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call: (800) 403.6946

Pickleball Contest Entry Form

Prize drawing everyday.  Grand prize drawing 11/14/2021.  Winners will be notified via the contact information provided on this form.  Winners do not need to be present to win.

Elite Medicare Specialists is not connected to or endorsed by any government agency or the Federal Medicare Program. Elite Medicare Specialists provides information on Medicare-approved HMO plans, PPO plans, PFFS plans, POS plans, prescription drug plans offered by Medicare-approved Part D sponsors, and information on certain Medicare supplemental plans. Elite Medicare Specialists represent multiple plans in most Virginia markets. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan.  Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. For plan specific information and disclaimers please contact the plan directly. Outside the Annual Election Period, beneficiaries may only enroll in a plan if they meet certain criteria.  If enrolled in a plan, you must continue to pay your Part B premium.   Plans are not available in all areas.  By contacting Elite Medicare Specialists, you will be transferred to an independently licensed insurance agent. 

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