^*By completing this form and providing your telephone number and/or email address, you agree that Choice Health Insurance LLC, its service providers, and/or affiliates may call, text, leave a voicemail or email you to provide information about Home Care Secure products, health plan benefits and other programs. Calls may be autodialed or prerecorded telemarketing messages. You are not required to authorize the use of an automated system in order to enroll in, purchase, or utilize any plans or services. Standard phone, data, and/or text message charges may apply from your provider.