42 CFR § 407.11 - Forms used to apply for enrollment under Medicare Part B.

---
identifier: "/us/cfr/t42/s407.11"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 407.11 - Forms used to apply for enrollment under Medicare Part B."
title_number: 42
title_name: "Public Health"
section_number: "407.11"
section_name: "Forms used to apply for enrollment under Medicare Part B."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "407"
part_name: "SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1395p, 1395q, and 1395hh."
regulatory_source: "53 FR 47204, Nov. 22, 1988, unless otherwise noted."
cfr_part: "407"
---


# 407.11 Forms used to apply for enrollment under Medicare Part B.

Forms used to apply for enrollment under the supplementary medical insurance program are available free of charge by mail from CMS, or at any Social Security branch or district office and online at the CMS and SSA websites. As an alternative, the individual may request enrollment by signing a simple statement of request, if he or she is eligible to enroll at that time.

[87 FR 66505, Nov. 3, 2022]