www.medicare.gov Open in urlscan Pro
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4 forms found in the DOM

<form>
  <p class="mct-c-login-form__heading">Save time by logging in</p>
  <ul>
    <li>Get a summary of your current coverage</li>
    <li>Use your saved drugs &amp; pharmacies to compare plan costs</li>
  </ul><button class="ds-c-button mct-c-login-form__login-button" type="submit">Log In</button>
  <p class="ds-u-margin-bottom--0">Don't have an account? <a href="https://medicare.gov/account/create-account?lang=en-us">Create one.</a></p>
</form>

<form>
  <div data-testid="coverage-year-section">
    <fieldset class="ds-c-fieldset ds-u-margin-top--0">
      <legend class="ds-c-label"><span class="ds-u-text-transform--uppercase">Coverage For</span></legend>
      <div class="mct-c-coverage-selector__coverage-years">
        <div>
          <div class="ds-c-choice-wrapper"><input class="ds-c-choice" id="coverage-year-next-year" type="radio" name="coverage-year" data-testid="coverage-selector-coverage-year-2023" value="2023" checked=""><label class="ds-c-label"
              for="coverage-year-next-year"><span class="">2023</span></label></div>
        </div>
        <div>
          <div class="ds-c-choice-wrapper"><input class="ds-c-choice" id="coverage-year-current-year" type="radio" name="coverage-year" data-testid="coverage-selector-coverage-year-2022" value="2022"><label class="ds-c-label"
              for="coverage-year-current-year"><span class="">2022</span></label></div>
        </div>
      </div>
    </fieldset>
  </div>
  <div class="ds-u-padding-top--2">
    <div>
      <div class="mct-c-coverage-selector__zipcode-plan-type">
        <div class="ds-u-clearfix mct-c-coverage-selector__zipcode"><label class="ds-c-label ds-h6" for="field_2" id="field_2-label"><span class="">Zip Code</span></label><input aria-invalid="false" class="ds-c-field" type="text" name="zipcode"
            data-testid="coverage-selector-zipcode" aria-required="true" id="field_2" value=""></div>
        <div class="mct-c-coverage-selector__plantype"><label class="ds-c-label ds-text-heading--sm ds-u-margin-top--0"><span class="">Plan type</span></label>
          <div class="CCXPBase" data-name="coverage-selector-select-plan-type" data-testid="coverage-selector-select-plan-type"><button class="CCXPBase__button" id="inner-CCXPBase-button-7" aria-expanded="false"
              aria-labelledby="inner-CCXPBase-button-7" aria-controls="control-Select-a-plan-type" type="button"><span class="CCXPBase__button--truncate">Select a plan type</span><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                viewBox="0 0 24 24" class="ds-u-margin-left--1 ">
                <path fill="#323A45" fill-rule="nonzero" d="M11.681 15.87l-5.549-5.39a.435.435 0 0 1 0-.624l.743-.727a.457.457 0 0 1 .637 0L12 13.48l4.488-4.35a.457.457 0 0 1 .637 0l.743.726a.435.435 0 0 1 0 .625l-5.55 5.39a.457.457 0 0 1-.637 0z">
                </path>
              </svg></button>
            <div class="CCXPBase__menu CCXPBase__menu--wide " id="control-Select-a-plan-type">
              <fieldset class="ds-c-fieldset ds-u-margin-top--0">
                <legend class="ds-u-visibility--screen-reader">Plan Type</legend>
                <div aria-live="polite" aria-relevant="additions text" aria-atomic="false">
                  <div class="ds-c-choice-wrapper"><input class="ds-c-choice" id="what-coverage-mapd" type="radio" name="what-coverage" data-testid="what-coverage-mapd" value="MEDICARE_ADVANTAGE_PLAN"><label class="ds-c-label"
                      for="what-coverage-mapd"><span class="">Medicare Advantage Plan</span></label></div>
                </div>
                <div aria-live="polite" aria-relevant="additions text" aria-atomic="false">
                  <div class="ds-c-choice-wrapper"><input class="ds-c-choice" id="what-coverage-pdp" type="radio" name="what-coverage" data-testid="what-coverage-pdp" value="PRESCRIPTION_DRUG_PLAN"><label class="ds-c-label"
                      for="what-coverage-pdp"><span class=""><span>Drug plan (Part <span aria-label="Dee">D</span>)</span></span></label></div>
                </div>
                <div aria-live="polite" aria-relevant="additions text" aria-atomic="false">
                  <div class="ds-c-choice-wrapper"><input class="ds-c-choice" id="what-coverage-pdp-medigap" type="radio" name="what-coverage" data-testid="what-coverage-pdp-medigap" value="MEDICARE_ADVANTAGE_PLAN_AND_MEDIGAP"><label
                      class="ds-c-label" for="what-coverage-pdp-medigap"><span class=""><span>Drug plan (Part <span aria-label="Dee">D</span>) + Medigap policy</span></span></label></div>
                </div>
                <div aria-live="polite" aria-relevant="additions text" aria-atomic="false">
                  <div class="ds-c-choice-wrapper"><input class="ds-c-choice" id="what-coverage-medigap" type="radio" name="what-coverage" data-testid="what-coverage-medigap" value="MEDIGAP_POLICY"><label class="ds-c-label"
                      for="what-coverage-medigap"><span class="">Medigap policy only</span></label></div>
                </div>
                <div>
                  <div class="ds-c-choice-wrapper"><input class="ds-c-choice" id="learn-more" data-testid="learn-more" type="radio" name="what-coverage" value="LEARN_MORE"><label class="ds-c-label" for="learn-more"><span class="">I want to learn more
                        about Medicare options before I see plans</span></label></div>
                </div>
              </fieldset>
              <div class="CCXPBase__menuButtonContainer"><button class="ds-c-button ds-c-button--primary-alt ds-u-margin-top--2 e2e-coverage-selector-apply-button" type="button" data-testid="apply-btn">Apply</button></div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="ds-u-padding-top--2"><span class="ds-text-body--md ds-u-padding-right--1" data-testid="next-step-text">Next, you can add your drugs and pharmacies for personalized cost information.</span><span class="ds-text-body--md"
      data-testid="need-help-text"><a href="#/coverage-options/options">Need help picking a plan type?</a></span></div>
  <div class="ds-u-padding-top--2"><button class="ds-c-button mct-c-coverage-selector__start-button" type="submit" data-testid="start-button">Start</button></div>
</form>

<form novalidate="">
  <input name="e" type="email" required="" id="prefix-emailInput" aria-labelledby="prefix-overlay-label" placeholder="">
  <div id="prefix-consent-outer">
    <input name="consent" type="checkbox" id="prefix-consentPolicyInput"> <label for="prefix-consentPolicyInput" id="prefix-consentPolicyLabel">By checking this box, you consent to our
      <a href="https://www.medicare.gov/privacy-policy" target="_blank" rel="noopener noreferrer">data privacy policy</a>.</label>
  </div>
  <input type="submit" value="Next Step" id="prefix-submitButton">
</form>

<form id="prefix-formStepForm" novalidate="">
  <label for="q_74299" style="text-transform: uppercase;">Please tell us which best describes you</label>
  <div id="prefix-questions"><select name="q_74299" class="prefix-questionId" id="prefix-q_74299" disabled="" tabindex="-1">
      <option value="228746">I currently have Medicare</option>
      <option value="228747">I will have Medicare soon (in less than 3 years) </option>
      <option value="228748">I am a caregiver for someone who has Medicare</option>
      <option value="228749">Other </option>
    </select></div>
  <label for="q_65497" style="text-transform: uppercase;">Select your state</label>
  <div id="prefix-questions"><select name="q_65497" id="prefix-q_65497" class="prefix-questionId" disabled="" tabindex="-1">
      <option value="" selected="" disabled="">Select your state</option>
      <option value="193817">Alabama</option>
      <option value="193818">Alaska</option>
      <option value="193819">Arizona</option>
      <option value="193820">Arkansas</option>
      <option value="193821">California</option>
      <option value="193822">Colorado</option>
      <option value="193823">Connecticut</option>
      <option value="193824">Delaware</option>
      <option value="193825">District of Columbia</option>
      <option value="193826">Florida</option>
      <option value="193827">Georgia</option>
      <option value="193828">Hawaii</option>
      <option value="193829">Idaho</option>
      <option value="193830">Illinois</option>
      <option value="193831">Indiana</option>
      <option value="193832">Iowa</option>
      <option value="193833">Kansas</option>
      <option value="193834">Kentucky</option>
      <option value="193835">Louisiana</option>
      <option value="193836">Maine</option>
      <option value="193837">Maryland</option>
      <option value="193838">Massachusetts</option>
      <option value="193839">Michigan</option>
      <option value="193840">Minnesota</option>
      <option value="193841">Mississippi</option>
      <option value="193842">Missouri</option>
      <option value="193843">Montana</option>
      <option value="193844">Nebraska</option>
      <option value="193845">Nevada</option>
      <option value="193846">New Hampshire</option>
      <option value="193847">New Jersey</option>
      <option value="193848">New Mexico</option>
      <option value="193849">New York</option>
      <option value="193850">North Carolina</option>
      <option value="193851">North Dakota</option>
      <option value="193852">Ohio</option>
      <option value="193853">Oklahoma</option>
      <option value="193854">Oregon</option>
      <option value="193855">Pennsylvania</option>
      <option value="193856">Rhode Island</option>
      <option value="193857">South Carolina</option>
      <option value="193858">South Dakota</option>
      <option value="193859">Tennessee</option>
      <option value="193860">Texas</option>
      <option value="193861">Utah</option>
      <option value="193862">Vermont</option>
      <option value="193863">Virginia</option>
      <option value="193864">Washington</option>
      <option value="193865">West Virginia</option>
      <option value="193866">Wisconsin</option>
      <option value="193867">Wyoming</option>
      <option value="193868">Puerto Rico</option>
      <option value="193869">U.S. Virgin Islands</option>
      <option value="193870">American Samoa</option>
      <option value="193871">Guam</option>
      <option value="193872">Northern Mariana Islands</option>
      <option value="239669">Other</option>
    </select></div>
  <input type="submit" value="Continue" id="prefix-formStep-submitButton" tabindex="-1">
</form>

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Coverage For
2023
2022
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Plan Type
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Drug plan (Part D) + Medigap policy
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Please tell us which best describes you
I currently have Medicare I will have Medicare soon (in less than 3 years) I am
a caregiver for someone who has Medicare Other
Select your state
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Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois
Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan
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