MEDICARE PART B Part B Individual Enrollment Form (CMS 40B) Get Started MEDICARE PART B Part B Request for Employment Information (CMS L564) Get Started IRMAA Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event Get Started MEDICARE SAVINGS PROGRAM Medicare Savings Program Application Get Started APPOINTMENT OF REP Medicare Appointment of Representative form Get Started EPIC EPIC Application Get Started FINANCIAL ASSISTANCE Rochester Regional Health Financial Assistance Application Get Started FINANCIAL ASSISTANCE University of Rochester Financial Assistance Application Get Started PART A & B Request For Termination of Medicare Get Started
Office Locations Find a Rochester NY Location Near You East Side Location: East Side Location: 70 Linden Oaks Dr. Ste. 300Rochester, NY 14625 585-349-3337 West Side Location: West Side Location: 2800 Dewey Avenue Rochester, NY 14616 585-349-3337 During the Medicare Annual Enrollment Period of October 15th – December 7th, we have two additional locations:By Appointmen Only Spencerport Location: Spencerport Location: By Appointment Only 24 West Ave. Suite 202 Spencerport, NY 14559 585-729-1901 Churchville Location: Churchville Location: By Appointment Only 42 S. Main St. Suite F Churchville, NY 14428 585-685-2089
