Harvard Pilgrim Plan G – $205

Application

Complete the information below to sign up for this plan.

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Number *

Email Address

Date of Birth: *

Your Medicare Card ID Number *

Part A start date: *

Part B start date: *

Add Prescription Drug coverage?

Part D Drug PlanYesNoPlease contact me

List all your prescriptions below.

Please confirm you understand that Plan G requires you to pay the Part B Deductible each year. *I understand this plan has a $185 annual deductible.

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Have Questions?

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Testimonials

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“Thank you so much for all of your help, Todd!!! You have made things a lot less stressful for me!!!!”

– Melody B., Kennebec County, Maine

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“Todd came to our home and explained how much we could save by switching to a Medicare Advantage plan from our Medicare Supplement. And even though we have had a lot of unexpected medical bills this year we are still saving more than we thought!”

– Karen R., Somerset County, Maine

⭐⭐⭐⭐⭐

“Todd provides a greatly needed professional service that makes life so much easier for anyone needing insurance. After making a spur-of-the-moment decision to retire, I was very confused as to my options for insurance. Todd provided the information in a way that was so easy to understand. He promised that he would provide all the help I needed and he followed through with every commitment he made. I am grateful for his knowledge and insights, and pleased with what we were able to accomplish easily, stress-free and in a very short period of time.”

– M.D., Hillsborough County, New Hampshire