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Part D Information Request Form

Available for Download Below

Downloadable Part D Info Form

  1. Download file

  2. Fill out digitally OR print and fill out

  3. Email newly filled out sheet to mansheim@iowatelecom.net OR if printed mail to Mansheim Insurance Services 109 8th Street West Point, IA 52656

Please give us a call if you have any questions!

Part D - Info Form : Files
Image by National Cancer Institute

 Medicare Part D (Prescription Drug Plans)

Your Wellbeing Comes First

Every year the annual enrollment period for Part D occurs from October 15th - December 7th. During this seven week period you can review and / or switch to another drug plan that is more cost effective. 
To determine if you would like to switch, download and fill out our Part D info sheet. You can either print it or fill out your information digitally.

Part D - Info Form : Packages
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