10744 State Hwy 18
PO Box 200
Each year during an “Annual Election Period” or “AEP” that runs from October 15th through December 7th, you are free to choose a different drug plan (PDP) that best meets your needs*. The new plans begin on January 1st in the following year. We can help you in determining which plan to choose. Once you provide us with a current list of your medication, we look at all the available plans and then make an appointment to help you make an educated decision about the “PDP” that you will have for the next plan year.
Print the form and email or mail it back to us to get started.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area.Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
*Medicare offers prescription drug coverage to everyone with Medicare. If you decide not to join a Medicare Prescription Drug Plan when you're first eligible, and you do not have other creditable prescription drug coverage, you'll likely pay a late enrollment penalty. (www.medicare.gov)
Mail to: PO Box 200, Conneaut Lake, PA, 16316