Medicare Information Request

Submit this form and an agent from our Medicare Team will reach out to you with further information.

* Indicates a Required Field

Your ZIP Code determines what Medicare plans are available in your area.

County
This ZIP code has two counties. Select your county to proceed.
Plan Title
This county offers multiple plan types. Which would you like to receive information about?

Select Health does not currently offer Medicare Advantage Plans in your area. Please visit Medicare.gov for more information.

How do you wish to be contacted about Medicare Advantage Plans? (Please select one or more)
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It looks like this name and email have already been used to submit the form. If you believe this is a mistake, please reach out to the Medicare Team for assistance.  855-442-9900 (toll-free)

By sharing your phone number, you’re giving permission for a licensed Select Health Medicare agent to contact you by phone to provide information about Medicare Advantage plans. Your consent is voluntary and allows Select Health to contact you via text messaging or email for marketing purposes. You may unsubscribe from emails at any time, and doing so will not affect your eligibility for Select Health benefits and enrollment, coverage, or ability to get treatment. Data use charges and rates from your cellular carrier may apply.