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According to Medicare rules, we need your permission to contact you to discuss your Medicare plan options. By submitting a contact form on our website form, you are agreeing to a sales telephone call or an email from a licensed sales agent to discuss Medicare Advantage, Stand Alone Prescription Drug Plans, Medigap Supplements, and Ancillary products. The person who will be discussing plan options with you is with or contracted by a Medicare Health Plan or Prescription Drug Plan Organization that is not the Federal Government, and they may be compensated based on your enrollment in a plan. Signing this does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan.

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