Medicare Supplement – Hutch Get an Online QuoteQuote is based on the assumption that the applicant is signing in their state of residencePolicyEffective Date of Coverage: MM slash DD slash YYYY Part A Date: MM slash DD slash YYYY Part B Date: MM slash DD slash YYYY PersonalBirth Date: MM slash DD slash YYYY GenderMaleFemaleStatePlease type in abbreviated format: OH, AL, NV, etc.Zip codeHave you used any form of tobacco for the past 12 months?YesNoDo you take medications?YesNoPlease specify:Any health conditions?Height (in feet)Height (in inches)Weight (in pounds)