2027 Medicare Open Enrollment

Let's Review Your Medicare Options for 2027

Have questions about your Medicare coverage? We're here to help.

Schedule a personal appointment with E&E Solutions Group to discuss your Medicare options for the upcoming year.

Free, no-obligation consultation with Reyna Edwards

2027 Medicare Intake

Medicare Intake Form

Please provide your current contact information so our team can prepare for your appointment. Then tell us which Medicare benefits you'd like to learn more about.

Contact Information

Please provide your current contact information so our team can prepare for your appointment.

First Name *

Last Name *

Email *

Phone *

We respect your privacy. No spam.

Best Way to Reach You? *

Best Time to Contact You? *

Do you have Medicare and Medicaid?

This helps our team understand which programs may apply to you.

Select your status *

Medicare Benefit Preferences

Which of the following Medicare benefits would you like to have or learn more about?

Select all that apply.

Food BenefitsLearn about food allowance benefits that may be offered by certain eligible plans, potentially ranging from $50 to $350 or more per month where available.OTC AllowanceBenefits for eligible over-the-counter health products.Transportation AssistancePossible assistance with transportation to eligible medical appointments.DentalAvailable dental coverage and eligible dental services.VisionEligible eye exams, glasses, and vision services.HearingAvailable hearing exams and hearing aid coverage.Gym MembershipEligible fitness programs or gym membership benefits.

Medicare benefits, allowance amounts, eligibility, and availability vary by plan and service area. Not all benefits are available to every beneficiary.

Your information is protected & never shared. Free, confidential benefit review.

Medicare plan benefits, coverage, costs, and eligibility vary by plan and service area. Submitting this form does not guarantee enrollment or qualification for any benefit.