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Request a Consultation

免費諮詢要求

Complete the below form and Rebecca will contact you as soon as possible.

填寫下面的表格,Rebecca將盡快與您聯繫。

Please Check All That Apply 請勾選所有適用項

By completing this form, you agree that a licensed insurance agent may contact you by phone, mail or email to answer any questions you have regarding Medicare Advantage, Prescription Drug Plans or Medicare Supplement Insurance plans. This is a solicitation for insurance.

填寫此表格即表示您同意持照保險經紀人可以透過電話、郵件或電子郵件與您聯繫,以回答您有關聯邦醫療保險優勢計劃、處方藥計劃或聯邦醫療保險補充保險計劃的任何問題。這是一份保險招標。

My signature allows a licensed sale agent to contact me to talk about Medicare plans offered in my area during the next year. 我的簽名允許持牌保險經紀人聯繫我,討論明年在我所在地區提供的聯邦醫療保險計劃。

Signature Date 簽名日期

Contact Rebecca

Request a No-Cost Consultation

Please feel free to text or email me

954-590-0882

954-388-8830

© 2024 Life Health Insured. All rights reserved.

We do not offer every plan available in your area. Currently, we represent 3 organizations which offer 33 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov

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