2025 Annual Review Questionnaire

Existing Clients:

Please enter your Prescription Information & Providers using the ‘Search and Save’ link that was emailed to you.

Be sure to add the full name of your current Medicare Plan (not optional for the review).

A Scope of Appointment form was emailed, please initial all 5 categories and e-sign to complete the form.

Can't find them? Please check your spam folder. Still missing, please text the Office at (248) 880-3876 and we’ll re-send. .

Please complete the forms in their entirety so we may provide you an experience of a short and smooth 2026 review.

New Clients:

New to Medicare or looking for a Review...please complete the form in its entirety so we may fully assist you in your Medicare insurance choices.

Complete your information using this link if you currently have a Medicare Advantage (Part C) Plan or would like one in 2026.
https://vip-medicare-choices.agentsolutions.app/

Complete your information using this link if you have a Medigap Plan and a Medicare Prescription (Part D) Plan or would like one.
https://vip-medicare-choices.agentsolutions.app/onboard-pdp/

Please complete the forms in their entirety so we may provide you an experience of a short and smooth 2026 review.

Have you reviewed the ANOC (Annual Notice of Changes) that your current plan sent you? Arrives in the last week of September or first week of October.

New Clients:

Please add information to the form below so we may better understand your situation and insurance needs.

VYTE PAQUETTE

Senior Benefits Specialist / Advocate
VIP Medicare Choices
Home Office in Hartland, MI
In-Personal, Phone and Virtual Consultations & Appointments

 (248) 880-3786

  (313) 909-1979