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Ask about our all-new Medicare Supplement plans. For fast, friendly service call today at:
1-877-689-7662, (TTY/TDD: 1-800-241-6894).

Fill out the form below to have a Health Benefits Advisor call you or to schedule an in-home sales visit.

First Name*
Last Name*
Address 1*
Address 2
City*
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Email¹
Phone*	( ) -
I give consent to contact me about Medicare Supplement plans.*
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By responding, you consent to our calling you even if your number is listed on the Do Not Call registry. All phone numbers and email addresses are kept confidential. ¹ By giving your email address, you will receive emails regarding health care plan solutions from Empire BlueCross BlueShield.

The information entered on this page will not be used to send unsolicited email and will not be sold to a 3rd party. Please read our privacy policy.

*Health benefits advisors are licensed and appointed agents with Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc.

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.

The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company.

This policy meets the minimum standards for MEDICARE SUPPLEMENT INSURANCE as defined by the New York State Insurance Department. The expected benefit ratio for this policy is 80%. This ratio is the portion of future premiums which the company expects to return as benefits, when averaged over all people with this policy.

Products offered are not connected with or endorsed by any division or agency of the state of New York, the United States government, or the Federal Medicare program.

The policy form numbers are: WPPLANAM(09)-NY, WPPLANBM(09)-NY, WPPLANFM(09)-NY, WPPLANHiFM(09)-NY, WPPLANGM(09)-NY, WPPLANNM(09)-NY.

A CONSUMER'S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM THIS INSURER.

By responding, you consent to us calling even if your number is listed on the Do Not Call registry. All phone numbers and email addresses are kept confidential.

WPADVWS003M(10)-NY