Retiree

You have turned 65. You are Medicare eligible. Now What?

Feb 15, 2007 4:44 PM

The following also applies if you become Medicare-eligible because of Social Security disability.

SAMPLE LETTER

Address
Date

NYC Employee Health Benefits Dept.
40 Rector St., 3rd Fl.
New York, NY 10006
Re: Medicare Eligibility

Dear Sir/Madam:

I am enclosing a copy of my Medicare card, showing both Parts A and B. I will become eligible for Medicare on .

Sincerely,

Signature
Print Name
Social Security #

Enclosure