Waukesha County

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Contact Us

Bus service is available to the ADRC on bus route #9 through Waukesha Metro transit.

Address: 514 Riverview Avenue,
Waukesha WI, 53188
Phone: 262-548-7848
Toll 1-866-677-ADRC
Free: 1-866-677-2372
Fax: 262-896-8273
Email: [email protected]

Contact Us Form

Business hours: Monday-Friday, 8:00am - 4:30pm

For information outside of regular business hours please call IMPACT 2-1-1 by dialing: 211 or toll free 1-866-211-3380.

ADRC of Waukesha County - Brochure
ADRC del Condado de Waukesha
Equal Opportunity Policy/Directiva de Igualdad de Oportunidad

Medicare Open Enrollment

Medicare Advantage and Prescription Drug Plans will be changing their premiums, deductibles, copays and formularies for next year. October 15th – December 7th is your opportunity to make changes to your selection for the next year.

Please complete the form below for a personalized plan comparison. Your current and top 2 lowest cost drug and/or advantage plan comparisons will be mailed to you or attend a workshop to receive your plan comparisons.

YOU MUST BE 60 OR OLDER AND A WAUKESHA COUNTY RESIDENT TO RECEIVE ASSISTANCE.

Do You want to Receive the Plan Comparison by Mail, or by Attending a Workshop?

If You will be Attending a Workshop, Please Select a Workshop Date from the Following:

First Name (Required):

Last Name (Required):

Date of Birth (MM/DD/YYYY) (Required):

Phone Number (Required):

Address (Required):

City (Required):

State (Required):

ZIP (Required):

Email (Required):

Current Plan (Required):

Start Date (MM/DD/YYYY): Medicare Part A (Required)

Start Date (MM/DD/YYYY): Medicare Part B (Required)

Pharmacy Preference (Required):

Medication Information:

Medication? Yes No

Prescription Drug 1 - Name:

Prescription Drug 1 - Dose Amount:

Prescription Drug 1 - How Often Taken:

Prescription Drug 2 - Name:

Prescription Drug 2 - Dose Amount:

Prescription Drug 2 - How Often Taken:

Prescription Drug 3 - Name:

Prescription Drug 3 - Dose Amount:

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Prescription Drug 4 - Dose Amount:

Prescription Drug 4 - How Often Taken:

Prescription Drug 5 - Name:

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Prescription Drug 6 - Name:

Prescription Drug 6 - Dose Amount:

Prescription Drug 6 - How Often Taken:

Prescription Drug 7 - Name:

Prescription Drug 7 - Dose Amount:

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Prescription Drug 8 - Name:

Prescription Drug 8 - Dose Amount:

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Prescription Drug 9 - Name:

Prescription Drug 9 - Dose Amount:

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Prescription Drug 10 - Name:

Prescription Drug 10 - Dose Amount:

Prescription Drug 10 - How Often Taken:

I have requested the Elder Benefit Specialist’s assistance facilitating my enrollment into a Medicare Advantage and/or Part D plan. I understand that the accuracy of the Planfinder depends upon the information given by the Center for Medicare and Medicaid Services, as well as information I have provided to the Elder Benefit Specialist regarding my medications. The Medicare website is subject to revision and/or error. The most accurate information is available by contacting the plan directly.

The Elder Benefit Specialist’s enrollment assistance into a plan is not a recommendation as to which plan is best for me. I have selected the plan that I believe best suits my needs and budget. I take full responsibility for this choice.

I understand that any and all follow-up matters with this plan are my responsibility. If I have reason to believe that the enrollment did not go through for some reason, I will notify the plan and the Elder Benefit Specialist immediately. I understand that all enrollments must be made by December 7, 2023.

I acknowledge that participants can generally only change plans once per year during the Annual Enrollment Period. By enrolling in this plan now, I understand that, absent a special enrollment period, I will probably have to stay in this plan for a year before I can drop or switch plans again.

Make sure you fill in Required fields before clicking submit.

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ADRC Programs

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Medicare Open Enrollment

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Health and Human Services Home | ADRC Resource Guide | Emergency Preparedness Toolkit for People with Disabilities | ADRC Transition Guide