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Medicare Basics
- New to Medicare
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DV@AMERICANSENIORSAVINGS.COM

DROP US AN EMAIL

888-994-0838

SPEAK WITH AN EXPERT TODAY

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SUBMIT YOUR MEDICATIONS

Rx Drug Lookup Form

Full Name

Email

Telephone

Date of Birth

Zip code

Medicare Info
From your red, white and blue Medicare Card

Medicare Claim #

Hospital (Part A) Effective Date

Medical (Part B) Effective Date

Pharmacy Info

Which Pharmacy Do You Use?

Vons Walmart Walgreens Costco Rite Aid CVS Other

How do you order your Prescription Drugs today?

Mail Order Local Pharmacy Both

RX Drug Search

Drug Name

Dosage

Brand(B) or Generic(G)

Times Per Day

Provider Search

First Name

Last Name

Speciality

City

Zipcode

Questions, comments additional medications

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888-994-0838
DV@AMERICANSENIORSAVINGS.COM
4225 Executive Square, Suite 600 La Jolla, CA 92037
Mon-Thurs: 8:00AM – 5:30PM PST
FRI: 9AM – 4PM PST

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Licensed Insurance Agency

Not connected with or endorsed by the United States government or the federal Medicare program

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or ‍1-800-MEDICARE to get information on all of your options.

Medicare has neither reviewed nor endorsed this information. Not connected with or endorsed by the United States government or the federal Medicare program.

By calling the number above you will be directed to a licensed insurance agent. Medicare has neither reviewed nor endorsed this information. Last Updated 5-11-2016.

Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

In some states, all Medicare Supplement plans are offered to qualified individuals under the age of 65.

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