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Do I Have to Submit the Initial Enrollment Questionnaire (IEQ) Online?

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The Initial Enrollment Questionnaire (IEQ) asks you about other health insurance coverage you may have that might pay before Medicare pays, such as employer-sponsored group coverage, veterans benefits, or workers’ compensation benefits. You don’t have to submit your Medicare Initial Enrollment Questionnaires (IEQ) online, but this is the fastest way for Medicare to get your form. If you complete the IEQ form online, the information will be transmitted electronically to the Coordination of Benefits Contractor immediately after you submit the form.

If you’re having trouble submitting the form online or prefer to do by phone, you can call the Benefits Coordination & Recovery Center (BCRC) to submit the form over the phone. You can reach the BCRC at 1-855-798-2627 (TTY users 1-855-797-2627), Monday to Friday, from 8AM to 8PM Eastern Time.

Medicare doesn’t mail the Initial Enrollment Questionnaire to you, but it sends you a letter with your login information and instructions on how to complete the questionnaire online. This letter will arrive three months before your Medicare coverage begins. Your Initial Enrollment Questionnaire will be available on 90 days before your Medicare coverage starts, and you have up to 180 days after your coverage begins to submit the form.

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eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. The purpose of this site is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. eHealth and Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. We offer plans from a number of insurance companies.