjusted Amount (pdf)
DownloadMedicare Easy Pay - Pay Part B (pdf)
DownloadHow to Apply Online for Medicare Only (pdf)
DownloadWho Pays First - updated 8.2020 (pdf)
DownloadIRMAA-Appeal-SSA-44 (pdf)
Download© 2023 Advantage Med Sup, LLC
Columbus, Ohio
“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.”
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