Request a Medicare Consultation – Internal Request a Medicare Consultation – Internal Request a Medicare Consultation - Internal Please complete the form below and our team will be in contact within 5 business days. Thank you! CompanyThis field is for validation purposes and should be left unchanged.Name(Required) First Last Email(Required) PhoneState(Required)City(Required)Text Okay?(Required) Yes No For your convenience, please let us know when would be the best time to get ahold of you to schedule a personalized consultation?(Required)Consent(Required) This is a solicitation for insurance. Submitting information or calling numbers listed on this website will direct you to a licensed Agent/Broker affiliated with ASR 1-866-448-0160 TTY 711 M-F 9AM-5PM and will be one of the following; Amy Jo Carlson, Angelia Johnson, Annalisa Waunch, Anthony Sanelli, Anthony Kiepe, Carin Clinesmith, Charles Fletcher, Cheri Sudangnoi, Darren Chen, Dave Injinmin, Ed Alghazari, Ericka Rickman, Gena Vandergrift, Gina Alejandro, Gregory Taylor, Heidi Palmer, Angel Yeh, Emmy Cole, Jackie Goodson, Jacob Waunch, John Ellis, Jaylene Berry, Jeff Renkert, Joan Buckley, Juline Duff, Karen Davis, Katie St Clair, Kelly Vaughn, Kendall Beesing, Kevin Peterson, Kimberly Griego, Kyle Luo, JR Gillespie, Laurie Mitchell, Lorna Krahner, Luan Quach, Mai Thao Le, Melanie Iazeolla, Peter Johnsen, Richard Batley, Roy Alaniz, Ryan Griego, Scott Hendrick, Tamara Schreven, Tamra Jenkins, Tanya Beavers, Taylor Allbery, Tracy Hirt, Vicky Buhler. Important disclosures about Medicare Plans: Medicare has neither endorsed nor reviewed this information. ASR is a licensed health insurance agency that represents several Medicare company’s insurance plans and is not connected or affiliated with any United States Government or State agency. We do not offer every Medicare, Medicare Supplement, Medicare Advantage or Prescription Drug Plan available in your area. Currently we represent at least 14 organizations which offer more than 120 Medicare 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.” (plan availability may vary by county in which you reside). Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) 24 hours a day/7 day a week to get information on all of your options to get information on all of your options. Δ