Veteran's are getting up to $1,800 off their Part B Premium Annually
FIND OUT HOW BELOW
First Name
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Last Name
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Date of Birth (MM/DD/YYYY)
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Are you a veteran?
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Yes
No
Do you have any of the following coverages?
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Tricare for Life (Retired Military: 20 years served)
ChampVA (Spouse of Retired Military)
I have neither of those coverages
What branch of the military did you serve in?
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Army
Navy
Air Force
Marines
Other: Coast Guard, Space Force, etc
Do you have Medicare Part A AND Part B?
Yes
No
Phone
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Do you use the VA for your medication coverage?
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Yes
No
Veteran Disclosure: Check box to verify
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I verify that all my answers are true to the best of my knowledge.
Signature
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