Medicare Supplements Brochures & Applications

      Eastern Washington

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Medicare Supplement Overview (PDF)
Outline of Coverage (PDF)
Medicare Supplement Application   Mailing instructions
I'm back, and I want to check the status of my application
Notice of Replacement Form
EFT (Electronic Funds Transfer form)

Available Statewide

Outline of Medicare Supplement Coverage Plans A, C, F & I
Application    Mailing Instructions
Automatic Funds Transfer (AFT)
Notice to Applicant Regarding Replacement of Medicare Supplement Coverage

      Western Washington

Check Availability in Your County

Medicare Supplement Overview
Outline of Medicare Supplement Coverage
Application for Supplement to Medicare   Mailing instructions
Electronic Fund Transfer Payment Option
Regence Advantages Discount Program

Outline of Medicare Supplement Coverage
Application   Mailing instructions
Surepay Automatic Premium Payment Form
Replacement Form

Available in Clark County

Save on Prescriptions

Other Ways to Save on Prescriptions