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Web according to medicare rules, we need your permission to contact you to discuss your medicare plan options. By accepting this form, you are agreeing to a sales. Department of health and human services centers for medicare & medicaid services form approved omb. Web get medicare forms for different situations, like filing a claim or appealing a coverage decision. Set up or change recurring premium payments what’s the. Web giving medicare permission to talk to someone you choose about your claims and health records, if you can’t.