Complete form to reach a licensed insurance advisor

Name
Address
Please select the products you are interested in?

By clicking on the above Submit button, I agree to allow Myriad Shields and/or a licensed advisor designated by Myriad Shields to contact me regarding educational events and/or schedule an appointment to discuss any or all the products offered including Medicare Advantage or Medicare prescription drug plans.

By providing my phone number to Myriad Shields, I agree and acknowledge that Myriad Shields and/or a licensed advisor designated by Myriad Shields may send text messages to my wireless phone number for any purpose. Message frequency will vary, and Message and data rates may apply. You can also opt out by replying “STOP.” Myriad Shields have a strict privacy policy that prohibits selling or sharing personal information.

Medicare Advantage/Part D TPMO Disclaimer:  Our advisors do not offer every plan available in your area. Currently they represent 1-11 organizations in the following states: AZ, AK, CA, CO, FL, GA, MI, NV, NC, OH, PA, SC, TX, UT, WA, and WI, which offer 1-99 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.