Medicare and Medicaid
Medicaid Look-Back File
Gather five years of records calmly, before the application, not in a panic after it.
$12.99 on Gumroad · 12 pages
Medicare and Medicaid · Printable PDF
Read the letter. Compare the plan. Call before you switch.
$7.99 USD on Gumroad
Prefer Etsy? Also listed on Etsy
Prices and what you get: downloads, refunds, and how to reach us.
Tap a page to look inside
Every fall, Medicare Advantage and drug plans mail an Annual Notice of Change that should arrive by September 30. It explains what changes next year, and it often ends up in a pile on the counter.
This kit walks a family helper through the notice, compares drugs, doctors, pharmacies, and yearly costs, and points to free unbiased help from Medicare and your State Health Insurance Assistance Program before Open Enrollment ends on December 7.
Medicare Open Enrollment runs from October 15 to December 7 each year. During that window, people can join, switch, or drop a Medicare Advantage or drug plan, and changes usually start January 1. Medicare.gov and your State Health Insurance Assistance Program can confirm the options for your situation.
No. The Medicare Open Enrollment Kitchen Table Kit is a digital PDF download (16 pages, US Letter size). Nothing is shipped to you. After you buy on Etsy or Gumroad, your download is ready right away. You print it at home or at a copy shop and keep it in a binder or folder.
You fill it in by hand. Our kits are print-and-write PDFs with large, roomy lines, not fillable forms. Many families find that writing by hand at the kitchen table is faster and easier to share. Print in color or black and white, at 100% (Actual Size) on US Letter paper.
On Etsy, sign in on Etsy.com, open You, then Purchases, and choose Download Files. On Gumroad, click the link in your receipt email or open your Library on gumroad.com. A computer browser is usually easiest for PDFs. If anything will not open, message us and we will help.
Yes. You can print as many copies as your own household needs, for example a spare for the fridge, the car, or a family member who helps out. The file is for personal and family use, so please do not resell it, share it publicly, or hand out copies to other households.
Please note: This printable is an organizational and educational tool only. It is not legal, insurance, financial, or Medicaid planning advice, and it is not affiliated with Medicare, CMS, Social Security, or any state Medicaid agency. Rules, dates, and costs change and vary by state and plan, so confirm them on Medicare.gov, with your State Health Insurance Assistance Program (SHIP), or with your state Medicaid agency.
Medicare and Medicaid
Gather five years of records calmly, before the application, not in a panic after it.
$12.99 on Gumroad · 12 pages