Medicare Part D

Medicare Part D Prescription Plans

Prescription Drug Plan Comparison Form

Download the form here as a PDF. Print, Fill, and fax or email to Karl. Mail-ins are also accepted. Also, please complete the scope of appointment form attached.

“We do not offer every plan available in your area.  Currently we represent four insurance carriers which offer nineteen plans in your area.  Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.”