Appointment Confirmed
You're booked — one quick step before we meet.
A confirmation is on its way to your inbox. Before our appointment, please complete the short form below. It takes about a minute.
Why you're filling this out: your Scope of Appointment
Medicare requires us to document a "Scope of Appointment" before we discuss specific plans with you. It simply confirms which types of coverage you'd like to talk about so our time together is focused and compliant.
- ✓It only takes about a minute to complete.
- ✓It does not obligate you to enroll in anything or change your current coverage.
- ✓It just lists the kinds of plans you're open to reviewing (for example, Medicare Advantage, Part D drug plans, or Medicare Supplements).
- ✓Lyons Life is independent and not affiliated with or endorsed by the federal government or Medicare.
Required Before Your Appointment
Complete your Scope of Appointment
Fill out the form below. Once you submit it, you're all set — we'll see you at your appointment.
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We do not offer every plan available in your area. Any information we provide is limited to the plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048), 24/7, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. Lyons Life is an independent insurance agency and is not connected with or endorsed by the United States Government or the federal Medicare program. © Lyons Life.