Permission to Contact.
Thank you for granting me permission to contact you regarding your Medicare needs. The Centers for Medicare & Medicaid Services (CMS) require that Medicare plan providers and insurance agents obtain explicit permission before reaching out. This Permission to Contact (PTC) rule helps protect you, the beneficiary from fraud, pressure tactics, and misinformation. By providing your information below, I can reach out to assist you. Alternatively, you can call me directly at 425-530-5273 or email me at Blake.Caldwell@healthmarkets.com. Either way, I’m honored to assist you! Please provide the infomation for your preferred method of contact below.
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date
*
-
Month
-
Day
Year
Date
Typing your name below and electronically submitting this doucment represents your signature and consent to allow a licensed sales representative to contact you regarding information related to Medicare health plans and health insurance
*
Submit
Should be Empty: