By submitting this form, you are requesting to have a licensed insurance sales agent contact you on your phone, cell phone or email to provide additional information about Medicare products and services. Your consent is voluntary and allows RICHARD S RASH to contact you via text messaging, artificial or prerecorded voice messages or automatic dialing for marketing purposes. You may contact us to change your preferences and/or opt out at any time. Changing your preferences will not affect your Medicare eligibility for benefits and enrollment, payment for coverage of services or ability to receive medical treatment. Data use charges and rates from your cellular carrier may apply.