Please note that there are required federal and state requirements, and this sample is not meant to address those requirements. This sample is only intended to provide an example of a Medicare Advantage communication consumer-facing webpage and is not intended to address all federal and state website requirements.
Medicare Advantage plans with more worth switching for.
Annual Enrollment is now open. Enroll today.
Your guide to Medicare Advantage & more.
Medicare was created to cover the health care basics. Medicare Advantage plans deliver the additional benefits and daily support you need to feel completely cared for. Benefits can include:
- Low monthly premiums
- Additional benefits not included with Original Medicare
And, unlike Original Medicare, Medicare Advantage plans come with an out-of-pocket maximum, so you have fewer health care cost surprises.
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Yes, I would like to get my FREE All-in-One Guide.
It’s time to make an informed Medicare Advantage choice.
Select one disclaimer:
1) If marketing fewer than all plans within a service area, use:
“We do not offer every plan available in your area. Currently we represent [insert number of organizations] organizations which offer [insert number of plans] products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare.”
OR
2) If marketing all plans within a service area, use:
“Currently we represent [insert number of organizations] organizations which offer [insert number of plans] products in your area. You can always contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) for help with plan choices. Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare.”
Please note that you will need to update the language specific to your agents and agency. Some carriers may also require approval of all permission to contact forms.
Select one:
W-2 Agents:
By checking the box below and submitting this form, I agree to receive marketing communications regarding Medicare plan options from [Insert Company Name]. These communications may include:
Telephone calls (including those using an autodialer or prerecorded/artificial voice)
SMS/MMS text messages
Emails or other electronic messages
I understand and agree to the following:
My consent is specific to [Insert Company Name] and does not authorize contact from any other company.
I am providing this consent voluntarily and understand that it is not a condition of purchase.
I may revoke my consent at any time by contacting [Insert Company Name] at [Insert Contact Info].
I am the authorized user of the phone number provided and am at least 18 years old.
I acknowledge that message and data rates may apply.
☐ I consent to receive marketing communications from [Insert Company Name], as described above.
By providing your name and contact information you are consenting to receive calls, text messages and/or emails from a licensed insurance agent about Medicare Plans at the number provided, and you agree such calls and/or text messages may use an auto-dialer or robocall, even if you are on a government do-not call registry. This agreement is not a condition of enrollment.
OR
1099 Agents:
By checking the box below and submitting this form, I authorize [Your Organization Name] to share my personal information with the specific third-party marketing organization(s)/agent(s) listed below for the purpose of discussing Medicare plan options.
☐ Select All ☐ Agent Name A ☐ Agent Name B ☐ Agent Name C
☐ Agent Name D ☐ Agent Name E ☐ Agent Name F
These communications may include:
Telephone calls (including those using an autodialer or prerecorded/artificial voice)
SMS/MMS text messages
Emails or other electronic messages
I understand and agree to the following:
My consent is specific to the above selected individuals/companies and does not authorize contact from any other individual or company.
I am providing this consent voluntarily and understand that it is not a condition of purchase.
I may revoke my consent at any time by contacting [Insert Company Name] at [Insert Contact Info].
I am the authorized user of the phone number provided and am at least 18 years old.
I acknowledge that message and data rates may apply.
☐ I consent to receive marketing communications from the selected third-party marketing organization(s)/agent(s), as described above.
By providing your name and contact information you are consenting to receive calls, text messages and/or emails from a licensed insurance agent about Medicare Plans at the number provided, and you agree such calls and/or text messages may use an auto-dialer or robocall, even if you are on a government do-not call registry. This agreement is not a condition of enrollment.
Email Us
[Email Address]
Terms of Use | Privacy Policy
(Insert links for your Terms of Use and Privacy Policy)
Copyright ©[Year] [Website], LLC. All rights reserved. For Agent use only. Rates are subject to change. Certain exclusions, restrictions and limitations may apply; please contact your marketer for more information. Not affiliated with the United States government or the federal Medicare program.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options