Disclaimer:

Federal Contracting Statement: Medicare 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.

Third Party Material (TPMO) (Medicare.gov): We do not necessarily offer every Medicare plan available in your specific area. Any information we provide is limited to the plans we are contracted to offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) to get information on all of your options.

Submittal of this form or an Application for Insurance does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage plan, Medicare Prescription Drug plan, Medicare Supplement Plan, or any other Medicare plan. SmartFinancial.com Insurance LLC is independent of the Medicare program and is neither associated with nor endorsed by The Centers for Medicare & Medicaid Services (CMS) or any other governmental agency.

Not all plans offer all available benefits. Specific benefits may vary by carrier, play year, and location. Check your official benefits disclosure for a full list of applicable benefits. Limitations and exclusions may apply.

Medicare Part B Premium give-back is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be less. Deductibles, copays and coinsurance may apply.

This information is not a complete description of benefits. Contact the plan for more information.

Limitations, copayments, and restrictions may apply.

[Benefits, premiums and/or copayments/coinsurance] are subject to change on January 1 of each year.

Advertised Pricing:

There are several factors that impact your monthly premium; including your age, geographical location, annual income, dependents, and the type of plan you choose. Monthly premiums do not include out-of-pocket costs.