Download Your Free Medicare Needs Analysis Form - Western Asset Protection
medicare needs analysis

Download Your Free Medicare Needs Analysis Form

Agents: Would you like a more consistent and efficient process for gathering information from new Medicare clients?

Our all-new Medicare Needs Analysis form can help!

With this short, intuitive form, you can quickly capture essential information about beneficiaries and their spouses, without forgetting key questions such as:

  • Existing coverage, effective dates and costs
  • Service preferences
  • Tobacco usage
  • Creditable coverage
  • Budget
  • Travel
  • Doctors, prescriptions and medical concerns

 

Don’t go another day without it! Download your free Needs Analysis Form now