Dear Client,

 

In order to better assist you during the annual enrollment period from October 15th-December 7th, we ask that you use the form below to list your prescription medications and grant us access to your online profile with MyMedicare.gov. Access to your Medicare online profile will only be used to research medications on your behalf. 

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All sensitive data is encrypted for your safety and client information is kept secure in accordance with the Federal Health Insurance Portability and Accountability Act (HIPPAA).