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In compliance with Medicare regulations, we must obtain your permission before reaching out to you about your Medicare plan options. By completing the form below, you authorize a licensed insurance agent from Benefits & Care to contact you via mail, phone, SMS, or email to discuss specific products for marketing purposes, including Medicare Advantage, Medicare Supplement, and Prescription Drug Plans.

Please note that the individual contacting you about your plan options is contracted with a Medicare health plan or a prescription drug plan that is not part of a Federally-sponsored program and may receive compensation based on your enrollment in a plan. Completing this form does not affect your current Medicare Advantage, Prescription Drug Plan, or any other Medicare plan enrollment, nor does it enroll you in a new plan.