Your Local Healthcare Benefits Specialist
 
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 Michigan Health Plans

 
Senior Health Care Coverage
Medicare Supplement /Medigap
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New Medicare Advantage Plans

Did you know you can combine Medicare health coverage and prescription drug coverage – in one simple plan, at one low price?

Guaranteed renewable coverage to protect you from the portion of bills that Medicare doesn't pay.

Plan A through F available.
Compare our rates and save!
Prescription Coverage
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Medicare Prescription Drug Coverage

Medicare’s prescription drug coverage is available for anyone with Medicare, regardless of income. There are many different drug plans available in Michigan. These drug plans are approved by Medicare, but administered by private companies. Your Local Michigan Health Plans - Healthcare Benefit Specialist Agent is available to personally assist in you in getting the Plan that best meets your needs.
Long Term Care
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Protect yourself from the high cost of long-term care!

Help maintain your financial independence.

Receive the care you want and need in your community and from the care providers of your choice.

Final Expense Protection
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Plan Ahead for your family and loved ones.

Senior Health Care Coverage
Proposal Request

Please Check all that apply:

Medicare Supplement/Medigap Prescription Coverage
Long Term Care Final Expense Protection
Medicare Advantage Dental Plan
Vision Plan
Name/Address/Phone
Name:
Address:
City:
State:
Zip Code:
County:
Phone Number:
Email:
Information of those you are looking to have insured:
Male  
Age:
Smoker:
Yes No
Height:
Weight:
 
Female  
Age:
Smoker:
Yes No
Height:
Weight:
  Health Plan
Are you covered under Medicare Parts A and B?

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Any known Medical Conditions?

Please explain if yes:

 

Yes No

Taking any medication(s)?

Please explain if yes:

Yes No

If you are applying for Medicare Supplement / Medigap, and know the plan you want, please indicate.

Comments, Questions, or Concerns


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Your Local Healthcare Benefits Specialist

 
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 Michigan Health Plans

 
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