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Dental & Vision

Dental & Vision Insurance

Healthy smiles and clear vision for less.

Dental and vision plans help cover cleanings, fillings, crowns, dentures, eye exams, glasses, and contacts, which Original Medicare and many health plans do not include.

  • Preventive cleanings and exams
  • Help with fillings, crowns, and dentures
  • Annual eye exams and eyewear allowance
  • Individual and family plan options
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Dental & Vision Information & Needs Assessment

Takes about 3 minutes. No obligation, no cost.

1

Your information

Required

2

Coverage preferences

Optional, but helpful

Desired type
Dental coverage
3

Health history

Optional. Have you had any of the following medical conditions?

Missing tooth / teeth
Dentures
Cavities
Chipped tooth / teeth
Wear glasses / contacts

Dental & Vision Quote Information Disclaimer

The information provided on this form is being collected solely for the purpose of evaluating dental/vision insurance options and preparing a quote. Providing this information does not constitute an application for insurance, guarantee eligibility, or guarantee coverage or rates.

By submitting this information, you authorize Seguro Advisory Group and its licensed insurance representatives to contact you regarding dental/vision insurance options and related insurance products. Your information may be used to obtain quotes and evaluate available coverage options with applicable insurance companies and will be handled in accordance with applicable privacy and insurance requirements.

Rates, eligibility, underwriting requirements, coverage amounts, policy features, and availability may vary by insurance company, state, age, health history, and other applicable factors. Final rates, coverage, and policy terms are subject to the insurance company's underwriting guidelines and approval.

Important: Please do not provide your Social Security number, driver's license number, bank account information, credit card information, or other highly sensitive financial information on this form unless specifically requested through a secure application process.

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