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Medicare easy pay credit card Form: What You Should Know

Easy Pay Premiums (CMS-20143) was selected when you signed up. Please call us at 1-800-MEDICARE () if you have questions Medicare Easy Pay Monthly Statement (20141) : The following is a snapshot of your payment history for the past three months. We process all of your Medicare  Easy Pay Payments and submit them from your bank. This statement tells us how much you paid to Medicare, the amount to be prepaid for Medicare reimbursement, and the date to close your account. Medicare Maintain Current Accounts Medicare Easy Pay can be a little confusing. We want to help you manage the monthly payments, so we recommend you keep your current Medicare accounts up to date and complete the following: We can add a payment to your account for your first premium payment for any health plan. We can enroll you into Medicare Advantage if you meet certain income criteria. All transactions involving your Medicare benefit is subject to the Safe Harbor and HIPAA provisions found in the Federal Regulations. Federal privacy law and Federal Trade Commission regulations also apply. If you have any questions, please call 1-800-MEDICARE () or visit us online, or contact us by fax at or email us.

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