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SmartConnect PreEnrollment Checklist

Starting Medicare can be overwhelming. But taking a few simple steps will set you up for a stress-free experience. This form will help you gather the information you'll need to enroll in a Medicare plan.

SmartMatch Insurance Agency, LLC

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SmartMatch Insurance Agency, LLC
Corporate Office:
120 W. 12th St.
Suite 1700
Kansas City, Missouri 64105

Business Hours:
Monday – Friday
7:30am – 5pm CT
Stay Connected
This is a solicitation for insurance. Not connected with or endorsed by the U.S. Government or the federal Medicare program. SmartMatch Insurance Agency and its divisions are licensed to sell insurance products in all 50 states and DC. Callers will be connected with a licensed agent who can enroll you into a Medicare Advantage, Prescription Drug (Part D) and Medicare Supplement insurance plan.

We do not offer every plan available in your area. Currently we represent 9 organizations which offer 3,299 products nationwide. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options. The plans we represent do not discriminate on the basis of race, color, national origin age, disability, or sex. Not all plans offer all benefits. Benefits may vary carrier and location. Limitations and exclusions apply. No obligation to enroll. SmartMatch Insurance Agency represents Medicare Advantage [HMO, HMO SNP, PPO, PPO SNP, and PDP] organizations that have a Medicare contract. Enrollment in any plan depends on contract renewal. PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal Disease (ESRD).

Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period.

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