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Medicare Broker Intake From

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$19.99
$19.99
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I’m selling these sheets because I know firsthand how much time and stress it can save to have organized, easy-to-use tools right at your fingertips. Whether you’re new to the Medicare business or a seasoned agent, having these tracking sheets can make a world of difference. When I first started, I wished I had all these resources readily available to help me stay organized and focused on my goals. It would have saved me so much time and headaches. Even today, these sheets continue to help me on a regular basis by keeping my business running smoothly and efficiently. I truly hope these resources can do the same for you, helping you stay on top of sales, commissions, and client information so you can focus on growing your business and helping clients.



Medicare Client Intake Form: Essential Information for Enrollment

This Medicare Client Intake Form is designed to help brokers efficiently collect important details about a client’s personal information, health plan, primary care provider, and eligibility for additional benefits. The form is divided into the following key sections: Personal, Health, Primary/Specialists, Prescription List, Special Needs & Extra benefits. This intake form is designed to ensure that brokers gather the necessary information to recommend the most appropriate Medicare plans for their clients, taking into account health conditions, prescription needs, and eligibility for additional benefits. It is a critical tool in ensuring a smooth and effective Medicare enrollment process. (Eng Front and Back, Second Page: Spanish Front and Back)

You will get a PDF (404KB) file