Medicare Supplementary Medical Insurance

Department Of Health And Human Services, Centers For Medicare And Medicaid Services

To provide medical insurance protection for covered services to persons age 65 or over, to certain disabled persons and to individuals with end-stage renal disease. Enrollment in Part B is voluntary.

Jargon-free version

Helps people aged 65 and older, certain disabled individuals, and those with kidney disease get medical insurance. Covers services like doctor visits and hospital stays.

Quick Facts

Funding
Contact for details
Deadline
Rolling
Status
Rolling Intake
Category
Health & Biomedical Research
Organization
Department Of Health And Human Services, Centers For Medicare And Medicaid Services

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What Is This Program?

To provide medical insurance protection for covered services to persons age 65 or over, to certain disabled persons and to individuals with end-stage renal disease. Enrollment in Part B is voluntary.

What Benefits Are Offered?

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๐Ÿ† Detailed Application Guide

๐Ÿ“‹What Are the Application Steps & Timeline?

๐Ÿ“Steps to Apply
  • 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
๐ŸŒApplication Portal
https://www.healthcare.gov/
๐Ÿ“คSubmission Method
mail
๐Ÿ“…Key Dates
January 1, 2026Enrollment Period Start
December 31, 2026Enrollment Period End
๐Ÿ”„Intake Type
fixed-deadline

๐Ÿ“„What Documents Are Required?

โœ…Required Documents
  • written proof of circumstances preventing enrollment
  • documents from employer or health plan showing incorrect information
  • document from state or health plan showing Medicaid coverage dates
๐Ÿ“Format Requirements
PDF only, max 10MB
๐Ÿ“ฅTemplates Available
  • Attestation form
โœ‰๏ธSupporting Letters
You must attach proof that shows you experienced circumstances outside of your control.

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๐Ÿ’ฐWhat Expenses Are Eligible?

๐ŸคIs Matching Funding Required?

๐Ÿ”€Matching Required
No

๐Ÿ“ŠWhat Are the Reporting Requirements?

๐Ÿ“‘Reporting Requirements
  • CMS-L564 โ€Request for Employment Informationโ€

How Do I Apply?

Gary.Davis2@cms.hhs.gov
4107861000

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FAQFrequently Asked Questions

Visit the program page for detailed eligibility requirements.

Contact the program administrator for funding details.

This program accepts applications on a rolling basis.

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