Verify Your Medicare Information

To continue reviewing plans available in your area, securely verify your Medicare eligibility information below.

Medicare ID Number

Example: 1EG4-TE5-MK73 *

Medicare Part A Effective Date

Medicare Part B Effective Date

Social Security Number Verification Status

Valid SSN

Social Security *

By checking this box, I request a licensed insurance agent to discuss Medicare Advantage (Part C), Prescription Drug (Part D), and/or Medicare Supplement (Medigap) plans with me. I understand this request serves as my Scope of Appointment and is valid for up to 12 months unless revoked.

I waive the 48-hour rule and request to review plan options immediately.

I agree to be contacted by a licensed insurance agent representing Renew Senior Insurance by phone, text message, or email regarding Medicare Advantage, Prescription Drug, and/or Medicare Supplement plan options. Message and data rates may apply. Consent is not required as a condition of purchase. This is a solicitation for insurance.

I authorize Keturha Reese a licensed insurance agent to assist with enrollment, access my Medicare information as needed (including Medicare ID lookup), and submit my application electronically. I understand I may revoke this authorization at any time.