Benefit Advice Ready to Sell Permissions
(formally Medicare Advice)
Name
*
First Name
Last Name
NPN
*
Email
example@example.com
Carrier
*
Please Select
Aetna/ Silverscript
Alignment
Baylor Scott & White
BCBS (Anthem/ Amerigroup/ Elevance/ Simply)
BCBS (HCSC - TX, IL, OK, NM, MT)
BCBS (Regence)
BCBS of Arkansas
BCBS of Florida (Florida Blue)
BCBS of Michigan
BCBS of North Carolina
Cigna
Clearspring
Clover
Devoted
Freedom Health/ Optimum
HAP
Humana
Medigold/ Trinity
Medical Mutual
Molina
Mutual of Omaha
PacificSource
Paramount
PHP Medicare
Priority Health
Providence
SCAN
UHC
UPMC
Wellcare
Zing
Writing Number
Plan Year
*
Please Select
2023
2024
States Licensed
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please attach a copy of your certification completion certificate or a copy of your RTS email confirmation.
*
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