Online Documents
Please send all completed forms to Help@isimedicare.com
Use this form to sign up for Medicare Part B (medical insurance). This is most commonly used if you delayed Part B because you had employer coverage and are now ready to enroll.
This form is completed by your employer to confirm you had active group health coverage. It’s typically submitted along with the 40B form to help you enroll in Medicare Part B without a late penalty.
If your Medicare premiums are higher due to income, this form allows you to request a reduction based on a life-changing event; such as retirement, loss of income, divorce, or death of a spouse.
Use this form if you want to cancel your Medicare Part A or Part B coverage. Please note: you will usually need to complete a short interview with Social Security before your request can be processed.