Plan 1 plan 2 plan 3 current physician current prescriptions nurse phone line hearing exams dental services vision services chiropractic care acupuncture. Medicare prescription drug planfinder counseling tool. You can join, switch, or drop a medicare health or drug plan during medicares open enrollment period. Medicare plan finder worksheet pdf get tips on how to figure out which type of medicare plan might be right for you and how to find plans in your. Medicare plan finder worksheet revised may 2017 national training program medicare plan finder worksheet you can join, switch, or drop a medicare health or drug plan during medicares open. The medicare d plan finder is a tool to help you find the right medicare supplemental insurance and medicare part d plan. Medicare plan finder worksheet a free, unbiased service of calrima financial and insurance agency, the statewide health insurance benefits advisors provides consumers with information about their. The following questionnaire provides the necessary information that ship volunteers and staff need to prepare a. Medicare part d rx plan finder worksheet a free, unbiased service of the washington state office of the insurance commissioner, the statewide health insurance benefits advisors shiba provides. Medicare advantage plan finder worksheet comparing plans complete this chart with the name of the plans available in your area and then put a check mark on their key features. However, you may have to use the plans doctors and hospitals to get services. Medicare plan finder worksheet pdf get tips on how to figure out which type of medicare plan might be right for you and how to find plans in your area. Medicare prescription drug plan finder worksheet for best results, please answer all questions in blue or black ink and print carefully. You can shop here for drug plans part d and medicare advantage plans.
What information do i need to join a medicare drug plan. For example, if a plan covers your current prescriptions, put a check mark in that box. The following results are based on your search for. The personalized search will provide more accurate results. Use the worksheet on the other side to compare plans and decide which one best fits your needs. This is a 2014 handbook, but you may read it online.
The gold standard in medicare fitness programs for body and mind, exclusively from unitedhealthcare medicare plans, at no additional cost. Use this worksheet to help gather all the information you need to choose a medicare drug plan that meets your needs. Easier than ever to compare coverage options and shop for. The medicare plan finder web tool, can help you search for and compare medicare. You can use this worksheet to help you enrollment decisions to find a medicare health andor drug plan that meets your needs. Ask the beneficiary to bring or have available all cards and letters e. Call 1800medicare 8006334227 and a medicare representative will ask you for the information you entered on the worksheet. Government site for people with medicare, for the latest information on medicare enrollment, benefits.
When you pair medicare with a medigap plan or a medicare advantage plan my questionsnotes insurance terms what those words and phrases mean. Medicare personal plan finder centers for medicare and. Todo checklist for benefits counselors prior to meeting your client. Starting in october, use medicares plan finder to find a plan that meets your needs. Medicare supplement prescription coverage 2018 medicare. Medicare plan finder worksheet you can join, switch, or drop a medicare health or drug plan during medicares open enrollment period, which runs from october 15 december 7 each year. Family foundation, medicare advantage fact sheet october 2017 at. Preparing for medicare worksheet oregon health insurance state. Medicare prescription drug planfinder counseling tool medicare number.
Then use a simple chart to compare plans side by side. Medicare prescription drug coverage personal information. Using this worksheet may help you or a shiba counselor understand your medicare options and deadlines. You can join, switch, or drop a medicare health or drug plan during medicares open enrollment period, which runs. A free, unbiased service of the washington state office of the insurance commissioner, the statewide health insurance benefits advisors shiba provides consumers with information about their medicare part d prescription drug options. These plans add coverage to the original medicare plan and some medicare. This will provide you an overview and what options are available for you. Make shopping easier with this easytouse worksheet. You can join, switch, or drop a medicare health or drug plan during medicares open. Medicare plan worksheet medicare part d or medicare part c. The medicare plan finder can do a basic or personalized search. Standalone prescription drug plan pdp medigap medicare advantage ma plan ma with prescription drug coverage mapd ma with separate pdp only pffs. Medicare guides and worksheets healthy colorado insurance.
People with medicare, family members, and caregivers should visit medicare. Medicare prescription drug plan finder medicare add. Medicare part d or medicare part c medicare claim effective date part a effective date part b. You may also call 1800medicare 8006334227 for assistance over the telephone. They may receive you a copy before your 65th birthday. You can choose original medicare parts a and b, which is provided by the federal government. I hereby release any and all liability that may possibly be attributable to the volunteer counselor and agree not to pursue any legal. Our local geisinger gold medicare advisors can help you find high quality medicare coverage at a great value. With medicare\s complexity, it\s easy to get confused. Medicare plan finder worksheet medicare made clear. Page 2 of 3 do you currently have insurance coverage for. See how well you understand the health care plan that\s so critical for retirees. Medicare advantage plans are required to put a cap on how much members may pay in out.
Call 1800medicare 8006334227 and a medicare representative will ask you for the. Please fill out as much of the information on this worksheet as possible. Find a medicare plan you can shop here for drug plans part d and medicare advantage plans. Apply for local assistance if you would like local assistance you may fill out the medication worksheet pdf. Find out how to get medicare prescription drug coverage. Your guide to medicare prescription drug coverage part d.
Your guide to medicare prescription drug coverage medicare. The medicare plan finder tool above is the best way to search for a medicare. Comparing plan coverage if the plan covers the below benefits or services, put a check mark in the box. You may find it helpful to gather all of your prescription drug bottles. Do i need to enroll in medicare part b doctoroutpatient coverage with a monthly premium. Medicare part d prescription plan worksheet 18778010044. Medicare supplement premium comparison guide chicago area updated 3. Use medicare plan finder to compare coverage options and shop for plans.
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