Health Questionnaire Forms

Please choose the appropriate form for the type of Medicare plan for which you are applying.        

 

Medigap Supplement Analysis Form - click here
 

Medicare Advantage Analysis Form - click here

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1. Please download and print the form, fill it out legibly and return it to us

2. Return it to us in 1 of 3 ways.
    A. Please scan or send a photo of the pages and email it to the manager you're working with
    B. Send it to our secure fax server at 919-400-4252
    C. Mail it to us (slowest method) at:
          Medicare Experts
          5448 Apex Peakway, Ste 303
          Apex, NC 27502

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