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Allowance amounts cannot be combined with other benefit allowances. Limitations and restrictions may apply. Allowance benefits vary by plan, insurance carrier, and geography.
Federal Contracting Statement (FCS) Disclaimer: Participating sales agencies represent Medicare Advantage HMO, PPO, PFFS, and SNP organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.
TPMO Disclaimer: We do not offer every plan available in your area. Currently we represent [79] organizations which offer [303] products in your area. Please contact Medicare.gov or 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Year Round: Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period.
Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage Dual Special Needs Plan, Medicare Prescription Drug plan, Medicare Supplement Plan, or any other Medicare plan. Quote Source is independent of the Medicare program and is neither associated with nor endorsed by The Centers for Medicare & Medicaid Services (CMS) or any other governmental agency.
If you are paying Medicare Part B premium, you must continue to pay it to maintain coverage.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may apply.
Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.
For [carrier], [carrier], [carrier], [carrier], [carrier], [carrier], [carrier],[carrier], and [carrier] *Benefit(s) [This spending allowance] is a special program for members with specific health conditions. Qualifying conditions include: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure, chronic high blood pressure, chronic high cholesterol, Hypertension, Hyperlipidemia, Cancer, and/or among others. This is not a complete list of qualifying conditions.Some plans require at least two conditions and other requirements apply. See the plan’s Evidence of Coverage for details. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply. [If you use this program for rent or utilities, Housing and Urban Development (HUD) requires it to be reported as income if you seek assistance. Contact your local HUD office if you have questions.]. Contact us to confirm your eligibility for these benefits
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