By completing and signing this form, I am applying for the Medicare Savings Program. These guides help you fill out your Medicaid Renewal and give examples of documents you can use to give proof of information we need to decide on help for you.Get the forms you need to sign up for Part B including CMS-40B, CMS-L564, CMS-10797, and CMS-10798. Form Title NOTICE OF MEDICARE NON-COVERAGE. You can download a Medicare Advantage Prescription Drug Plan, enrollment form below for the plan you want to enroll in, complete it and send it to us. Fill out form CMS-40B. Easily download the resources you need to manage your health plan efficiently. Directly access the category most relevant to your needs. This form is your application for Medicare Part B (Medical. Insurance). Fill out this form and one of our representatives will reach out to you.