Forms, Publications, & Mailings - Medicare
Get Medicare forms for different situations, like filing a claim or appealing a coverage decision.
What kind of form are you looking for? - Medicare
Print this page. What kind of form are you looking for? ... Other forms Get forms to file a claim, set up recurring premium payments, and more. Get Other Forms Get all forms in alternate formats. Site Menu. Medicare basics ... Find Medicare.gov on facebook (link opens in a new tab) Follow Medicare.gov on X (link opens in a new tab) ...
Other Forms - Medicare
Send the form to the company that processes your Medicare claims. To get the address, log into (or create) your secure Medicare account and view a different claim Medicare paid, or check a Medicare Summary Notice you got for another service.
Filing a claim - Medicare
What do I submit with the claim? Follow the instructions on the form for the type of claim you're filing. Generally, you’ll need to submit: The completed claim form (Patient Request for Medical Payment form (CMS-1490S) The itemized bill from your doctor, supplier, or …
Claims, Appeals, and Complaints - Medicare
If you need to request payment for a Medicare service or item, in most cases you can file a claim. You should only need to file a claim in very rare cases. File A Claim
Appeals Forms - Medicare
What’s the form called? Transfer of Appeal Rights (CMS-20031) What’s it used for? Transferring your appeal rights to your provider or supplier so they can file an appeal if Medicare decides not to pay for an item or service.
Checking the status of a claim - Medicare
To check the status of Medicare Part A (Hospital Insurance) or Medicare Part B (Medical Insurance) claims: Log into (or create) your secure Medicare account. You’ll usually be able to see a claim within 24 hours after Medicare processes it. Check your Medicare Summary Notice (MSN) or electronic MSN. The MSN is a notice that people with ...
Enrollment Forms - Medicare
Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798.
Go digital - Medicare
View your Original Medicare claims as soon as they're processed. Print a copy of your official Medicare card. See a list of preventive services you're eligible to get in Original Medicare.
Your Medicare Card
My card is lost or damaged — Log into (or create) your secure Medicare account to print or order an official copy of your Medicare card. You can also call 1-800-MEDICARE (1-800-633-4227) to order a replacement card to be sent in the mail.