Preliminary Application

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Plan G vs. Plan N "Understanding the differences"

Plan G Plan N

What Medicare Gaps are Covered for Plan G?

Video

Understand Medicare Basics

Part A Deductible

Covered
Hospital Co-Pays

Covered
Skilled Nursing Facility Co-Pays

Covered
Part B Annual Deductible

Not Covered

$257 Deductible
Part B Coinsurance

Covered
Excess Charges

Covered
Foreign Travel Emergency

80% Covered

What Medicare Gaps are Covered for Plan N?

Video

Plan G vs. Plan N

Part A Deductible

Covered
Hospital Co-Pays

Covered
Skilled Nursing Facility Co-Pays

Covered
Part B Annual Deductible

Not Covered

$257 Deductible
Part B Coinsurance

Covered

DR Office Copayments of $0-$20 $50 ER
Excess Charges

Not Covered
Foreign Travel Emergency

80% Covered

UnderWriting Information

Underwriting Type

Full Underwriting

Are you covered under Medicare Part A?*

Yes

If YES, what is your Part A effective date? (MM/DD/YYYY)

Are you covered under Medicare Part B?*

Yes

Medicare Part B Coverage Start Date:

Applicant Information

First Name

Last Name

Street Address

Street Address Line 2

City

State(Only US state)

Zip Code

Is mailing address different from residence address?

Yes

Mailing Address

Mailing Address Line 2

City

State(Only US state)

ZIP Code

Type of Phone

Home

Mobile

Phone Number*

Email Address*

Height*

Weight*

Medicare Information

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Medicare Number (no dashes):* class="red-required">*

Are you covered under Medicare Part A?*

Yes

Medicare Part A Coverage Start Date:

Are you covered under Medicare Part B?*

Yes

Medicare Part B Coverage Start Date:

If you are not covered under Medicare Part A, what is your eligibility date?*

If you are not covered under Medicare Part B, what is your eligibility date?*

Did you first become eligible for Medicare due to age, disability or end-stage renal disease prior to January 1, 2020? *

Yes

Have you received a copy of the Guide to Health Insurance for People with Medicare, the Outline of Coverage, and the Notice of Information Practices? *

Mail to me

Email to me

Get Your Quote

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Dental and Vision

Zip Code

Date of Birth

Coverage Start Date

Include Primary/Policyholder in this quote?

Yes

No(Select 'No' to only include dependents)

Select your dental or vision plan

Dental

Vision

Who would you like to include in this quote?

Spouse

Children

Dental & Vision application

Applicant or Guardian

Video

I am new to Medicare

First Name

Last Name

Marital Status

Gender

Employment Status

Street Address

Street Address Line 2

City

State(Only US state)

Zip Code

Has applicant had previous Dental Coverage?*

Yes

Previous Carrier*

Policy Number

Coverage Started On*

Coverage Ended On*

Phone Number*

Email Address*

Dependent Information

To add or remove a dependent please return to Get a Quote page as your plan estimates will change.

Spouse First Name*

Spouse Last Name*

Spouse Gender*

Spouse Date of Birth

Select Your Situation

Step 1 Medicare Basics

Choose Your Plan

Advantage Plan Considering Supplement

I am new to Medicare

Step 2 Plan G vs. Plan N

Step 2: Health Information

Get Your Quote

Step 3 Rates & Plan Options

Choose from Our Most Popular Options

Plan G vs. Plan N "Understanding the differences"

Good News!

We Found Multiple Plans in your County "Watch this quick video for 3 things to consider while reviewing your quotes"

Plan G vs. Plan N "Understanding the differences"

Good News!

We Found Multiple Plans in your County "Watch this quick video for 3 things to consider while reviewing your quotes"

Understand Medicare Basics

Great Choice!

Now let's see if you qualify

Almost done!

3 Simple Steps Left

UnderWriting Information

Applicant Information

Discounts

Medicare Supplement Activity Tracker Discount Authorization Form

Medicare Information

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Previous or Existing Coverage Information

Health Information

Medication Information

Get Your Quote

Dental and Vision

Dental & Vision application

I am new to Medicare

Dependent Information

The contents of this website are subject to change without notice. If you would like to find more information about the Government Medicare program please visit the Official US Government Site for People with Medicare located at www.medicare.gov.