Resources

Forms and Documents

Appointment Checklist
Scope of Appointment Form
Enrollment Form - 2019 Standard
Enrollment Form - 2019 Focus DC

Important Medicare Contacts

Social Security:
Website
1-800-772-1213
(TTY/TDD: 1-800-325-0778)

Maine State Health:
Insurance Assistance Program:
Website
1-800-262-2232
(TTY/TDD: 1-800-606-0215)

Medicare:
Website
1-800-MEDICARE
(1-800-633-4227)
(TTY/TDD: 1-877-486-2048)
24 hours a day, 7 days a week

MaineCare (Medicaid):
Website
207-287-2674
(TTY/TDD: 711)

Maine Low Cost Drugs for the
Elderly or Disabled Program
(DEL) and Maine Rx Plus:
Website
1-866-796-2463
(TTY/TDD: 1-800-423-4331)

New Hampshire ServiceLink Resource Center Network
Website 
1-866-634-9412

New Hampshire Medicaid
Website
1-800-852-3345 ext 4344 or
603-271-4344

New Hampshire Medication Bridge Program
Website 
603-225-0900