Palffy Insurance Group

Medicare Advantage (Part C) Quote Request

Medicare Advantage Quote Form
*Required Fields

First Name*

Last Name*

Phone Number*

Email Address*

Zip Code*

Do you have Medicare Parts A & B?*

Are you new to Medicare?*

Did you recently turn 65 or will you turn 65 in the near future?*

Will you be losing or did you recently lose employer group insurance?*

Additional Comments:

A sales agent may call you as a result of submitting this form. We may need to clarify some information while completing your quote request. We may call you to discuss your options after you receive your quote.

The information you provide will only be used to satisfy your quote request. Certain information will be shared with insurance companies for quoting purposes only. No insurance company and no other insurance agency will market to you as a result of submitting this form. We do not share your information with outside organizations for marketing purposes.

Medicare Advantage Plans

Medicare Part C is known as the "Medicare Advantage" program. Under Medicare Part C, private insurance companies contract with Medicare to provide you with your Part A and Part B benefits.

Medicare Advantage is an alternative way to get your Medicare Part A and Part B coverage. In other words, you can get your Medicare coverage the traditional way, through the federal government (Original Medicare), or, you can get your Medicare coverage through an insurance company (Medicare Advantage).

Medicare Advantage plans provide you with all of your Medicare Part A and Part B benefits (except for hospice care, which is always covered by Medicare Part A). Most Medicare Advantage plans include prescription drug coverage. Many plans offer additional benefits like vision and dental coverage. You'll also see plans that include health club memberships, discounts on over-the-counter medications and vitamins, 24-hour nurse hotlines, and many other value-added benefits.