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The first step is to complete an automatic payment authorization form sf 5510 and mail it to the following address.
How to sign up for medicare easy pay. The first step is to complete an automatic payment authorization form sf 5510 and mail it to the following address. To complete the form you will need your 11 character medicare number and supply a blank check. You may have to wait six to eight weeks for your form to be processed and for your mep account to be set up. You can also get the sf 5510 as a pdf form in spanish or hmtl form in spanish. Fill out the authorization agreement for pre authorized payments form sf 5510 as a pdf in english or html in english.
Medicare premium collection center. Once you complete the form mail it to the following address. Medicare premium collection center po box 979098 st. First you fill out the authorization agreement for pre authorized payments form sf 5510. Anytime you get a bill for your medicare premium you can sign up for medicare easy pay.
Mail your completed sf 5510 to. To sign up for mep print out the authorization agreement for pre authorized payments form fill it out and mail it to. You can download the pdf in english or spanish. How do i sign up for medicare easy pay.
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