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www.keystoneflexcard.com Open in urlscan Pro
13.225.78.77  Public Scan

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Submitted URL: http://www.keystoneflexcard.com/
Effective URL: https://www.keystoneflexcard.com/
Submission: On January 27 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="" class="w-lg-75"><!---->
  <div>
    <h2>Sign Up</h2>
    <div class="my-3"><label class="form-label" for="dob" data-v-10a683f8="">Date of Birth</label><input id="dob" type="date" class="form-control" placeholder="Date of Birth" name="dob" autocomplete="on" data-related-checkbox="" data-v-10a683f8="">
      <div class="invalid-feedback" data-v-10a683f8=""></div>
    </div>
    <div class="mb-3"><label class="form-label" for="memberId" data-v-10a683f8="">Member ID</label><input id="memberId" type="text" class="form-control" placeholder="Enter Member ID" name="memberId" autocomplete="on" data-related-checkbox=""
        data-v-10a683f8="">
      <div class="invalid-feedback" data-v-10a683f8=""></div>
    </div>
  </div><!----><!----><!----><button type="submit" class="btn btn-dark"><!----> Continue</button>
  <p class="my-3"> Already have an account? <a href="#/login" class="">Log in here.</a></p>
</form>

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Keystone First VIP Choice is a HMO SNP with a Medicare contract and a contract
with the Pennsylvania Medicaid program. Enrollment in Keystone First VIP Choice
depends on contract renewal.

The Keystone First VIP Choice MasterCard® Prepaid Card is issued by Stride Bank,
N.A., Member FDIC, pursuant to license by MasterCard International.