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Please scan the QR Code above or click the button below to begin the survey for those on Medicare. This is an individual document and will need to be completed by each individual person, seperately. Once this document is filled out, we will be in touch to schedule your review!
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Please scan the QR Code above or click the link below to begin the survey for those under 65 who have/need Marketplace coverage. If you are applying for coverage for your entire family you need to only complete one form. Once this document is completed, we will be in touch to schedule your review!
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Disclaimer: We do not offer every plan available in your area. Currently, we represent 7 of 8 organizations which offer 70 of 72 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov
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