You Made A Wise Decision!

Thank you for your interest in the Free Medicare Guide.

Please complete this short form to receive your guide immediately.

We look forward to providing the information requested and are also available to answer any questions you may have.

Enjoy the guide!

Michael Haskett

Regional Sales Manager

American Senior benetits

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First Name

Last Name

Street Address

City/Town

State

Zip Code

Phone Number

Email Address

Email needed to download guide.

Thank you for your interest in the

Free Medicare Guide.

Please complete this short form to receive your guide immediately.

We look forward to providing the information requested and are also available to answer any questions you may have.

Enjoy the guide!

Michael Haskett

Regional Sales Manager

American Senior benetits

American Senior Benefits does not offer every plan available in your area. Any information provided is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Not affiliated or endorsed by any government agency. Your information will be provided to a licensed insurance agent. You may be contacted by a licensed insurance agent.