Client Contest - Jan 2023
This contest is for Sarita's Medicare clients.  The purpose is to push you to get the basics of your Medicare plan nailed down as soon as possible.  That way you will get all of the benefits your plan offers and your 2023 will be the best. 
Sign in to Google to save your progress. Learn more
Confirm:  I got my Carrier's Welcome Package including my card(s) for services. *
What is your Carrier's name? *
What is the name of your plan? HINT: it is on your card and/or on the cover of the book I left with you, or in the paperwork you got from your carrier.  
I have set up at least ONE appointment with either my Primary Care Provider or a Specialist for a visit. *
BONUS QUESTION!  Extra entry to win! 

Name the two parts of Original Medicare and what they cover.
What is your name (I need this to enter you into the random drawing)?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms