Acquire This Plan You have selected the Plan: Royal (HMO) I want to know more about this product. Please fill the required fields: Yes, I wish to receive information about the Medicare Advantage (Part C) coverage products and services offered by Triple-S Advantage. First Name Last Name Mailing Address Personal E-mail Home Phone Cell Phone Current Plan (if apply) Message Medicare Part A Medicare Part B Government Health Plan of Puerto Rico (GHP) ELA * May we contact you? Yes No By completing this form, you as a beneficiary or authorized representative agree to have one of our sales representatives contact you to discuss the products Triple-S Advantage offers under Part C. Please be aware that the person calling you is a Medicare employee or subcontractor. They do not work directly with the federal government. This person could receive compensation based on your plan enrollment. This selection does NOT obligate you to enroll in a plan, it does not affect your current membership, and it will not enroll you in another Medicare plan.