Let me check your eligibility and Medicare plan options

By submiting this form, I authorize the Licensed Insurance Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:

1. Review and confirm my eligibility for a Medicare Advantage, Medicare Supplement and/or a Prescription Drug Plan in my area, based on my selection in the submitted contact form.

2. Verify the health insurance options that best suit my specific conditions, including verification of in-network doctors, medical groups, hospitals of my preference, and prescription drug coverage if I have indicated them in the form. As well as the review of my advantageous options if I had indicated that I had the quality to opt for any of these plans (i.e: dual plan for Medicaid eligibles, chronic special needs plan for eligible condition indicated).

3. To contact me with the preliminary search results or further questions for my best interest to obtain health coverage.

   I understand that the search could only be performed at the states where agent claims to hold a valid Health Insurance license.

   My information will not be shared or sold to third parties for marketing or any other purpose.

For Marketplace use the contact form found here (click)

I'm an independent insurance broker with no Goverment affiliation. Representing my client's best interest to compare/select a product offered by insurance carriers, including Aetna®, Humana®, Cigna®, UnitedHealthcare®

We do not offer every plan available in your area. Currently, we represent 6 organizations which offer 105 products in your area. Please contact Medicare.gov, 1–800–MEDICARE (TTY: 1-877-486-2048), or your local State Health Insurance Program (SHIP) to get information on all of your options.