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    Medicare Part D Questionnaire
    (Annual enrollment Period 10/15/23 - 12/7/23)

    (If you are on Inhalers, Ointments and Creams please list on your sheet how often you fill EACH of them. If you take Insulin please note how many pens per month.)

    ​As always, your referrals are very much appreciated. If you know of someone who might benefit from ANY of our services, please complete the following information:
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    ​Questions?
    Call Maureen at 608-234-1521.
    Thank you for choosing Binning Insurance!
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Maureen Binning
Senior Services Specialist
binninginsurance@gmail.com
​(608) 234-1521
Have Questions? Ready to Get Started? Contact us for a free consultation. Work with Binning Insurance to help find the Medicare coverage right for you.

    Contact Maureen

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“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.”
  • Home
  • Part D Questionnaire
  • What We Do
  • A,B,C,D's of Medicare
  • Contact
  • Find A Plan