Medicare Part D

Prescription Drug Program

FAQ (Frequently Asked Questions)

Part D Form (click to open)

Please download and print off this document to help you collect the necessary information to compare Part D plans. After completing the form, you can:

        a.) go to http://www.medicare.gov and use their online form to compare plans.

        b.) mail the completed form to the address below and someone will contact

            you to address your specific needs. Assistance could be in the form over the

            telephone or a face to face meeting, to be determined on a individual basis.

                                ADRC OF OZAUKE COUNTY

                                PART D HELP

                                PO BOX 994

                                PORT WASHINGTON WI 53074

Web Links:  www.medicare.gov

                    www.WisMedRx.org

No information about or obtained from an individual participant shall be disclosed in any form identifiable with the individual to any person outside the agency or program involved without the informed consent of the participant or his/her legal representative except:
 a.) By court order or
 b.) When securing client requested services, benefits, or rights.