Real federal form
Enrolling in Medicare Part B
Form CMS-40B • Medicare enrollment
Form CMS-40B is the published application used to enroll in Medicare Part B, including for people who delayed enrollment while covered by an employer.
Source: Centers for Medicare & Medicaid Services / Social Security Administration
AccessForce is an independent prototype. It is not affiliated with, nor endorsed by, this agency, and it never changes eligibility requirements or makes eligibility decisions.
Before
The experience people use today
- Four parts.
- Several enrollment windows.
- One short form.
The form is short. Knowing whether, and when, to send it is the hard part.
Someone may have to understand enrollment periods, employer coverage rules and possible late penalties before a two-page form makes sense.
Which questions apply to you?
The same application asks for different question ranges depending on which programs someone is requesting.
- Turning 65, no employer coverageIdentity + reason for enrolling+ signature
- Still covered by an employerIdentity + special enrollment statement+ employment information form
- Coverage recently endedIdentity + coverage end details+ employer confirmation
- Previously declined Part BIdentity + remarks explaining the change+ possible penalty review
AI-identified cognitive and process complexity — not a legal accessibility violation.
Document preview
Representative excerptForm CMS-40B — Application for Enrollment in Medicare Part B
Identity
- Provide your name and Medicare number exactly as shown on your card or notice.
- Provide your mailing address and telephone number.
Reason for enrolling
- Write your reason for enrolling in the remarks area.
- If you are in a special enrollment period, say so and describe your employment coverage.
Employment coverage
- Additional employment information may be requested on a companion form.
- Sign and date the application.
Short representative excerpts only — the full published document is linked above.
AXS — Accessibility Experience Score
Putting a number on the experience people face today
AXS — AccessForce Accessibility Experience Score
39 / 100
Illustrative score until audit completed
Form CMS-40B, Part B enrollment
AXS weighs technical accessibility at 40%, cognitive and content accessibility at 30%, and process accessibility at 30% — so an interface that is technically operable can still score low when the process itself is hard to get through.
How AXS worksAI accessibility audit
Ask AI to examine the experience
AccessForce reads the published application the way different people would have to, and reports what may stand in their way. These are AI-identified opportunities reviewed by a person — not legal findings.
AI redesign
Let Agentforce rebuild the interaction
The eligibility rules and the systems behind them stay exactly as they are. Only the interaction changes.
After
The same service, as a conversation
Enrolling in Medicare Part B — assistant
Hi. I can help you work through Medicare Part B enrollment. Before we start, how can I make this easier for you?
Before vs. after
Same public service, different experience
Before
Form-driven
- 📄 Printed two-page form
- ✍️ Free-form remarks
- 📅 Deadlines explained elsewhere
- 📬 Mail or in-person
- 🏛 Coverage terminology
After
Medicare for All Abilities — conversation-driven
- 💬 Describe what's changing
- 📅 Plain-language explanation of timing
- 🤖 AI-drafted statement you approve
- 🔊 Read aloud and adjustable text
- 💾 Pause and resume
- ♿ Adaptive accessibility
- 🙋 Human help
Same enrollment rules. Same coverage.
An experience built for the age it serves.
Measured
Before and after isn't just visible. It's measurable.
Before
39
AXS / 100
Major Barriers IdentifiedForm CMS-40B, Part B enrollment
AccessForce redesign
After
94
AXS / 100
Highly Accessible ExperienceAdaptive Agentforce conversation over the same requirements
+0
Accessibility Experience Points
39 → 94. Illustrative score until audit completed.
Dimension by dimension
Select “Why?” on any dimension to see the finding, the recommendation and the redesign decisions the improvement is credited to.
| Dimension | Before | After | Change | Evidence |
|---|---|---|---|---|
| Visual & Perceivable | 62 out of 100 before | 96 out of 100 after | +34 | |
Severity: MediumImpact area: Visual & Perceivable FindingDense pages ask people to scan long blocks of small print to find what applies to them. AccessForce recommendationPresent one question at a time, at a size and contrast the person can adjust.
Why did the score change?
| ||||
| Screen Reader & Semantic | 58 out of 100 before | 96 out of 100 after | +38 | |
Severity: MediumImpact area: Screen Reader & Semantic FindingThe reason for enrolling is captured as free-form remarks with no structure. AccessForce recommendationAsk short questions and let AI draft the statement for the person to review and confirm.
Why did the score change?
| ||||
| Motor & Keyboard | 48 out of 100 before | 96 out of 100 after | +48 | |
Severity: MediumImpact area: Motor & Keyboard FindingA printed form with small write-in areas assumes handwriting, signing and mailing. AccessForce recommendationOffer the same questions as keyboard-operable steps with a spoken option.
Why did the score change?
| ||||
| Cognitive Accessibility | 32 out of 100 before | 92 out of 100 after | +60 | |
Severity: HighImpact area: Cognitive Accessibility FindingApplicants must remember substantial historical information while navigating the application. AccessForce recommendationBreak the process into smaller steps, allow approximate answers where appropriate, save unresolved information and return to it later.
Why did the score change?
| ||||
| Plain Language | 30 out of 100 before | 94 out of 100 after | +64 | |
Severity: HighImpact area: Plain Language FindingGovernment and legal terminology assumes familiarity most applicants don't have. AccessForce recommendationAsk in plain language and explain terms in place, while preserving the original meaning.
Why did the score change?
| ||||
| Process Accessibility | 24 out of 100 before | 90 out of 100 after | +66 | |
Severity: HighImpact area: Process Accessibility FindingEnrollment timing rules live outside the form, and the consequences of timing can be lasting. AccessForce recommendationExplain which enrollment window may apply, and what to confirm with the agency, before anything is submitted.
Why did the score change?
| ||||
| Adaptive & Personalized | 22 out of 100 before | 95 out of 100 after | +73 | |
Severity: HighImpact area: Adaptive & Personalized FindingThe experience is the same for everyone, and assistance has to be discovered before it can be used. AccessForce recommendationAsk about accessibility needs and language first, then adapt the experience to the answers.
Why did the score change?
| ||||
Illustrative score until audit completed. Each change is credited to a specific redesign decision — a score never moves simply because a conversation exists.
Why did the score change?
Process Accessibility
24 → 90+66
Why?
- Irrelevant questions removed from view
- Branching handled dynamically
- Save and resume added
- Help available throughout
- One task presented at a time
- Human escalation available
Cognitive Accessibility
32 → 92+60
Why?
- Reduced information density
- One question at a time
- Plain-language explanations
- “I don't know” supported
- Approximate answers supported where appropriate
- Follow-up items saved rather than blocking progress
Scale
One accessibility engine. Thousands of experiences.
The same audit-and-redesign engine can point at any required experience. The systems of record behind them are never replaced.
- Government
- Healthcare
- Education
- Employment
- Sports
- Travel
- Emergency Response
- Financial Services
Don't make people adapt to forms.
Make forms adapt to people.
AccessForce: Forms for All
Built for Agentforce for Good • AI Fluency Track • Type C