Medicare Resource Center

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We are here to help clients get all their benefits that their Medicare plan offers like a Personal Emergency Response System (PERS), Essential Extras, flex card, Over-the-Counter (OTC) cards, food cards, hearing aids, diabetic shoes, and diabetic supplies, just to name a few. Call us instead of misleading ads that draw you in. We are here to educate you and assist you at no cost or obligation.

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Client Drug List for Annual Enrollment

Executive Assistant

Cassie James

Main-Phone: 606-780-1387

Toll-Free: 1-888-399-0324

Name(Required)

First Last

Your Phone #:(Required)

Email

County you live in:(Required)

Your Zip Code:(Required)

Your Current Medicare Plan:(Required)

Do you receive Extra Help?(Required)

Yes

No

I'm not sure

Medication(Required)

Medication Name (example: Lipitor)

Dosage (example: 20mg)

Frequency (example: Once Daily)

Pharmacies you prefer: Please list at least 3.(Required)

Just as important as it is to review your medications, we need to make sure your pharmacy is listed as standard or preferred with carrier.

Changes:

Address

Household Income

Other (please list)

Changes

Client Drug List for Annual Enrollment

Client Drug List for Annual Enrollment

Name(Required)

First Last

Your Phone #:(Required)

Email

County you live in:(Required)

Your Zip Code:(Required)

Your Current Medicare Plan:(Required)

Do you receive Extra Help?(Required)

Yes

No

I'm not sure

Medication(Required)

Medication Name (example: Lipitor)

Dosage (example: 20mg)

Frequency (example: Once Daily)

Pharmacies you prefer: Please list at least 3.(Required)

Just as important as it is to review your medications, we need to make sure your pharmacy is listed as standard or preferred with carrier.

Changes:

Address

Household Income

Other (please list)

Changes