Enter the following information to see the Medicare Supplement plans available in your area. All fields are required. Enter your Zip Code: Required Error: Zip Code is required. Date of Birth: (format: mm/dd/yyyy) Date of Birth is blank. Gender: Male Female Please select gender for the Primary Applicant Used Tobacco in the past: Refers to any usage of tobacco (e.g. cigarettes, cigars, pipes, snuff, or chewing tobacco) in the past 12 months. Are you a Tobacco user? Yes No Please provide a valid response Requested Effective Date: 08/15/201909/01/201909/15/201910/01/201910/15/201911/01/201911/15/201912/01/201912/15/201901/01/202001/15/202002/01/202002/15/2020 Continue
