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)
DownloadIRRMA-Income Related Monthly Adjusted Amount (pdf)
Download2021 Medicare & You (pdf)
DownloadGet Your Medicare Verification Letter v3.1.21 (pdf)
DownloadMedicare Easy Pay - Pay Part B (pdf)
DownloadHow to Apply Online for Medicare Only (pdf)
Download2020 - Medicare Amounts (pdf)
DownloadWho Pays First - updated 8.2020 (pdf)
Download2019 High Income Earners (pdf)
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