Make Changes to medicare Home » Make Changes to medicare Make Changes to Your Medicare 2020 Medicare Enrollment Change Form Enter Your Name: Please provide your name exactly as it appears on your Social Security card. First Name * Last Name * Your Email * Phone Number * Next Medicare Enrollment Application Form 2020 What is the reason for Applying for Medicare? Select one: Are you applying for Medicare only?Are you looking to add a Supplemental Medicare Coverage Plan?Are you looking to make changes to your existing Medicare plan?Are you looking for a replacement Card?Other reason not listed? Back Want to Speak to a Live Person? (855) 848-8112 Top Topics Where Do I Mail an Enrollment Application of Medicare? At What Age Do I Qualify for Medicare? What Is the Best Supplemental Insurance Coverage? If I Move to Another State, Do I Have to Notify Medicare? Does Medicare Insurance Cover Dental? Terms & Conditions Privacy Policy