By clicking “View My Quotes”, you confirm you are over the age of 18 and expressly consent to receive phone
calls, emails and text messaging at the following number {populate customers phone} from licensed insurance
agents employed with GoInsureWise Insurance, or its Marketing Partners (non-government entities) regarding
Medicare Advantage, Supplemental, Prescription Drug, and other health related products and services, using
automated technology at the phone number and email address you provided, even if you are on the Federal or
State do not call or do not email list.

Data rates may apply. Receiving quotes from GoInsureWise or its Marketing Partners is at no cost to you and
no purchase is required. Submitting this request does not enroll you in a Medicare insurance plan or affect
your current Medicare part A and B enrollment. You may revoke your express consent at any time by contacting
us at {Phone} or by email at {email} so that you may be placed on our do-not-call and/or our do-not-email
list.