Medicare Part D Prescription Plans

Prescription Drug Plan Comparison Form

Please follow the link above to fill out the comparison form, along with the scope of appointment confirmation form. Please let us know if you have any questions or prefer to print and fill it out by hand. The submit (FINISH) button is at the Top Right of the document.

 

“We do not offer every plan available in your area.  Currently we represent 4 insurance carriers which offer 19 plans in your area (Idaho).  We also represent 2 carriers which offer 35 plans in your area (Arizona).  Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.”