The Hawaii Island Family Health Center (HIFHC) is a family medicine clinic affiliated with Hilo Medical Center. HIFHC serves as a primary care training program site for medical residents, pharmacy students, nursing students and psychology fellows. Pharmacy services at HIFHC focus on comprehensive medication management, chronic disease state management, drug information consults,and medication access assistance. The objective was designed to assess patient's knowledge regarding open enrollment and their ability to annually reassess Medicare Part D to determine if appointments with a clinical pharmacist should be offered during open enrollment.