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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.
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.
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?
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.