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State* FL AL AK AZ AR CA CO CT DE GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NY NM NC ND OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Birth Month* January February March April May June July August September October November December

Birth Year* 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962

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Providing your birth month and year helps ensure we send you the appropriate Medicare information customized for your needs.

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