Thank you for your submission!

Your application has been received and will be processed. One of our representatives will contact you as soon as posible.

I wish to receive information about the coverage products and services offered by Triple-S Advantage

Yes, I wish to receive information about the coverage products and services offered by Triple-S Advantage.

You have:

Medicare Part A
Medicare Part B
Government Health Plan of Puerto Rico (GHP)
ELA

* May we contact you?

Yes

By completing this form, you agree to a meeting with a sales agent to discuss the types of products you check above. Please note, the person who will discuss the products is either employed or contracted by a Medicare plan. They do not work directly for the Federal government. This individual may also be paid based on your enrollment in a plan.

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.