Senior Health Insurance Benefits Assistance Program Publications & Forms

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Senior Health Insurance Benefits Assistance Program

Department

Publications & Forms

SHIBA Publications & Forms (General)

Volunteer Forms

Prescription Drug Information


SHIBA Publications & Forms (General)

Publications order form Speaker request form SHIBA Exercise your brain poster (.pdf) Are you ready for Medicare? (.pdf) Don't wait until you're 65! A general Medicare brochure for baby boomers. Part D Extra Help Flyer Page 1 in English, Page 2 in Spanish (.pdf) Oregon SHIBA Consumer Guide to Medigap, Medicare Advantage, and Prescription Drug Plans Compares Medigap, Medicare Advantage Plans, and Medicare Part D plans. Free help with Medicare and other health insurance (.pdf) A list of local organizations that help people with Medicare make better health insurance decisions. Identifies volunteer assistance and volunteer opportunities. Ayuda gratuita con Medicare y otros seguros de salud (.pdf) Una lista de organizaciones locales que le ayudan a beneficiarios de Medicare hacer mejores decisiones en cuanto a seguro para la salud. Health resources for you & your family (.pdf)


Volunteer Forms

Forms: Volunteer application: online version or pdf Client contact form: Microsoft Word Fillable Form or .pdf Confidentiality and conflict of interest statement - SHIBA sponsors/coordinators .pdf Public and media activity form: Microsoft Word Fillable Form or .pdf


Prescription Drug Information

Prescription Drug Tracker .pdf Who is eligible for extra help with Medicare Rx? .pdf How to Enroll in Medicare Prescription Drug Coverage (Part D) Flowchart .pdf

Page updated: June 24, 2009

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