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Answer a few questions. We place your answers on the official CMS-40B so you can download and file it.

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Your answers are mapped onto the official CMS-40B fields.

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Walk away with a completed CMS-40B ready to print, share, or keep for your records.

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A smarter way to complete your CMS‑40B.

Enrolling in Medicare Part B? Unsure about enrollment windows or SEP proof? Fill out your CMS‑40B for free with easy AI walkthroughs.

  • 5 min max
  • Easy to understand
  • Private & Secure

How we protect you from mistakes

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Step-by-step guidance

We guide you through the CMS-40B, place your answers on the official form, and show you the final result before you download it.

Simple english you can understand

We explain every question in plain language, so you always know what you are answering.

Review before you file

Before submission, confirm your enrollment window and whether CMS-L564 is needed for your Special Enrollment Period case.

What is the CMS-40B?

CMS-40B is used to enroll in Medicare Part B. Officially, it is the Application for Enrollment in Medicare - Part B (Medical Insurance) . It is used when you want Part B medical insurance coverage.

People often file CMS-40B when they already have Part A. The General Enrollment Period runs January 1 through March 31 each year, with coverage typically starting July 1. Some Special Enrollment Periods may require CMS-L564.

Who needs to fill one out?

People enrolling in Medicare Part B commonly use CMS-40B.

  • People with Medicare Part A adding Part B
  • People enrolling during the General Enrollment Period
  • People using a Special Enrollment Period with employer coverage history
  • Applicants who need CMS-L564 support for SEP situations
  • Anyone directed to use CMS-40B

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