Medicare? Coverage? LIFE!

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In compliance with Medicare regulations, we require your consent before reaching out to discuss your Medicare plan options. By completing the form below, you authorize a licensed insurance agent from Golden Heart Seniors Insurance Group, LLC to contact you via mail, phone, SMS, or email for marketing purposes regarding Medicare Advantage, Medicare Supplement, and Prescription Drug Plans. The agent assisting you is contracted with a Medicare health plan or a prescription drug plan that is not a federally sponsored program and may receive compensation based on your enrollment in a plan. Submitting this form does not affect your current Medicare Advantage, Prescription Drug Plan, or other Medicare coverage, nor does it enroll you in a new plan.