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Forms and Documents

 

New Client Inquiry Form
Scope of Appointment Form
Medicare Part B SEP for Employer

Request for Employment Information (CMS-L564)

Medicare Part B SEP for Employee

Application for Enrollment in Part B

(CMS-40B)

Medicare Coverage Options

There are 2 main ways to get your Medicare coverage click to learn more. 

Medicare Part B and D Costs
Medicare Supplement (Medigap)
Medicare & You Handbook
Medicare Basics 
Inflation Reduction Act - 2023 Handout
Medicare Prescription Payment Plan (M3P) 
Understanding Your Medicare Premium Bill (CMS-500)
4 Ways to pay your Medicare Premium Bill