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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.

AXS — Accessibility Experience Score

Putting a number on the experience people face today

AXS — AccessForce Accessibility Experience Score

39 / 100

Major Barriers IdentifiedIllustrative score until audit completed

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 works

AI 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?

How can I make this experience easier for you?

You can change these preferences at any time.

AccessForce explains the process and helps prepare an application. It never decides your enrollment period, coverage or premium — Medicare and Social Security do.

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 Identified

Form CMS-40B, Part B enrollment

AccessForce redesign

After

94

AXS / 100

Highly Accessible Experience

Adaptive Agentforce conversation over the same requirements

+0

Accessibility Experience Points

3994. 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.

AXS dimension scores before and after the AccessForce redesign, out of 100
DimensionBeforeAfterChangeEvidence
Visual & Perceivable62 out of 100 before96 out of 100 after+34
Screen Reader & Semantic58 out of 100 before96 out of 100 after+38
Motor & Keyboard48 out of 100 before96 out of 100 after+48
Cognitive Accessibility32 out of 100 before92 out of 100 after+60
Plain Language30 out of 100 before94 out of 100 after+64
Process Accessibility24 out of 100 before90 out of 100 after+66
Adaptive & Personalized22 out of 100 before95 out of 100 after+73

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

    2490+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

    3292+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