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Forms & Resources

This section of our website is designed just for you. Here, you’ll find helpful forms, easy-to-read articles, and presentations that explain important topics in plain language. Whether you’re looking for guidance, information, or just want to stay informed, everything you need is in one convenient place. Take your time, look around, and know we’re always here if you have questions. .

 

You can also securely upload your forms and materials here, making it simple to share information directly with Lori.

Resources &
Booklets

Medicare and You

How To Avoid Medicare Fraud

Articles

Choosing Your Medicare Plan

Can you really get a Medicare Advantage
Plan for $0?

Important Medicare

Forms

Scope of Appointment Application

Medicare Part B Application for Enrollment

Medicare Part B Request or Employer Information

Power of Attorney

Ohio Living Will

RX  Drug Form - Submit your prescriptions and provider information

Bellman & Associates

1213 Rockside Rd Parma, OH 44134

ALL RIGHTS RESERVED – BELLMAN & ASSOCIATES, LLC HEALTH INSURANCE BROKER

 

We do not offer every plan available in your area. Currently, we represent 8 organizations which offer 75 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options.

 

This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program, please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov

©2023 by Medicare With Lori

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