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You have turned 65. You are Medicare eligible. Now What?
Feb 15, 2007 4:44 PM
SAMPLE LETTER
Address
Date
NYC Employee Health Benefits Dept.
40 Rector St.,
3rd Fl.
New York, NY
10006
Re: Medicare Eligibility
Dear Sir/Madam:
I am enclosing a copy of my Medicare card, showing both Parts A and B. I will become eligible for Medicare on .
Sincerely,
Signature
Print Name
Social Security #
Enclosure
