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Call Now:
856.866.8900 (Moorestown, NJ), 908.272.1970 (Cranford, NJ), 602.996.1549 (Phoenix, AZ)
This short video explains how to submit the Medicare Advantage Plan Review form and why the information is needed to complete the Review.

Medicare Advantage Plan Review

Depending on where you live, there could be ten (10) to fifty (50) different Medicare Advantage Plan options available.

If you would like some assistance reviewing these options to find the most appropriate plan option(s), you can complete the form below.

  • FOR ANNUAL REVIEW 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 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 form below is for existing clients, or new clients that have already set an appointment or phone appointment.
MAPD Review
?
If review is for Annual Enrollment, pick "2023"
?
Some people qualify for both Medicaid and Medicare. They could have different plan options available
?
To select multiple items, hold the Ctrl (PC) or Command (Mac) key. Then click on your selection(s).
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If you would like our assistance reviewing options, youo must authorize this.
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.

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Moorestown Office |  214 W. Main Street, Suite 101, Moorestown, NJ 08057 | Tel:856-866-8900
 Servicing Moorestown, Cherry Hill, Mount Laurel, Haddonfield, Voorhees, Medford, Marlton,  Philadelphia, surrounding towns, and licensed in 30+ other states as well.
 
Cranford Office        |  15 Alden Street, Suite 8, Cranford, NJ 07016                  | Tel: 908-272-1970 
 Servicing Cranford, Westfield, Summit, Scotch Plains, Mountainside, Berkeley Heights, New      Providence, Basking Ridge, surrounding towns, and licensed in 30+ other states as well.
​
Phoenix Office  | P.O. Box 
71283. Phoenix, AZ 85050.                                         | Tel:  602- 996-1549
Servicing Phoenix, Scottsdale, Peoria, Sun City, Sun City West, Paradise Valley, Fountain Hills, Cave Creek, surrounding towns and licensed in 30+ other states as well.

Email:  info@senior-advisors.com                                     (Se Habla Español -Tel: 908.481.5678)   

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  • Home
  • FREE Quotes
  • About YOU
    • Turning 65, Ready to enroll?
    • Working Past Age 65?
    • Already on Medicare, Looking to Save Money?
    • Currently on a Retiree Plan?
  • About Us
  • Products
    • Medicare Supplements & Medicare Advantage >
      • Medicare Supplement - Plan F >
        • Plan F (2022)
        • Plan F (2023)
      • Medicare Supplement - Plan G >
        • Plan G (2022)
        • Plan G (2023)
      • Medicare Supplement - Plan N >
        • Plan N (2022)
        • Plan N (2023)
    • Medicare Part D - Prescription
    • Medicare & Dental
    • International Travel
    • Long-Term Care Insurance
    • Cancer and Heart Attack or Stroke Insurance
    • Medigap Plans
  • Workshops
    • Register for Workshop
    • Watch Workshop Now
  • Carrier Partners
  • Medicare Blog
  • Testimonials
  • Contact Us
  • Become an Agent
  • Areas We Serve
    • Basking Ridge, NJ
    • Livingston NJ
    • Medford, NJ
    • Mountainside, NJ
    • Mount Laurel, NJ
    • Philadelphia, PA
    • Phoenix, AZ
    • Scotch Plains, NJ
    • Scottsdale, AZ
    • Short Hills, NJ
    • Summit, NJ
    • Westfield, NJ
    • Princeton, NJ
    • Washington Township
    • Monroe Township, NJ
  • Medicare FAQs
  • Coffee with Justin
  • Medicare Minute