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Medicare Forms & Fliers
2026 Sales Materials
2026 Pre-Enrollment Forms
| Permission to Contact Form (PDF) English | Spanish |
| 2026 PreEnrollment Checklist (PDF) English | Spanish |
2026 PPO Documents
| 2026 Presales Book - Complete and Essential (PDF) English | Spanish |
| 2026 Presales Book- Salute (PDF) English | Spanish |
| 2026 Enrollment Form – Complete and Essential (PDF) English | Spanish |
| 2026 Enrollment Form – Salute (PDF) English | Spanish |
| 2026 Summary of Benefits – Complete (PDF) English | Spanish |
| 2026 Summary of Benefits – Essential (PDF) English | Spanish |
| 2026 Summary of Benefits – Salute (PDF) English | Spanish |
| 2026 Annual Notice of Change – Complete (PDF) English | Spanish |
| 2026 Annual Notice of Change – Essential (PDF) English | Spanish |
| 2026 Annual Notice of Change – Salute (PDF) English | Spanish |
2026 HMO-SNP Documents
| 2026 Enrollment Form – DualPrime (PDF) English | Spanish |
| 2026 Presales Book – DualPrime (PDF) English | Spanish |
| 2026 Summary of Benefits – DualPrime (PDF) English | Spanish |
| 2026 Annual Notice of Change – DualPrime (PDF) English | Spanish |
Medicare Advantage Post-Enrollment Forms
| Prescription Claim Form (PDF) |
| Appointment of Personal Representative (PDF) |
MedPlus Agent Contracting
| Agent/Agency Update Form (PDF) General Agency Use |
| General Agency Contacts for New Agents (PDF) |
| Consumer Direct Products Independent Contractor Form (PDF) Agent Use |
MedPlus Pre-Enrollment
| Replacement of Coverage Form (PDF) |
| Broker Acknowledgement Form (PDF) |
| Pre-Sales books: |
MedPlus Post-Enrollment
| MedPlus Household Discount Request Form (PDF) |
| Membership Change Form (PDF) |
| Reinstatement Request Form (PDF) |
| Authorization for Access to Personal Information (PDF) HIPAA release |
General
Medicare Advantage
| 2026 Medicare Advantage Sales Presentation – Complete and Essential (PPT) |
| 2026 Top 100 Drugs Flier (PDF) English | Spanish |
| 2026 Medicare Overview Trifold (PDF) English | Spanish |
| 2026 DualPrime Overview Trifold (PDF) English | Spanish |
| 2026 Essential and Complete Overview Trifold (PDF) English | Spanish |
| 2026 Salute Overview Trifold (PDF) |
| Medicare Advantage Open Enrollment Period (PDF) |
| Agent Do’s and Don’ts of Medicare Compliance (PDF) |
| Appointment Checklist (PDF) |
| The Medicare Advantage Difference: Whole Health (PDF) |
| How Does Your Current Medicare Plan Measure Up Flier (PDF) |
| What to Expect After You Enroll (PDF) |
| 2023 MA Agent Manual (PDF) |
| MA Porter Health Job Aid (PDF) |
Medicare Advantage Supplemental Vendors
Nations Hearing
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SilverSneakers Fitness
|
| Blue365 Flier (PDF) |
MedPlus
| MedPlus Sales Brochure (DC) (PDF) |
| MedPlus Sales Brochure (VA) (PDF) |
| MedPlus Sales Brochure (MD) (PDF) |
| Medicare & MedPlus 2023 Updates (PDF) |
| CareFirst Dental - It's the Right Decision Flier (PDF) English | Spanish |
SilverSneakers Fitness
|
| Blue365 Flier (PDF) |