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ACA Authorization Form

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Find the Right Health Plan for You
To give you the most accurate quote and see if you qualify for savings, we need a few details—like your income, household size, doctors, and medications.

📝 Click below to complete the short, secure form.
There’s no cost and no obligation—just expert help finding coverage that fits your needs and budget.

In-Person Appointments Available

Offices in Helena, AL

 800-859-9759

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Privacy Policy

We do not offer every plan available in your area. Currently, we represent 8 organizations which offer 75 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov

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