Skip to content
  • Quote
  • Call
  • Service
    • Login
    • Manage Policies
    • Request Service
    • Certificate of Insurance
    • Contact Your Carrier
    • Report a Claim
    • My Profile
Ashton Lethco Agency
  • For Individuals
    Personal Insurance Solutions
    • Auto Insurance
    • Boat Insurance
    • Classic & Exotic Cars
    • Course of Construction
    • Earthquake
    • Flood
    • High Net Worth
    • Home Insurance
    • Landlord
    • Life Insurance
    • Motorcycle
    • Motorhomes & Travel Trailers
    • Renters
    • Umbrella
    • Annuites
    Get started with your personal insurance quote ›
    • Start Personal Insurance Quote
    • Auto Insurance
    • Home Insurance
    • Condo Insurance
    • Landlord Insurance
    • High Net Worth
    • Earthquake Insurance
    • Flood Insurance
    • Life Insurance
    • Umbrella Insurance
    • Motorcycle Insurance
    • Boat Insurance
    • Powersports Insurance
    • Renters Insurance
    • Jewelry & Valuable Items
  • For Businesses
    Commercial Insurance Solutions
    • Builders Risk
    • Business Owners Policy
    • Commercial Auto
    • Commercial Property
    • Cyber Liability
    • Employment Practices Liability
    • Excess / Umbrella
    • General Liability
    • Hired & Non-Owned Liability
    • Package Policy
    • Professional Liability E&O
    • Special Events
    • Surety Bonds
    • Workers Compensation
    Get a commercial insurance quote for your business ›
    • Start Business Insurance Quote
    • General Liability
    • Workers’ Compensation
    • Professional Liability
    • Business Owners Policy
    • Commercial Property
    • Cyber Liability
    • Directors & Officers
    • Employment Practices Liability (EPLI)
    • Surety Bonds
  • About
    About Us
    • About Our Agency
    • About Ashton Lethco
    • Team Members
    • Client Reviews
    • Where We Do Business
    • Articles & Insights
    • Frequently Asked Questions
    • Refer Friends & Family
    I Want To…
    • Contact Us
    • Get Directions
    • Share My Experience
    • Explore Careers
    Ashton Lethco Agency is here for all your insurance needs.

    Get an insurance quote ›
    • About Us
    • Meet The Team
    • Testimonials
    • Share Your Experience
    • Blog Articles
    • FAQs
    • Refer Friends & Family
    • Join Our Team
  • Office
  • Contact
  • Certificates
  • Customer Service
    Personal insurance account review
    Personal Account Review
    Submit your updated information so we can make sure your family stays properly protected.
    Review Your Personal Account ›
    Commercial insurance account review for businesses
    Business Account Review
    Keep your business and employees protected with as your business grows.
    Review Your Business Account ›
    Customer Service
    • Policy Service
    • Certificate of Insurance
    • Contact Your Carrier
    • Report a Claim
    • Mortgagee Change
    • Opt Into SMS
    • Share Your Experience
    • Policy Changes
    • Certificate of Insurance
    • Report a Claim
    • MVR Request
    • Loss Run Request
    • Account Review: Personal
    • Account Review: Business
  • Login
Ashton Lethco Agency
  • For Individuals
    Personal Insurance Solutions
    • Auto Insurance
    • Boat Insurance
    • Classic & Exotic Cars
    • Course of Construction
    • Earthquake
    • Flood
    • High Net Worth
    • Home Insurance
    • Landlord
    • Life Insurance
    • Motorcycle
    • Motorhomes & Travel Trailers
    • Renters
    • Umbrella
    • Annuites
    Get started with your personal insurance quote ›
    • Start Personal Insurance Quote
    • Auto Insurance
    • Home Insurance
    • Condo Insurance
    • Landlord Insurance
    • High Net Worth
    • Earthquake Insurance
    • Flood Insurance
    • Life Insurance
    • Umbrella Insurance
    • Motorcycle Insurance
    • Boat Insurance
    • Powersports Insurance
    • Renters Insurance
    • Jewelry & Valuable Items
  • For Businesses
    Commercial Insurance Solutions
    • Builders Risk
    • Business Owners Policy
    • Commercial Auto
    • Commercial Property
    • Cyber Liability
    • Employment Practices Liability
    • Excess / Umbrella
    • General Liability
    • Hired & Non-Owned Liability
    • Package Policy
    • Professional Liability E&O
    • Special Events
    • Surety Bonds
    • Workers Compensation
    Get a commercial insurance quote for your business ›
    • Start Business Insurance Quote
    • General Liability
    • Workers’ Compensation
    • Professional Liability
    • Business Owners Policy
    • Commercial Property
    • Cyber Liability
    • Directors & Officers
    • Employment Practices Liability (EPLI)
    • Surety Bonds
  • About
    About Us
    • About Our Agency
    • About Ashton Lethco
    • Team Members
    • Client Reviews
    • Where We Do Business
    • Articles & Insights
    • Frequently Asked Questions
    • Refer Friends & Family
    I Want To…
    • Contact Us
    • Get Directions
    • Share My Experience
    • Explore Careers
    Ashton Lethco Agency is here for all your insurance needs.

    Get an insurance quote ›
    • About Us
    • Meet The Team
    • Testimonials
    • Share Your Experience
    • Blog Articles
    • FAQs
    • Refer Friends & Family
    • Join Our Team
  • Office
  • Contact
843-871-3443
Start Quotes Here
  1. Home
  2. Medicare Insurance Quote

Medicare Insurance Quote

Medicare Insurance QuoteGravity Certs2026-03-23T16:57:59-04:00

"*" indicates required fields

Step 1 of 6

16%
This field is for validation purposes and should be left unchanged.
MM slash DD slash YYYY
I consent to contact*

Client Information

Name*
SMS Consent
Date of Birth*
Gender*
Mailing Address*
For household discount purposes
Spouse Date of Birth

Current Medicare Plan (if available)

Please skip to the next section if you do not currently have a medicare plan.
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
Are you a smoker?

Coverage Information

Do you have a medicate.gov account?*
Do you give us permission to create a medicare.gov account on your behalf?*
Coverage Interests*
Select all that apply

Physicians

Primary Care

Specialist

Name
Add Specialist 2

Specialist 2

Name
Add Specialist 3

Specialist 3

Name
Add Specialist 4

Specialist 4

Name

Hospital & Pharmacy

Current Prescriptions

DO NOT list over the counter (OTC) vitamins, supplements, and/or prescriptions not purchased.
DO NOT state "as needed". Instead, provide an estimate based on the frequency you use the drug.
For inhalers, eye drops, creams, lotions, or ointments, provide size of bottle/tube and frequency of refills.
For insulin or injectables, provide units per day or pens per month.
Drug Name Dosage Package Generic Actions
       
There are no Medications.

Maximum number of medications reached.

Additional Information

By responding to this request, I understand that I am not required to provide any private, protected health information (PHI). This information is only for use by Ashton Lethco Agency to help make an informed plan decision and will not be shared with any third party. I agree that an Ashton Lethco Agency representative may contact me by telephone, e-mail or US mail to discuss Medicare Advantage Plans, Prescription Drug Plans and Medicare Supplement Insurance Plans.
Clear Signature
Office Address
107 W 8th North St
Summerville, South Carolina 29483
Phone: 843-871-3443
Fax: 843-871-4419

Get Directions ›

SC License #16858729

Office Hours

Mon-Fri 9:30am – 5:30pm

Sat-Sun by appointment only, or click here to start your insurance quote online.

Insurance Quotes
  • Personal Insurance
  • Life Insurance
  • Business Insurance
  • Contractors Insurance
  • Course of Construction
  • All Quote Options
Customer Service
  • Policy Service
  • Certificate of Insurance
  • Report a Claim
  • Mortgagee Change
  • Contact Your Carrier
  • Opt Into SMS
  • Share Your Experience
Resources
  • About
  • Team
  • Contact
  • Blog
  • FAQs
Social Media
Ashton Lethco Agency
Accessibility  |  Privacy Policy |  Cookie Policy  |  Terms of Service  |  Sitemap

Your California Privacy Choices  |  Do Not Sell My Personal Information (CA)  |  Limit My Use of Personal Information (CA)

Proudly offering insurance services, home insurance, auto insurance, life insurance, and commercial insurance for businesses, in all of South Carolina, North Carolina, and Georgia, including Aiken, Baxter Village, Beaufort, Bluffton, Cane Bay, Carolina Forest, Cayce, Charleston, Clemson, Columbia, Conway, Easley, Florence, Fort Mill, Fripp Island, Gaffney, Georgetown, Greenville, Greer, Hanahan, Hilton Head Island, Indian Land, Irmo, Ladson, Lake Wylie, Lexington, Little River, Mauldin, Meggett, Moncks Corner, Mount Pleasant, Myrtle Beach, North Augusta, North Charleston, North Myrtle Beach, Orangeburg, Pawleys Island, Port Royal, Rock Hill, Seabrook Island, Simpsonville, Spartanburg, Summerville, Sumter, Tega Cay, West Columbia, and the surrounding areas.

DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services. This website does not make any representations that coverage does or does not exist for any particular claim or loss, or type of claim or loss, under any policy. Be sure to read the policy, including all endorsements, or prospectus, if applicable.

Copyright © Ashton Lethco Agency  |  Website hosted by GravityCerts
Page load link
Insurance Fraud Statement

Fraud is a crime

If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act, which is a crime.

Login

Lost password

Don’t have an account?

Create AccountCreate Account
Start Your Quotes
Select an Insurance Type
Start Personal Insurance Quote for Individuals and Families
Personal Insurance
Start Insurance Quote
Start Life Insurance Quote for Individuals and Families
Life Insurance
Start Insurance Quote
Start Business Insurance Quote
Business Insurance
Start Insurance Quote
Additional Quote Options
  • Quick General Liability

  • Contractors & Trades
  • Course of Construction

  • Commercial Trucking

  • Farm Insurance

  • Non-Profits

  • Golf Carts

  • Jewelry & Valuables

  • Vacant Land

  • Equine & Animals

  • Medicare

Need a Policy Recommendation?
  • Contact Us

  • Call: 843-871-3443

We use cookies to offer you a better browsing experience, analyze site traffic and personalize content. Read about our Cookie Policy. Ok