Smartfinancial.com is operated by SmartFinancial.com Insurance LLC, which is an independent broker and is
not a Federal or State controlled Marketplace website, nor is it affiliated with any governmental entity.
This website is owned and operated by SmartFinancial.com Insurance LLC, a licensed insurance agency, NPN
#16007713. Invitations to apply for health insurance on SmartFinancial.com Insurance, LLC, are available
only where properly licensed and appointed. License numbers are available upon request and are provided
where required by law. SmartFinancial’s license information can be found at
Federal Contracting Statement: Medicare Plans are insured or covered by a Medicare Advantage organization
with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the
plan’s contract renewal with Medicare.
Third Party Material (TPMO) (Medicare.gov): We do not
offer every plan available in your area. Any information we provide is limited to those plans we
do offer in your area. Please contact Medicare.gov
or 1-800-MEDICARE to get information on all of your options.
Submittal of this form or an Application for Insurance does NOT affect your current enrollment, nor will it
enroll you in a Medicare Advantage plan, Medicare Prescription Drug plan, Medicare Supplement Plan, or any
other Medicare plan. SmartFinancial.com Insurance LLC is independent of the Medicare program and is neither
associated with nor endorsed by The Centers for Medicare & Medicaid Services (CMS) or any other governmental
The plans represented on Smartfinancial.com are Medicare
Advantage HMO, PPO and PFFS organizations and stand-alone prescription drug plans with a Medicare contract.
If you are paying Medicare Part B premium, you must continue to pay it to maintain coverage.
Not all plans offer all available benefits. Specific benefits may vary by carrier, play year, and location.
Check your official benefits disclosure for a full list of applicable benefits. Limitations and exclusions
Medicare Part B Premium give-back is not available with all plans. Availability varies by carrier and
location. Actual Part B premium reduction could be less. Deductibles, copays and coinsurance may apply.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may apply.
[Benefits, premiums and/or copayments/coinsurance] are subject to change on January 1 of each year.
There are several factors that impact your monthly premium; including your age, geographical location,
annual income, dependents, and the type of plan you choose. Monthly premiums do not include out-of-pocket