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 By submitting this form you agree that a licensed insurance agent employed with e-TeleQuote Insurance, Inc., may contact you regarding health and life insurance products and services including Medicare Advantage, Medicare Advantage with a Prescription Drug plan, Medicare Supplement and Prescription Drug plans or Life Insurance plans by phone, text message or email. You expressly consent to receive phone calls (including autodialed and/or pre-recorded calls) text messages and email using automated technology at the phone number and email address you provided, even if it is a wireless number, regardless of whether you are on any Federal or state DNC ("Do Not Call") and/or DNE ("Do Not Email") list or registry. In addition, you understand and acknowledge that data and message rates may apply. Furthermore, you acknowledge that you are over 18 years of age.

Online quotes may not be available for all Medicare Advantage, Medicare Supplement and Prescription Drug plans, but the agency that will be discussing these plan options with you is contracted with various Medicare health or prescription drug plans, which may include Medicare Advantage and/or Prescription Drug plans under the Federal government Medicare program and/or Medicare Supplement plans that are not under the Federal government Medicare program. The licensed agent may be compensated based on your enrollment in such a plan. Medicare Supplement plans are not connected with or endorsed by the U.S. Government or the Federal Medicare program. Submitting this form does NOT affect your current Medicare Part A and Part B enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan.

Receiving quotes through our website and from our licensed insurance agents is always free and you are under no obligation to purchase any goods or services as a result of this request. You agree that we may share your information with third parties, and you may receive surveys of service, account updates or other special offers via email, phone or text message sent by e-TeleQuote Insurance, Inc. and/or our partners. You may revoke your express consent at any time by contacting us via 1-877-336-1489 or email at opt.out@e-telequote.com so that you may be placed on our do-not-call and/or our do-not-email list.

Relocating to a New Service Area

Here are some specific examples in which you can become eligible
for Medicare Special Enrollment due to moving to a new location.

  1. You have recently moved to a new address that is no longer in your plan’s service area.
  2. You moved back to the United States after living outside of the country.
  3. You just moved into, currently living in, or moved out of a long-term care facility.
  4. You were released from incarceration.
Relocating to a New Service Area

For more information on relocating and Medicare Special Enrollment, click here.

What Else Makes You Eligible for the Medicare Special Enrollment Period?

Not only does moving to a new location make you eligible for the Special Enrollment Period, but so do the following:

You lose your current coverage

  1. You are no longer eligible for Medicare
  2. You left your coverage from your employer and/or union
  3. You had drug coverage through a Medicare Cost Plan and then left the plan

You have the opportunity to receive other coverage

  1. You have a chance to enroll in other coverage offered by your union or employer
  2. You are enrolled in a Program of All-Inclusive Care for the Elderly plan

Your plan changes its contract with Medicare

  1. Medicare terminates your plan’s contract
  2. Your Medicare Advantage, Prescription Drug or Medicare Cost Plan’s contract was not renewed with Medicare

Other special situations include: you are eligible for both Medicare/Medicaid, you qualify for Extra Help paying for Medicare Prescription Drug coverage, you are enrolled in a State Pharmaceutical Assistance Program or lost SPAP eligibility and more.

  • If you would like to learn more about a Medicare Advantage Plan, click here.
  • If you would like to learn more about a Medicare Supplement Plan, click here.
  • If you would like to learn more about Medicare's Special Enrollment Period, click here.

Call Now for Help!

1-800-991-4407 / TTY 711


About e-TeleQuote and easyMedicare.com

e-TeleQuote Insurance, Inc. the owner and operator of easyMedicare.com, is an independent digital insurance agency providing consumers the ability to purchase Medicare insurance from the comfort of their homes. The company diligently researches available plan options from multiple insurance carriers, helping consumers choose a plan that best suits their needs. e-TeleQuote provides consumers personal consultation through experienced licensed insurance agents who suggest plan coverage options based on a customer’s particular needs. The company has proudly served tens of thousands of consumers across the United States.