Form Page – Mymedicarepolicy

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Are you currently enrolled in Medicare Parts A & B?(Required)

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What's your gender?(Required)

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What's your date of birth?(Required)

What's your full name?

Personal Details(Required)

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I Agree to the terms below the Submit button

By clicking the Submit button and submitting this form, I agree that I am 18+ years old and I provide my signature expressly consenting to receive emails, calls, postal mail, text messages and other forms of marketing communication regarding my Medicare options including Medicare Supplement, Medicare Advantage, and Prescription Drug Plans, or other offers from BluePrint Assets, any of their third-party marketing partners, participating companies, and insurance agents to the number(s) or email(s) I provided, including a mobile phone, even if I am on a state or federal Do Not Call and/or Do Not Email registry. The list of companies participating and marketing partners are subject to change. I grant permission to receive calls, emails and/or texts from multiple companies on the list. Such calls and text messages may use automated telephone dialing systems, artificial or pre-recorded voices. I understand my wireless carrier may impose charges for calls or texts. I understand that my consent to receive communications is not a condition of purchase and I may revoke my consent at any time. I also understand and acknowledge both the Privacy Policy and Terms of Use agreements.

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By clicking the Submit button and submitting this form, I agree that I am 18+ years old and I provide my signature expressly consenting to receive emails, calls, postal mail, text messages and other forms of marketing communication regarding my Medicare options including Medicare Supplement, Medicare Advantage, and Prescription Drug Plans, or other offers from BluePrint Assets, any of their third-party marketing partners, participating companies, and insurance agents to the number(s) or email(s) I provided, including a mobile phone, even if I am on a state or federal Do Not Call and/or Do Not Email registry. The list of companies participating and marketing partners are subject to change. I grant permission to receive calls, emails and/or texts from multiple companies on the list. Such calls and text messages may use automated telephone dialing systems, artificial or pre-recorded voices. I understand my wireless carrier may impose charges for calls or texts. I understand that my consent to receive communications is not a condition of purchase and I may revoke my consent at any time. I also understand and acknowledge both the Privacy Policy and Terms of Use agreements.

This website (MyMedicarePolicy.com) and its contents are for informational purposes only.

MyMedicarePolicy.com is NOT a government affiliated nor federal marketplace.

Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage plan, Medicare Prescription Drug plan, Medicare Supplement Plan, or any other Medicare plan.

Third Party Material (TPMO) (Medicare.gov): 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 (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

Nothing on this website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.

The purpose of this communication is the solicitation of insurance. Contact will be made by a licensed insurance agent/producer or insurance company. By completing the quotes form or calling the number listed above, you will be directed to a Partner that can connect you to an appropriately licensed insurance agent who can answer your questions and discuss plan options.

Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. By using this site, you acknowledge that you have read and agree to the Terms of Service and Privacy Policy.

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