OPEN ENROLLMENT AGENTS READY TO TAKE YOUR CALL
By submitting this form you agree that a licensed insurance agent employed with one of the listed companies, click here. may contact you to discuss Medicare Advantage, Prescription Drug and/or life insurance plans by the phone number provided (wireless/landline) or email. You expressly consent to receive autodialed and/or pre-recorded phone calls and/or email regardless of whether you are on any Federal or state DNC (“Do Not Call”) and/or DNE (“Do Not Email”) list or registry. You expressly consent to receive phone calls and email (included autodialed and/or pre-recorded calls) using automated technology (even on your wireless number) regardless of whether you are on any Federal or state DNC (“Do Not Call”) and/or DNE (“Do Not Email”) list or registry.. You expressly consent to receive phone calls and email regardless of whether you are on any Federal or state DNC (“Do Not Call”) and/or DNE (“Do Not Email”) list or registry. I understand that data and message rates may apply.
Online quotes may not be available for all plans, but the agent that will be discussing plan options with you is contracted with various Medicare health or prescription drug plans that are not under the Federal government, and the agent may be compensated based on your enrollment in a plan. Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan. A Medicare Advantage plan is a health insurance plan provided through a private insurer and delivers Medicare Part A and Part B benefits. A Part D Drug plan is a prescription drug insurance plan provided through a private insurer and delivers Medicare Part D benefits. Receiving quotes through our website and from our agents is always free and you are under no obligation to purchase any goods or services as a result of this request. You may revoke your express consent at any time by contacting us at 877.683.0014 or email at email@example.com so that you may placed on our do-not-call and/or our do-not-email list.