Medicare Prescription Drug Coverage

📋What Are the Application Steps & Timeline?

📝Steps to ApplySource

• Complete the enrollment request form (CMS-40B)
• If applicable, complete Form CMS L564 for employment information
• Submit the completed forms to your local Social Security office

🌐Application PortalSource

https://www.healthcare.gov/

📤Submission MethodSource

mail

📅Key DatesSource

January 1, 2026Enrollment period begins

March 31, 2026Enrollment period ends

🔄Intake TypeSource

fixed-deadline

📄What Documents Are Required?

✅Required DocumentsSource

• written proof of circumstances preventing enrollment
• documents from employer or health plan showing incorrect information
• document from state or health plan showing Medicaid coverage end date
• proof of exceptional conditions

📎Optional DocumentsSource

• Attestation form

📐Format Requirements

PDF only, max 10MB

📥Templates AvailableSource

• Attestation form

✉️Supporting LettersSource

Letters of support are not explicitly required but may be needed for proof of circumstances.

💰What Expenses Are Eligible?

🤝Is Matching Funding Required?

🔀Matching RequiredSource

No

📊What Are the Reporting Requirements?

📑Reporting RequirementsSource

• CMS-L564 ”Request for Employment Information”