Medicare Resources for Employers

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)

Application for Medicare Part B (pdf)

Medicare Easy Pay - Pay Part B (pdf)

2021 Medicare & You (pdf)

2020 - Medicare Amounts (pdf)

Who Pays First - updated 8.2020 (pdf)

2019 High Income Earners (pdf)

How to Apply Online for Medicare Only (pdf)