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Providing your information in this form will allow RetireMed to communicate with you to help guide you through your Medicare journey and authorize RetireMed to send you appointment updates, alerts, and reminders via SMS/text messaging. Message and data rates may apply to any text messages sent by RetireMed. By submitting your information, you agree to be contacted by a Licensed Sales Agent by email or phone call to discuss information about Medicare insurance plans. This is a solicitation for insurance.