Centers for Medicare & Medicaid Services (CMS) Forms and Publications

The Medicare Savings Programs (MSP) Model Application for Medicare Premium Assistance. Also available in Arabic, Chinese, Creole, Español, Farsi, French, Korean, Russian, Tagalog and Vietnamese. If you think you might be able to get help from your state with Medicare costs, or if you are not sure, call your state medical assistance (Medicaid) office or call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048).