Benefits Enrollment Center Survey

This survey is provided by Medicare SHIP located within Legal Aid of the Bluegrass.

Once you submit your survey, a member of the Medicare SHIP team will review your information and call you directly. Medicare SHIP's goal is to get you signed up for money saving benefits that help you reach maximum independence and health.

This survey will take about 5 minutes to complete. All information is confidential. Medicare SHIP is not associated with any insurance companies and our services are FREE.

City, State, and Zip
What is your total monthly household income?
What is your total monthly household income? (Family Size 2)
What is your total monthly household income? (Family Size 3)
What is your total monthly household income? (Family Size 4)

Need Legal Help

Legal aid protects the rights of people living at or near poverty with legal problems such as:  housing, consumer, family and public benefits. We ensure access to justice for all people, including veterans, the elderly, those who are disabled and victims of domestic violence. You can call us at 859-431-8200 to apply for assistance Monday through Thursday 10:00 a.m. – 3:00 p.m. and Friday 10:00 a.m. – 1:00 p.m. Calls are answered in the order they are received. 

Please reach us by telephone while we rebuild a better system for online applications. 

 

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