IMPORTANT: Medicare charges a late enrollment penalty to anyone that does/did not enroll in a drug plan within their Initial Enrollment Period for Part D. For Information on the penalty, refer to Part D in the Medicare & You Handbook (click here to view) or go to Medicare.gov.
I understand that the PDP analysis and plan suggestion by Senior Health Direct will be based solely on the medications and information listed on this electronic RX Plan Profile form. I also understand that based on the drugs I take, the recommended prescription plan may have a deductable.
This is a solicitation of insurance.
By providing this information, you
agree that an authorized representative or licensed insurance
agent/producer may contact you by phone, email, or mail to answer your
questions or provide additional information about Medicare Advantage,
Part D or Medicare Supplement Insurance plans.