Medicare Information Request

You can also call us anytime at:
855-442-9940 (TTY:711)

Submit this form and an agent from our Medicare Team will reach out to you with further information.
*Indicates a Required Field

Your ZIP Code determines what Medicare plans are available in your area.

We will use your preferred contact method to set up meeting details.

By sharing your phone number, you’re giving permission for a licensed Select Health Medicare agent to contact you by phone to provide information about Medicare Advantage plans. Your consent is voluntary and allows Select Health to contact you via text messaging or email for marketing purposes. You may unsubscribe from emails at any time, and doing so will not affect your eligibility for Select Health benefits and enrollment, coverage, or ability to get treatment. Data use charges and rates from your cellular carrier may apply.