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Are you currently enrolled in Original Medicare?

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Are you looking for a Prescription Drug Plan?

How many prescription medications do you currently take? (optional)

Who are we preparing this plan review for?

By submitting, I provide my express written consent via this chat / webform interaction for a licensed sales agent associated with Allied Insurance to contact me at the number I provided, even if the phone number provided is on the National Do Not Call registry, regarding products or services, including Medicare Supplement, Medicare, Prescription Drug insurance plans, and other health-related services via live, automated dialing system telephone call, text, or email. I understand this request has been initiated by me and that this is an unscheduled contact request. I understand my telephone company may impose charges on me for these contacts and am not required to enter into this agreement as a condition of any purchase or service. I further understand that this request, initiated by me, is my affirmative consent to be contacted which is in compliance with all federal and state telemarketing and Do-Not-Call laws. Licensed Sales Agents are not connected with or endorsed by the U.S. government or the federal Medicare program. I agree to the Privacy Policy and Terms and Conditions. Please note this is a solicitation for insurance.

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