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**Benefits are not available under all plans and vary by carrier and location.
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ATTENTION: If you speak a language other than English, language assistance services, are available to you. Call 1-800-633-4227 TTY 711 (TTY: 1-877-486-2048 TTY 711 ).
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3) Providing false information may subject you to liability. I understand that my consent is not required as a condition of purchase and that I may revoke my consent at any time. Instead, I may call 866-978-9230 TTY 711 to speak with a licensed insurance agent directly. Message and data rates may apply. There is no obligation to enroll. Plan availability varies by insurance company and state. Benefits are subject to limitations and annual maximums. Not available with all plans. 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 to get information on all of your options. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877- 486-2048 TTY 711 , 24 hours a day/7 days a week or consult https://www.medicare.gov).
Participating sales agencies represent Medicare Advantage HMO, PPO and PFFS organizations that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.
We do not offer every plan available in your area. Currently we represent [insert number of organizations] organizations which offer [insert number of plans] products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.
[We provide a service that connects you to licensed insurance agencies and/or licensed insurance agents who will provide you the number of organizations and number of plans they offer in your area.]
[To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.]
[Not all plans offer all of these benefits. Availability of benefits and plans varies by carrier and location. Deductibles, copays and coinsurance may apply. Assurance is not affiliated or connected with Medicare, or any other government program or agency. Limitations and exclusions may apply.
