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Speak with a licensed insurance agent:

1-833-265-9655

Find the optimal Medicare coverage options for your unique needs.

Discover Your Ideal Medicare Plan: Simplify, Compare, Choose with the Medicare Coverage Evaluator!

Ready to enroll in a Medicare Plan?

Medicare Coverage Worksheet

Step 1 of 10

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By entering your information below, you are embarking on the first step towards discovering the most suitable type of Medicare coverage for your needs. Let's get started!

ZIP Code(Required)

ZIP Code

Full Name(Required)

Enter your first and last name

Do you currently have Medicare coverage? (Select all that apply)(Required)

Original Medicare

Medicare Advantage Plan (Part C)

Medicare Prescription Drug Plan (Part D)

Medicare Supplement

I don't have any coverage yet

I'm not sure

Did you receive a letter from Medicare or Social Security that said you’re either eligible for or qualified for Extra Help paying for your Medicare Prescription Drug Plan costs (premium, deductible, and drug costs)?(Required)

Yes

I don't know

Do you take any prescription drugs? (optional)

Yes

Do You Value Your Choice of Doctors, Specialist, Pharmacy, and Hospitals?(Required)

Yes

No Preference

With Supplement Plans, you have the freedom to choose your own doctors and hospitals across the nation, as long as they accept Medicare patients. On the other hand, Advantage Plans often restrict you to using doctors and hospitals within their network, potentially limiting your access to preferred doctors or specialists.

Your Primary Care Doctor

Doctor name and address

How often do you see a doctor or receive medical care per year? (optional)

Rarely (5 or less times per year)

Occasionally (5 - 10 times per year)

Frequently (10 - 20 times per year or more)

You are not required to provide any health related information.

Do You Travel Often or Plan on Traveling?(Required)

Often

Occasionally

Rarely

Never

Supplement Plans offer nationwide access to doctors that accept Medicare, making it ideal for frequent travelers seeking care across different states. On the other hand, Advantage Plans are suitable for those who only require local network doctors and have limited travel needs.

Would You Rather Pay Out-of-Pocket Expenses or Have a Fixed Monthly Budget?(Required)

Pay out-of-pocket

Fixed Monthly Budget

Advantage Plans offer lower monthly premiums but require out-of-pocket expenses for coverage and unforeseen medical procedures or hospital visits. On the other hand, Supplement Plans have slightly higher monthly premiums but provide peace of mind by covering all expenses for doctors' visits and unexpected hospital trips.

What type of extra benefits would you enjoy?

Dental

Vision

hearing

Over-the-counter benefits

Transportation

Fitness Membership

What Monthly Premium Can You Afford?

Your Personalized Coverage Report is Nearly Complete.

Email(Required)

Enter your email address

Phone

Enter your telephone number

Address

Street Address Address Line 2 City State / Province / Region

Comments

This field is for validation purposes and should be left unchanged.

Privacy Notice: At our organization, we greatly value your privacy and prioritize the security of your information. Rest assured that we do not disclose or share any of your personal data with third parties. Your trust is of utmost importance to us, and we take every measure to protect your privacy throughout our services.

Lehigh Partners Senior Benefits Insurance Marketing is a licensed and certified representative of Medicare Advantage (HMO, HMO SNP, PPO, PPO, SNP, MSA, and PFFS) organizations and stand-alone prescription drug plans. Each of the organizations they represent has a Medicare contract. Enrollment in any plan depends on contract renewal. We do not offer every plan available in your area. Currently we represent multiple organizations which may offer products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. This is a solicitation for insurance.

This worksheet is designed to assist you in collecting the necessary information for a personalized analysis to find a Medicare Supplement, health (part C) and/or drug plan (part D) that fulfills your requirements. Conducting a personalized review will aid in determining the most suitable coverage type for your individual needs and budget.

The Medicare Coverage Worksheet is an aid intended to assist you in evaluating your coverage options. While it can be a helpful tool, we highly recommend seeking the guidance of a licensed insurance agent who can review your input answers and provide professional assistance. The worksheet should not be solely relied upon as a substitute for personalized advice from a qualified professional. A licensed insurance agent can offer valuable expertise and ensure that your coverage evaluation is thorough and tailored to your specific needs and circumstances.

Medicare coverage offers a range of options to meet your healthcare needs. These choices may encompass various lettered Medicare Supplement plans, Medicare Advantage (also known as Part C) as an alternative way to receive Medicare benefits along with extra benefits, Medicare Part D for prescription drug coverage, and additional products like hospital indemnity, critical illness, dental, vision, and hearing coverage. Together, these options create a comprehensive healthcare program tailored to your specific requirements and preferences.

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