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By submitting this form you agree that a licensed insurance agent employed with e-TeleQuote Insurance, Inc., may contact you regarding health and life insurance products and services including Medicare Advantage, Medicare Advantage with a Prescription Drug plan, Medicare Supplement and Prescription Drug plans or Life Insurance plans by phone, text message or email. You expressly consent to receive phone calls (including autodialed and/or pre-recorded calls) text messages and email using automated technology at the phone number and email address you provided, even if it is a wireless number, regardless of whether you are on any Federal or state DNC ("Do Not Call") and/or DNE ("Do Not Email") list or registry. In addition, you understand and acknowledge that data and message rates may apply. Furthermore, you acknowledge that you are over 18 years of age.
Online quotes may not be available for all Medicare Advantage, Medicare Supplement and Prescription Drug plans, but the agency that will be discussing these plan options with you is contracted with various Medicare health or prescription drug plans, which may include Medicare Advantage and/or Prescription Drug plans under the Federal government Medicare program and/or Medicare Supplement plans that are not under the Federal government Medicare program. The licensed agent may be compensated based on your enrollment in such a plan. Medicare Supplement plans are not connected with or endorsed by the U.S. Government or the Federal Medicare program. Submitting this form does NOT affect your current Medicare Part A and Part B enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan.
Receiving quotes through our website and from our licensed insurance agents is always free and you are under no obligation to purchase any goods or services as a result of this request. You agree that we may share your information with third parties, and you may receive surveys of service, account updates or other special offers via email, phone or text message sent by e-TeleQuote Insurance, Inc. and/or our partners. You may revoke your express consent at any time by contacting us via 1-877-336-1489 or email at opt.out@e-telequote.com so that you may be placed on our do-not-call and/or our do-not-email list.
onlinesupplementalinsurance.com is an affiliate of e-TeleQuote Insurance, Inc., a licensed and certified representative of a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any plan depends on contract renewal. The plans offered are Coordinated Care plans with a Medicare contract with the State Medicaid program. Enrollment in these plans depend on contract renewal. These plans are available to anyone who has both Medical assistances from the State and Medicare. Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for more details. You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
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.
Sales agents/producers may be compensated based on your enrollment in a health plan.
Medicare Supplement plans are not connected with or endorsed by the U.S. Government or the Federal Medicare program.
e-TeleQuote Insurance, Inc., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. To see Humana’s full accessibility rights disclaimer, click here.
This information is available for free in other languages. Please contact a licensed e-TeleQuote Inc., sales agent at 1-855-844-0155 (TTY users: 711).
Esta información está disponible gratuitamente en otros idiomas. Póngase en contacto con un agente de ventas certificado de e-TeleQuote, Inc. al 1-888-857-3970 (TTY users: 711).
本資訊也有其他語言的免費版本可供選擇。請撥 1-888-857-3970 (聽障專線:711). 與持照 e-TeleQuote, Inc. 銷售代理聯絡.
About onlinesupplementalinsurance.com
onlinesupplementalinsurance.com is a privately owned, non-government site, powered by e-TeleQuote Insurance, Inc. onlinesupplementalinsurance.com provides a secure way to purchase Medicare insurance from the comfort of your home or workplace.
For the official Medicare government site, please visit: : www.medicare.gov
Last Updated: 6/16/17 12:01:00 AM
Thank You!
One of our licensed sales agents/producers will contact you shortly. Our licensed sales agents have helped many people like you find Medicare health insurance.
e-TeleQuote Insurance, Inc., is a licensed and certified representative of a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any plan depends on contract renewal. The plans offered are Coordinated Care plans with a Medicare contract with the State Medicaid program. Enrollment in these plans depend on contract renewal. These plans are available to anyone who has both Medical Assistance from the State and Medicare. Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for more details. You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
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.
Sales agents/producers may be compensated based on your enrollment in a health plan.
Medicare Supplement plans are not connected with or endorsed by the U.S. Government or the Federal Medicare program.
e-TeleQuote Insurance, Inc., complies with applicable Federal civil rights laws and does not
discriminate on the basis of race, color, national origin, age, disability, or sex.
This information is available for free in other languages. Please contact a licensed
e-TeleQuote sales agent at 1-855-214-3495 (TTY users: 711).
Esta información está disponible gratuitamente en otros idiomas. Póngase en contacto con un agente de ventas
certificado de e-TeleQuote al 1-855-214-3495 (TTY users: 711).
本資訊也有其他語言的免費版本可供選擇。請撥 1-855-214-3495 (聽障專線: 711). 與持照
e-TeleQuote 銷售代理聯絡。
Last Updated: 09/08/2016 12:01:00 AM
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