Welcome UD Flyers Fans! Call Us Today: 937-915-2483 RetireMEDiQ’s mission is to simplify the decision process for individuals as they transition from employer health insurance to Medicare upon retirement. RetireMEDiQ and our founder- Don Mackos, value our local community, which is why we are proud to sponsor the University of Dayton Flyers in their 2019-2020 season! Stay tuned throughout the season for content regarding retirement, Medicare and more! Our customizable Newsletter is designed to guide you through the transition to retirement and Medicare through personalized communications. You receive the information you want when you want it – all to prepare you and your loved ones for a happy, healthy retirement! What will happen after you fill out this form? You are signing up to receive tailored, timely Medicare and plan-related communications to your inbox. We provide you with the ability to customize your MyiQ Newsletter based on personally relevant topics and desired frequency. Ready to speak with someone directly? By checking the box in the form, you agree that a licensed Benefit Advisor from RetireMEDiQ will contact you by email or phone to provide additional information about enrolling in a Medicare plan. Our diverse portfolio of plans from multiple insurance providers enables us to offer unbiased and objective advice. What makes you eligible for Medicare? To be eligible for Medicare, there are certain requirements you must meet. You qualify for full Medicare benefits if: You are 65 or older You are a permanent legal resident who has lived in the United States at least five years or are a US Citizen; and You (or your spouse) are eligible for Social Security or Railroad Retirement Board benefits; or You (or your spouse) are a government employee or retiree who has not paid into Social Security but has paid Medicare payroll taxes while working. Read more about Medicare eligibility. Will you need to pay for our services? Our services are provided at no cost. How? Insurance companies pay us a fee when our clients enroll in a Medicare health plan. This fee does not impact the amount clients pay for the plan, nor does it impact which plans our experts recommend. Because health plans are regulated by the government, a plan’s price is the same whether our clients sign up through an insurance company, a health care exchange, a broker or with trusted guidance from the experts at RetireMEDiQ. What other benefits will I receive if I enroll with you? We are located right in your community and go beyond just enrolling you in a health plan. Our team of experts delivers relevant, personalized communications and offer access to exclusive online resources throughout the year to our clients. Our goal is to keep you informed and to provide you with the knowledge and confidence you need to make the most important decisions affecting your health plan coverage. Call complete this form or call us at 1-866-338-6866! Sign up to speak with a Medicare advisor for information and guidance at no cost. Email* Name First Last Zip CodePhone number (required)*Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How can we help you today?Providing your information in this form will allow RetireMEDiQ to communicate with you to help guide you through your Medicare journey.vidhiddenNameThis field is for validation purposes and should be left unchanged.