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If you can say no to the following questions you are a good candidate to pass medical underwriting for a Medicare Supplement. Contact us if you would like to learn more about this simple process.

  1. Are you currently confined, scheduled for admission, or in the last two (2) years have you been confined to a nursing facility or assisted living facility?
  2. Do you currently receive home health care services or, in the last two (2) years, have you received home health care services for more than three (3) separate periods of care?
  3. Do you currently have a terminal illness or are you currently in the hospital, pending hospital admission, or have you been hospitalized more than two (2) times in the last two (2) years?
  4. Do you currently receive assistance bathing, transferring, toileting, eating, dressing, or are you bedridden; or have you been advised by a medical professional to use the assistance of a wheelchair, walker, or motorized mobility aid?
  5. Do you have now or in the last two (2) years have you been treated for (including surgery) or advised by a medical professional to have treatment or surgery for the following conditions:
    • internal cancer, leukemia, malignant melanoma, Hodgkin’s disease, or lymphoma?
    • angina, atherosclerosis, arteriosclerosis, peripheral vascular disease, heart attack, irregular heartbeat, atrial fi brillation, cardiomyopathy, congestive heart failure, angioplasty, stent placement, carotid artery disease, coronary artery disease (CAD), heart valve surgery, coronary bypass, cardiac pacemaker, implantable or subcutaneous defi brillator? (You should answer NO if your only treatment is with maintenance medication.)
    • Parkinson’s disease, myasthenia gravis, cerebral palsy, muscular dystrophy, multiple sclerosis or amyotrophic lateral sclerosis (Lou Gehrig’s disease)?
    • Paget’s disease, rheumatoid arthritis, disabling arthritis, systemic lupus, osteoporosis with fractures, or paralysis?
    • chronic kidney disease, Addison’s disease, renal insuffi ciency, renal failure, any kidney disease requiring dialysis, pancreatitis, or any condition requiring an organ transplant?
    • diabetes with hypertension requiring three (3) or more hypertension medications to control or diabetes requiring more than 50 units of insulin daily to control?
    • diabetes with: neuropathy, retinopathy, vascular disease, or tobacco use?
    • chronic obstructive pulmonary disease (COPD), chronic obstructive lung disease (COLD), emphysema, chronic bronchitis, or any other chronic lung or respiratory disorder requiring the use of oxygen?
    • major depression, bipolar disorder, schizophrenia, or a paranoid disorder?
    • dementia, senility, Alzheimer’s disease, or organic brain disorder?
    • unrepaired aneurysm, hemophilia, anemia requiring repeated blood transfusions, or any other blood disorder?
    • hepatitis (other than hepatitis A), alcohol or drug abuse, cirrhosis of the liver, or other liver disease?
    • stroke or transient ischemic attack (TIA)?
  6. Do you have now or at any time have you been treated for or advised by a medical professional to have treatment for amputation caused by disease or organ transplant (other than corneas)?
  7. Have medical tests, treatment, therapy, or surgery been advised but not performed or is any surgery anticipated? (This excludes mammograms, pap tests, colonoscopies, or PSA tests which were advised for routine screening purposes only.)
  8. Have you ever been diagnosed with or received medical advice or treatment from a physician or an appropriatelylicensed clinical professional acting within his/her scope for Acquired Immune Defi ciency Syndrome (AIDS), AIDS Related Complex (ARC), or Human Immunodefi ciency Virus (HIV) infection?


Moorestown Office

214 W. Main Street, Suite 101

Moorestown, NJ 08057

(856) 866-8900

Cranford Office

15 Alden Street, Suite 8

Cranford, NJ 07016

(908) 272-1970

Scottsdale Office

20715 N Pima Rd, Suite 108

Scottsdale, AZ 85255

(602) 935-8444

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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. Not connected with or endorsed by the United States government or the federal Medicare program.

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