Section 1 of 9 in this document

SHIIP--SMP Volunteer Counseling Supplies Order Form

Counseling Tools - for Counselor use only. One copy per Counselor please. Images provided for resources may not represent the most recent version.

Counseling Tools and Supplies

Yellow Screening Card - 0059 (LIS and MSP Screening)

Red SMP Card (For Counseling and Not for Client Distribution. Client Red Flags Card Located Under Promotional Materials)

Red SMP Card Front

Red SMP Card Back

Yellow Envelope - My Medicare Part D Information - 0022

Business Cards Blank Sheets - 0026 (10 business cards per sheet. Limit of 5 blank sheets per volunteer)

Section 2 of 9 in this document

Factsheets and Forms

Client Intake Form - 0017

Checklist for New Medicare Beneficiaries - 0029

Checklist for New Medicare Beneficiaries

Getting Ready to Retire - 0030

Link to resource on webpage

Medicare and Other Insurance for People with Disabilities - 0031

Medicare Prescription Drug Coverage

Medicare Prescription Drug Coverage - 0032

Medicare Prescription Drug Coverage

Medicare Part D Stand-Alone Prescription Drug Plans - 0033

Medicare Part D Stand-Alone Prescription Drug Plans

Medicare Covered Preventive Wellness Visits - 0035

Medicare Covered Preventive Wellness Visits

Medicare Savings Programs (MSP) - 0036

Medicare Savings Programs (MSP)

COBRA (Continuation of Employer Group Health Insurance) - 0037

COBRA

Protecting Your Spouse When You Go To A Nursing Home - 0038

Protecting Your Spouse When You Go To A Nursing Home

Medicare Deductibles, Coinsurance and Premiums - 0055

Medicare Deductibles, Coinsurance and Premiums

Special Events That Guarantee Your Right to Buy Medicare Supplement Insurance - 0060

Special Events That Guarantee Your Right to Buy Medicare Supplement Insurance

Medicare Prescription Drug Plan Gap (Donut Hole) - 0067

Medicare Prescription Drug Plan Gap (Donut Hole)

Medicare Advantage Non-Renewal Factsheet - 0068

Medicare Advantage Non-Renewal Factsheet

Medicare and the Health Insurance Marketplace - 0077

Medicare and the Health Insurance Marketplace

Medicare and VA Healthcare - 0079

Medicare and VA Healthcare

Medicare and Iowa Medicaid Managed Care (MCO) - 0080

Medicare and Iowa Medicaid Managed Care (MCO)

Medicare and Federal Employees Health Benefits Program (FEHB) - 0083

Medicare and Federal Employees Health Benefits Program (FEHB)

Medicare and HSA (Health Savings Accounts) - 0095

Medicare and HSA (Health Savings Accounts)

New to Medicare Questions to Ask - 0096

New to Medicare Questions to Ask

Section 3 of 9 in this document

Folders

WTM Folders (for WTM seminars ONLY)/WITHOUT SLIDES- #0020A

SMP Folder

Section 4 of 9 in this document

Displays and Event Materials

These may be borrowed from the State Office, but must be returned after your event is over.

Displays - Check all that you want to order

VA Display

SHIIP General Display

Preventative Benefits Display

Financial Assistance Display

SMP

Tablecloth

VA Display

VA Display

SHIIP General Display

SHIIP General Display

Preventative Benefits Display

Preventative Benefits Display

Financial Assistance Display

Financial Assistance Display

SMP Display

Tablecloth

Section 5 of 9 in this document

Guides

Iowa Medicare Supplement & Premium Comparison Guide (Maximum 50) - 0041

Medicare Advantage & Other Health Plans in Iowa (Maximum 50) - 0043

Iowa Long Term Care Guide (Maximum 10) - 0044 - Currently being revised

Section 6 of 9 in this document

Promotional Materials

Red Flag Card (For Client Distribution)

SHIIP Magnet - 0048

SMP Magnet

Insurance Card Holders - 0099

SHIIP/ SMP Tri Fold Flyer

SHIIP/ SMP Tri Fold Flyer

MIPPA Extra Help Flyer

MIPPA Extra Help Flyer

SMP Flyer

SMP Flyer

Common Scams Flyer

Common Scams Flyer

"Hang Up" Scam Call Poster

Section 7 of 9 in this document

Volunteer Recruitment Materials

Recruitment Brochure

Recruitment Brochure

Recruitment Postcard

Recruitment Postcard

Section 8 of 9 in this document

Supply Distribution Information

Phone Number

Email

Delivery Method

Mail Out

Pick UP

County of Counseling

Date Needed By. Reminder, it may take up to two weeks to process your order, unless you are ordering for a Welcome to Medicare Seminar in which case your order will be processed the day it is received.

Date Picker

Supplies will be used for:

Presentation

Exhibit

Counseling

Additional Comments