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Medicare Part D

Step 20: Entering your personal, residential and mailing address information

You will be asked to enter this information in the following screens.

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These are Steps 2 and 3 of 7 in the enrollment process for the plan you have chosen.​​​

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  • First Name

  • Last Name

  • Date of Birth (MM/DD/YYYY)

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  • Sex

  • Phone Number

  • Optional ethnicity and race information​

  • Permanent Residence Address, and

  • Mailing Address, if different from the address where you live

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