To start Medicare you must contact them and they will send you a Medicare card. If you are already recieving Social Security benifits or benifits from the Railroad Retirement Board you shoud be automatically enrolled the first day of the month that you turn 65. I have included some sites to assist you with more information.
http://www.cms.hhs.gov/apps/firststep/content/medicare-enroll.html
http://www.cms.hhs.gov/apps/firststep/content/medicare-enroll.html
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