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Auxilary Aids & Services

For information about the availability of beneficiary auxiliary aids and services, please call our Beneficiary Contact Center at 800-833-4455.

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Railroad Medicare Beneficiaries
Forms

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The Privacy Act and Beneficiary Authorization05/30/2015
Beneficiary Address Change Form02/01/2014
Deceased Beneficiary Address Change Form02/01/2014
Filing a Claim to Railroad Medicare: Using the Railroad Retirement 'Patient's Request for Medicare Payment' (G-740S) Form07/18/2013
Patient's Request for Medicare Payment10/03/2011
Patient's Request for Medicare Payment07/13/2010

 

last updated on 11/01/2018
ver 1.0.26