Medicare Open Enrollment Starts October 15
Let SARCOA Help You Get Ready With Upcoming Events!

Medicare open enrollment for 2025 coverage starts on October 15, 2024, and continues through December 7, 2024. If you have not checked your Medicare coverage for 2024 now is the time and SARCOA can help! SARCOA is holding special events around our 7-county region to help inform seniors of the changes to Medicare coverage for 2025. For a complete list of event locations, dates and times click the button below.

If you plan to attend an event, please download a printable assessment form by clicking the button below. You may also contact Joy Riddle at 334-793-6843 or joy.riddle@sarcoa.org to request a form. Complete the form and bring with you to the event.

Plans change and your needs change. It is important to carefully review any materials and changes in costs or coverage that will happen in 2025, and decide if your current Medicare coverage will meet your needs for the year ahead.

Visit medicare.gov and use the Medicare Plan Finder to compare coverage options and shop for plans.

For free personalized assistance via The State Health Insurance Assistance Program ( SHIP ) complete the enrollment form below. If you would prefer to submit a form via mail, one may be picked up at your local SARCOA senior center or at SARCOA. You may also print out a form ( click here for a printable version ), complete it and mail to SARCOA.

    GENERAL INFORMATION































    MEDICARE CARD INFORMATION






    MYMEDICARE.GOV ACCOUNT INFO

    If you prefer not to provide the following login information, leave blank and a SARCOA representative will contact you.



    INCOME/SUBSIDY INFORMATION/POA





    PHARMACY INFORMATION



    If there are any prescriptions not covered by your plan please list them in the box below."

    Please list each of your prescriptions in the box below. For each, list the name exactly as it appears on the container, the strength, mg, mcg, ml, or other strength, the form, such as TAB, CAP, cream, ointment, liquid, etc., and the amount of each fill, such as 30/mo, 90/3 mo, 1 tube/mo, 2 vials/3 mo, 1 bottle/3 mo, 5 boxes of 3 pens/3 mo, etc.
    Remember to include injections, breathing treatments, ointments, creams, etc.

    CONTACT PREFERENCES
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    As an area agency on aging, SARCOA works to bring together funding sources and service providers to deliver services that assist both senior citizens and individuals with disabilities, helping them maintain their dignity, independence and quality of life.

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