Need help navigating your Medicare options?

A licensed Medicare broker is a professional that is independent of any specific health plan, is appointed to represent multiple health plans, and can review your specific needs and help you compare Medicare coverage options for this enrollment year.

We can put you in touch with brokers that understand the Connected Senior Care Advantage program. These brokers can help you evaluate coverage options to find one that meets your needs. With your permission, we will give your contact information to a broker to contact you to discuss coverage options.

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First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

Email *

By clicking here, I authorize Connected Senior Care Advantage to furnish my contact information to a broker and I authorize the broker to contact me.

I also authorize the broker to email, call or text me at the phone number and email provided (even if that number is on any Do Not Call Registry or is a wireless number) regarding Medicare coverage options, including potentially through insurance products and services (such as Medicare Advantage plans). The broker’s messages may be artificial or pre-recorded, or may be sent by an automatic telephone dialing system to the relevant number. I understand that I am not required to opt in to receive text messages, calls, or emails as a condition (directly or indirectly) of transacting with Connected Senior Care Advantage or broker. I am the current authorized user of the phone number and email address provided. I consent to calls with me being recorded and monitored. I understand that text messages are recurring and on-going and that messaging and data rates may apply. I consent to and understand that emails are recurring and on-going unless I choose to unsubscribe. I understand that I can withdraw consent or unsubscribe at any time by texting.