Medicare Transition Questionnaire 

Preparing for Medicare? We’re Here to Help!

Whether you’re turning 65, planning for retirement, or assisting a loved one, navigating Medicare can feel overwhelming. HealthTeam Advantage is here to provide the information you need to make confident decisions about your health and finances.

Get started by answering a few quick questions below, and we’ll send you a FREE Medicare Planning Kit, including:
  1. Simple Guide to Medicare
  2. Benefits at a Glance Brochure
  3. Estate Planning Checklist

Let’s make Medicare planning easier—start today!

NTM 2025

About You

Your Name(Required)
1. Which best describes your situation(Required)
2. Do you already have Medicare?(Required)
3. Will you continue to receive health coverage from you pension plan or your employer when you retire?(Required)
4. Your Email Address
5. How would you like to receive your FREE Medicare Planning Kit?(Required)
Your Address

HealthTeam Advantage, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a PPO and HMO Medicare Advantage plan with a Medicare contract. Enrollment in HealthTeam Advantage depends on contract renewal. Free gift without obligation to enroll.

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