Resources

Medicare and You Handbook
Employer Verifcation Form CMS L564
Medicare Website
Social Security Website (SSA.gov)
Part A & B Online Application
Part B Paper Application
Part B Online Application
IRMAA Appeal Form
"Extra Help" Application
Original Medicare Costs (Includes IRMAA Income Chart)
2026 Social Security Benefit Payment Schedule
Full Retirement Age for Social Security Income
Example of Prior Creditable Prescription Drug Coverage Attestation Form - See Pages 9 - 11
Medicare Premium Billing Statement Example
Group Insurance Questionnaire - Employer Questions
Steps to create online account with SSA.gov through Login.gov
Start Your Medicare Transition Planning

Disclaimer: Siouxland Medicare Planning is a local independent insurance agency with a focus on Medicare planning and serving local clients. Not connected with or endorsed by the United States government or the federal Medicare program. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-Medicare or SHIP to get information on all your options.