Interested in a Medicare Supplement plan but want to compare your options first? Look no further! Our Medigap
Comparison tool allows us to collect your information and process it to give you a variety of options that are
customized to you and your needs.
IMPORTANT: Medicare charges a late enrollment penalty to anyone who does/did not enroll in a drug plan within their Initial Enrollment Period for Medigap. For information on the penalty, refer to Part D in the Medicare & You Handbook (click here to view) or go to Medicare.gov.
I understand that the PDP analysis and plan suggestion by a Senior Health Medicare representative will be based solely on the medications and information listed on this electronic RX Plan Profile form. I also understand that based on the drugs I take, the recommended prescription plan may have a deductible.
By providing this information, you agree that an authorized representative or licensed insurance agent may contact you by phone, email, or mail to answer your questions or provide additional information about Medicare Advantage, Part D or Medicare Supplement Insurance plans.