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Send Us Your Prescriptions:

Please submit your prescriptions below and we will use a Prescription Drug Tool to find the RX Part D Plan with the lowest annual total cost and contact you with a suggestion.

If you have any questions please call us 1-800-728-9609

 

 

 


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Please enter the county in which you live. Example: Fulton, Tarrant, etc.

Please select the state where you are located

Please enter your zip code.

Please enter your birthday (MM/DD/YYYY)

             Example: Lipitor Example:10 mg Example: 1 X day
If you select other dosage please explain in the additional comments section below. Please also submit a separate request for your spouse.

Medication #1   Dosage                 Frequency 

Medication #2   Dosage                 Frequency 

Medication #3   Dosage                 Frequency 

Medication #4   Dosage                 Frequency 

Medication #5   Dosage                 Frequency 

Medication #6   Dosage                 Frequency 

Medication #7   Dosage                 Frequency 

Medication #8   Dosage                 Frequency 

Medication #9   Dosage                 Frequency 

Medication #10 Dosage                 Frequency 

Additional Comments About Your Prescriptions/Or Questions:
 



                                 
 

 


 


 


Publications:

Medicare at a Glance

Medicare & You

Choosing A MediGap Policy

Medicare's Guide to Preventive Services

Your Guide to What Medicare Part A & B Covers



 

HomeMedicare Supplement Plan Comparison Chart Before 06/01/2010 | Medicare Supplement Plan Comparison Chart For 2017| Medicare Supplement Quote Request | Contact Us

ęCopyright 2017 The Medicare Channel All Rights Reserved. This website is a general description of benefits for Medicare Supplement plans. Although every effort is made as to the accuracy of the information on this website there is always the possibility of an error. If you see an error please contact us so we can correct it. The insurance policy will always determine benefits. Please contact us for an outline of coverage provided by each of the insurance companies we represent. Not all plans are available in all areas. If you submit a quote or information request a licensed agent will contact you. We engage in insurance sales only in the states in which we are properly licensed. We are currently licensed in AL, AR, AZ, CO, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, MI, MO, MS, NE, NM, NC, OH, OK, SC, SD, PA, TN, TX, VA & WV. Not affiliated with, authorized by or endorsed by the U.S. government or the federal Medicare program. For more information feel free to Contact Us.

   

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