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FREE Prescription Drug Plan Analysis

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Each year between October 15 and December 7, individuals have an opportunity to change their Prescription Drug Coverage with Medicare Part D.


Other than initial enrollment in Part D of Medicare, this is the only time throughout the year that you can change Part D (Prescription Drug Plan) of Medicare.


During each Annual Enrollment, it is critical to review your drug card to make sure you have the best drug card based on your specific drug lists.  There are about 30 different drug cards to choose from and the coverages, premiums, deductibles, change each year.


For all of our Medicare supplement customers, we offer a FREE Annual review of their drug coverage to make sure they have the best drug cards available.

New Medicare Plan finder video


​If you would like to watch a quick video of how to use the Medicare Plan Finder tool to complete your own Part D analysis, click the Video to the right.

​If you would prefer that we complete the Part D analysis for you, complete the Rx Information form below.

Online RX Entry Form

​​Submit the form below to have your drugs analyzed to identify the right drug card for your specific needs. 
  • FOR FORMS SUBMITTED AFTER NOVEMBER 15, THERE IS NO GUARANTEE WE WILL HAVE A CHANCE TO REVIEW & RESPOND BY DECEMBER 7 DEADLINE.  WE WILL GIVE BEST EFFORTS, BUT WE CANNOT GUARANTEE A RESPONSE BY DECEMBER 7 DUE TO THE VOLUME OF REQUESTS.
  • ​Do NOT include Vitamins, Supplements, or OTC drugs since these are not covered by Part D.   Please ONLY list Prescribed Medications in the form. 
  • If you have an upcoming doctor's appointment (e.g. in October/November) that could impact your Rx list, please put a Note in the 'Additional Drugs/Info' field.
  • Also do NOT include diabetic supplies (e.g. test strips, needles, etc.) since these are covered by Part B of Medicare under Durable Medical Equipment not under Part D of Medicare.  The exception to this rule is the Omnipod "pods" since these are covered under Part D (not Part B).
  • If you are not taking any medications, complete the fields below and select "No" for "Do you currently take any medication?", skip the Drug Info fields, and click Submit.
  • If you drug list has not changed from the prior year, we still need you to complete the RX form to make sure we have all the correct RX information.
  • If you are taking prescribed medications that are NOT pill form (e.g. Insulin, Eye Drops, Creams, Lotions, Inhalers), in the "times per day" field below please just enter the amount per month that you fill (e.g. 5 pens per month, 1 bottle per month, 1 inhaler per month, etc.)
  • If your drug is "as needed" or "PRN" please put an estimate in the "times per day" fields below (e.g. refill inhaler twice per year).
The Part D Rx form is for one individual.  Do not submit information for multiple people on the same form.
For example, a husband and wife need to submit one form each with their individual information.

The Rx form below is for existing clients, or new clients that have already set an appointment or phone appointment.
Part D RX Information
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If you have more than 10 drugs to enter, put the additional drugs (Drug 11, 12, etc.) in "Additional Drugs/Info" field.

​If everything was entered correctly, after you click SUBMIT you should receive a Confirmation page and a Confirmation email.

Please do not click the SUBMIT button more than one time - since this will create duplicate submissions.