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CONTACT US ABOUT MEDICARE

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FORM NAME: Contact Us About Medicare
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By entering my contact information and submitting this form, I provide my express written consent for a representative of AG MedPlan Solutions to contact me regarding products or services, including Medicare Supplement, Medicare Advantage, and prescription drug insurance plans via live, automated dialing system, or telephone call, text, or email at this number even if registered on the National DNC registry. Message and data rates may apply, and message frequency may vary. Calls and texts are for marketing purposes. Text Help for help. Text Stop to cancel. I understand my telephone company may impose charges on me for these contacts and am not required to enter into this agreement as a condition of any purchase or service. I understand I can revoke this consent through any reasonable means at any time. Licensed Sales Agents are not connected with or endorsed by the U.S. government or the federal Medicare program. There is no obligation to enroll and agreeing to this does not affect your current enrollment nor will it enroll you in a Medicare plan. I agree to the Privacy Policy and Terms and Conditions. Participating sales agencies represent Medicare Advantage [HMO, PPO, PFFS] and/or Prescription Drug Plan organizations that are contracted with Medicare.