Benefit Check Up

This is a solicitation for insurance. By filling out this form, I agree to be contacted by a licensed sales agent to discuss my Medicare options. I'm aware the person who will discuss the products is a licensed and certified representative of Medicare Advantage (HMO, HMO SP, PPO, PFFS, PDP) organizations. Each of the organizations they represent has a Medicare contract. Enrollment in any plan depends on contract renewal. I am aware that the person who will contact me is not affiliated with and does not work directly for the Federal government. This individual may also be paid based on my enrollment in a plan. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week) to get information on all of your options. Powered by TKI Navigators, a non-government entity.