APPLICATION FOR ENROLLMENT IN MEDICARE PART B (MEDICAL INSURANCE)

APPLICATION FOR ENROLLMENT IN

MEDICARE PART B

(MEDICAL INSURANCE)

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MEDICARE INFORMATION

This Website serves as an invitation for you, the customer, to inquire about further information regarding Medicare Advantage and Medicare Supplement insurance, and your call will be routed to a licensed agent who can provide you with further information about the insurance plans offered by one or more of our third party partners. Submission of your contact information constitutes permission for an agent to contact you with further information, including complete details on cost and coverage of this insurance.

We and the licensed agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program. Medicare has neither reviewed nor endorsed the information contained on this website. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

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DENTAL & HEALTH INSURANCE

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