Why fill this out? It helps us:

 💵 Unlock discounts and savings

🛡 Protect you from penalties and mistakes

✅ Make enrollment simple and stress-free

⏱ Most clients finish in 5 –10 minutes.

Questions are quick — mostly Yes / No or multiple choice. When you’re ready, tap Start My Form at the bottom to begin.

👉 Whether you’re new to us or an existing client, this form helps us:

💵 Unlock discounts — household, spousal, EFT, and other programs

🛡 Match you with carriers most likely to approve if underwriting applies

🚫 Protect from penalties (LEP, IRMAA, HSA)

🎯 Avoid plans that don’t fit your needs — health, finances, lifestyle, or travel

🔎 Clarify your priorities — rate stability, premium savings, brand reputation, or perks

📝 Review your current coverage — Medigap, Medicare Advantage, Employer, or Individual

✅ Make enrollment simple with accurate, long-term recommendations

Each Medicare Supplement carrier has different rules and lookback periods. A condition that matters to one may not matter to another.

Your answers help us:

🎯 Match you with carriers most likely to say “Yes”

🚫 Avoid those likely to decline

💵 Get you the best rates and smoothest approval process

Please share your current height and weight (in pounds).

 Premiums don’t stay flat — most carriers build in automatic increases as you age, and those small bumps add up fast.

🔄 Rates rise every year with age (often 2–5% annually)

⏳ Over time, those increases compound, not just add up

📈 In 20+ years, premiums can double or even triple from where you started

Carriers differ in how healthy their member pools are — and that directly impacts how stable your rates stay over time.

👥 Bigger member pools = more stable pricing 

💰 Balanced loss ratios (~80–85%) = healthier carriers

⚠️ Small pools + high loss ratios = higher rate hikes

 Some carriers “play the game” with teaser rates — cheap at first, but risky in the long run.

🤑 New books often start with artificially low premiums to attract healthy clients

🚪 Once enrollment closes, the pool is “closed” — no new younger members to balance risk

📈 Rates often spike after a few years

⚠️ It’s a game: short-term savings vs. long-term risk

Premiums have been rising for everyone — and it can feel overwhelming.

📊 Historically, rate hikes ran 3–6% a year.

📈 Since 2021, many carriers spiked 10–25% — though some stayed more stable.

⚖️ Carriers who price at market value usually deliver steadier rates.

🤝 The good news: you don’t have to face it alone — We track the market and share what we’ve learned so you can budget with confidence and make choices that last.

People are living longer — thanks to better medicine and healthier lifestyles — which means your Medicare plan has to go the distance.

📅 Average U.S. life expectancy is in the high 70s — but many Medicare clients live well into their 80s, 90s, even past 100.

⏳ That means your Medicare Supplement could be with you for 25–30 years.

💡 A plan that looks cheap at 65 could cost $10K–$30K+ more by your 80 or 90s. 

👉 Think of it like a home remodel — the lowest bid often costs more in the long run.

Nothing is really free — perks have a cost, whether you realize it or not.

 💳 Some plans include perks like gym memberships (e.g., SilverSneakers®)

💲 Usually adds $20–30/month to your premium

⏸ Even if you stop using them, you’ll still pay indirectly

👍 Great if you use them — wasteful if you don’t

Whether you’re new or already part of our BenefitsDallas family, here’s how we serve you:

👨‍👩‍👦 Family-run & independent — we answer only to you, not a carrier or corporate boss.

🔍 Ongoing carrier research — insights that help you year after year.

🤝 Long-term focus — reviews, adjustments, and guidance as your needs change.

📊 Clarity & confidence — simple, personal, reliable coverage.

✅ Our Medicare Service Team: Real people. Personal guidance. Lasting support.
As a family-run, independent agency, we treat you like family and stand by you year after year.

Don’t worry — this won’t limit the options we show you. It just helps us highlight the plans that fit you best.

If you’d like, we can prepare options alongside your Medicare Supplement quote.