Before you submit
- AFA Associates will contact you by phone, email or text about your Medicare and health insurance options.
- Our agents are licensed and may be paid by the insurance company if you enroll. We are not connected with the U.S. government or Medicare.
- You don't have to buy anything, and you can change your contact preferences at any time.
Detailed Disclaimer
This is a solicitation of insurance. By submitting my information in this form, I agree to be contacted by a licensed insurance agent for the marketing of Medicare Insurance products (i.e., Medicare Advantage Plans (Part C), Prescription Drug Plans (Part D), and/or Medicare Supplement (Medigap) Products) and services. I’m aware the person who will discuss the products is a licensed and certified representative of Medicare Advantage organizations and/or stand-alone Prescription Drug Plans. Each of the organizations they represent has a Medicare contract. This individual may also be paid based on my enrollment in a plan. Enrollment in any plan depends on contract renewal. I am aware that the person who will contact me is not affiliated with or works directly for the Federal government. I understand that I may be contacted via telephone, email, text messaging, artificial or prerecorded voice messages, or automatic dialing at the contact information provided above (even if my number is currently listed on any state, federal, local, or corporate Do Not Call list). Carrier data use charges and rates may apply. I understand that my consent is voluntary and is not a condition of purchasing any goods or services, and that I may change my preferences at any time.
We do not offer every plan available in your area. Currently we represent 0-22 organizations which offer 0-1111 products in your area, depending on your area of residence. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
