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I agree to a Scope of Appointment for a Medicare Advantage and/or Part D plan review with Silver Path Health Solutions, and I request that the plan review take place as soon as possible, including on the first call.

By submitting this form, I consent to be contacted by Silver Path Health Solutions or its licensed agents via phone, text, or email about Medicare Advantage and/or Part D plan options. I understand calls may be prerecorded or automated.

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All information is confidential and used only for Medicare Advantage plan review purposes.

By submitting this form, you consent to be contacted via phone, text, or email regarding Medicare Advantage/Part D plan options.

DISCLAIMER: We do not offer every plan available in your area. Any information we provide is limited to the plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local SHIP to get information on all your options.