A+ / A-  

1-866-552-4464 (Option 4)

Request for Medicare Assistance

If you are helping someone that lives in Georgia, include the name of the Medicare beneficiary, their zip code and county of residence. If the Medicare beneficiary does not reside in Georgia, contact the State Health Insurance Assistance Program (SHIP) in their state. https://www.shiptacenter.org
Relationship to Medicare beneficiary: 




What assistance do you need? (Multi select check boxes and at least one must be selected): 








(Please Note: Do not include your Medicare, Social Security Number or Date of Birth)