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PDF MEDICARE ENROLLMENT APPLICATION

Currently enrolled in Medicare and need to enroll in another Medicare Administrative Contractor's (MAC's) pdf 1 To support CMS contractors consultants or 

PDF Medicare enrolment application

Return your completed form and original or certified documents to your nearest Medicare Service Centre For initial enrolments all people 15 years of age and 

PDF Medicare enrolment form (MS004)

This form allows you to enrol up to 5 people in Medicare If you have more than 5 people to enrol you will need to complete an additional Medicare enrolment 

PDF Medicare enrolment form (MS004)

This form allows you to enrol up to 5 people in Medicare If you have more than 5 people to enrol you will need to complete an additional Medicare enrolment 

PDF Medicare enrolment form

This form helps to determine eligibility for Medicare and provides information on plans coverage and other important information It is also used to update 

  • If you have a myGov account sign in and enrol in Medicare.
    If you don't have a myGov account you need to create one.
    If your application is approved, we'll contact you with your next steps.
    We'll also send you your Medicare card in the mail to the address you gave us.

  • How long does Medicare enrollment take Australia?

    When we get your completed enrolment form and supporting documents, we'll process them.
    You'll then get your Medicare card in the mail in 3 to 4 weeks.
    We'll send Medicare cards and other general information to the contact person for everyone listed on the Medicare card.

  • What is ms004 form?

    Use this form to enrol in Medicare for the first time, re-enrol in Medicare or enrol your baby in Medicare.
    Download and complete the Medicare enrolment form.
    You can submit your form and supporting documents to us by mail or email to Medicare Enrolment Services.4 déc. 2023

  • Can you email Medicare?

    Medicare Enrolment Services
    Send your completed form and documents to us by email or mail.
    Email Medicare Enrolment Services and include Enrolment in the email subject line.

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