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What Is the Initial Enrollment Questionnaire (IEQ) and Where Do I Find It?

The “Initial Enrollment Questionnaire” (IEQ) is a form that Medicare sends to individuals who are newly eligible for Medicare. The questionnaire asks about other health insurance you may have that may pay for services before Medicare, such as an employer health plan or workers’ compensation. New beneficiaries need to fill out IEQs upon enrolling into Medicare.

You may complete the IEQ online or via telephone.

Online

Three months prior to when your coverage begins, Medicare will send you a letter in the mail with a username, temporary password, and instructions on how to fill out an IEQ online at MyMedicare.gov.

Telephone

Beneficiaries have the option of completing the IEQ over the phone by calling the Benefits Coordination & Recovery Center (BCRC) at 1-855-798-2627 (TTY users 1-877-486-2048).

You will have up to 180 days after your Medicare effective date (the date your coverage begins) to submit the form.

Where can you get more information?

  • Visit Medicare.gov to view or print Medicare publications and find helpful phone numbers and resources.
  • Call 1-800-MEDICARE or 1-800-633-4227 (TTY 1-877-486-2048), available 24 hours a day, seven days a week.
  • Visit Medicare.gov/publications to view or print the booklet “Medicare and Other Health Benefits: Your Guide to Who Pays First.” You can also call 1-800-MEDICARE to request a copy.
  • Call your State Health Insurance Assistance Program (SHIP) for free health insurance counseling and personalized help. To get the most up-to-date SHIP phone numbers, visit Medicare.gov.

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