Medicare Savings Program

This document provides information about Financial Assistance Programs for People Covered by Medicare

Kroger Rx Discounts

This document shows a list of which prescription drugs are included in the Kroger Rx Savings Club.

Preventative Benefits

This CMS booklet shows which preventive services Medicare covers and how often.

Medicare and Diabetes

This official government
guide has important
information about:
• What’s covered
• What’s not covered
• Helpful tips to keep you healthy
• Where to get more information

How To Apply For Medicare Online

This Social Security guide walks you through applying for Medicare online.

Medicare Part B Application

This application is to be used to apply for Medicare Part B.

Request For Employer Information

This form needs to be filled out and submitted at the same time as the Part B application. This form gives CMS information about your prior coverage in order to determine if it was "creditable."

Who Pays First

This comprehensive guide explains who pays first when Medicare is combined with other coverage.

Part B - Easy Pay Form

This form is used to set up automatic payments for the Medicare Part B premium.

2025 Medicare and You Book

This is a copy of the official government issued Medicare and You book.

IRMAA Appeal Form

Use this form if you've been notified of an extra charge on your Medicare Part B or prescription coverage due to income (IRMAA) and a major life event could lower this charge.

Extra Help Appeal Form

Use this form if you received a denial letter regarding your 'Extra Help' status but feel that you meet the requirments.

2025 Drug Stages & IRMAA

This document outlines the four stages of drug coverage you might experience over the year and includes information on Part D IRMAA.

2025 Medicare Amounts & IRMAA

This document details the premiums for Medicare Part B and associated IRMAA charges.