M Media Medicare Contact Wizard is a professional multi-step lead capture plugin for Medicare and Medigap insurance agents, built to collect the detailed prospect information you actually need — without requiring a CRM subscription, form builder, or third-party service.
The wizard walks visitors through five structured steps covering contact info, Medicare enrollment status, coverage needs, prescription details, and final preferences. Every submission is stored in your WordPress dashboard and delivered to your inbox. No monthly fees. No lead-sharing. Your leads stay yours.
Generic contact forms collect a name and email. That is not enough to have a productive first conversation with a Medicare prospect. You need to know what parts they have, when they want coverage to start, whether they take prescriptions, and what matters most to them.
M Media Medicare Contact Wizard solves this by design. It gives every prospect a guided, professional experience while giving you a complete intake record before you ever pick up the phone.
The wizard breaks a thorough qualification questionnaire into five short, focused steps so visitors are never overwhelmed.
Follow-up questions appear only when relevant. A prospect who is not yet enrolled in Medicare sees different questions than one who already has Parts A and B. A prospect who takes prescriptions is offered a medication text field and an optional file upload. Fields that do not apply stay hidden, keeping the form clean and fast for every visitor.
Submissions are validated server-side before any notification is sent.
Choose how submission notifications are delivered to match your hosting environment.
Every completed form is saved as a custom post type entry in your WordPress admin.
Agents and site owners can configure the wizard entirely from the admin panel.
Add the wizard to any page, post, or widget area with a single shortcode.
[mmedia_medicare_wizard]M Media Medicare Contact Wizard is not a bulk lead generation or list-building tool. It is built for agents who want better-qualified prospects and a cleaner first conversation.
This product is licensed per site and includes access to updates and support for the duration of your license term. There are no per-lead fees, no submission limits, and no third-party data sharing.
If you need a professional Medicare intake form that works the first time and gives you real prospect data before the first call, M Media Medicare Contact Wizard was built for exactly that.
Ever contact support and immediately know you're talking to someone reading a script? Someone who's never actually used the product? Yeah, we hate that too.
M Media support means talking to developers who wrote the code, understand the edge cases, and have probably hit the same problem you're dealing with. No ticket escalation theatrics. No "have you tried restarting?" when your question is clearly technical.
Documentation written by people who got stuck first. Support from people who fixed it.
We don't outsource support to the lowest bidder or train AI on canned responses. When you ask a question, you get an answer from someone who can actually read the logs, check the source code, and explain what's happening under the hood.
We don't believe in dark patterns, forced subscriptions, or holding your data hostage. M Media software products use clear, upfront licensing with no hidden traps.
You buy the software. You run it. You control your systems.
Licenses are designed to work offline, survive reinstalls, and respect long-term use. Updates are optional, not mandatory. Your tools don't suddenly stop working because a payment failed or a server somewhere changed hands.