Interested in a Medicare Supplement plan but want to compare your options first? Look no further! Our Medigap
Comparison tool allows us to collect your information and process it to give you a variety of options that are
customized to you and your needs.
IMPORTANT: Medicare charges a late enrollment penalty to anyone that does/did not enroll in a drug plan within their Initial Enrollment Period for Part D. For Information on the penalty, refer to Part D in the Medicare & You Handbook (click here to view) or go to Medicare.gov.
I understand that the PDP analysis and plan suggestion by an Omega representative will be based solely on the medications and information listed on this electronic RX Plan Profile form. I also understand that based on the drugs I take, the recommended prescription plan may have a deductible.
By providing this information, you agree that an authorized representative or licensed insurance agent/producer may contact you by phone, email, or mail to answer your questions or provide additional information about Medicare Advantage, Part D or Medicare Supplement Insurance plans.