offline-medicare.uhc.com
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Submitted URL: http://www.offline.uhcretireehealthassessment.com/
Effective URL: https://offline-medicare.uhc.com/retiree/health-assessment/
Submission: On August 01 via api from US — Scanned from DE
Effective URL: https://offline-medicare.uhc.com/retiree/health-assessment/
Submission: On August 01 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form class="sc-eqUAAy ywhhL loginForm">
<div class="sc-iGgWBj ePKBQw">
<div>
<div class="d-flex"><label class="form-label" for="memberId">Member ID</label>
<div class="ml-auto hmfm-id"><button role="link" type="button" class="uhc-tempo-link uhc-tempo-link--medium linkBtn" rel="">Help me find my Member ID</button></div>
</div>
<div><input class="form-control ibc" maxlength="12" type="text" id="memberId" name="memberId" aria-describedby="memberSubText memberFieldError" aria-required="true" value=""></div><small id="memberSubText" class="form-help-text text-muted">7-11
digit number</small>
</div>
</div>
<div class="sc-iGgWBj ePKBQw">
<div><label class="form-label" for="memberDateBirth">Member date of birth</label>
<div>
<div class="react-datepicker-wrapper">
<div class="react-datepicker__input-container"><input id="memberDateBirth" name="memberDateBirth" class="form-control ibc" value=""></div>
</div>
</div><small id="dobSubText" class="form-help-text text-muted">mm/dd/yyyy</small>
</div>
</div>
</form>
Text Content
Welcome to the Health Assessment | United HealthCare WELCOME TO THE HEALTH ASSESSMENT This short assessment will help you get the most out of your health plan and can help you reach your wellness goals. Medicare requires us to update your health history every year. Answering these questions will have no effect on your plan membership coverage. Member ID Help me find my Member ID 7-11 digit number Member date of birth mm/dd/yyyy Next * ABOUT US * CONTACT US * PRIVACY POLICY * TERMS OF USE * DISCLOSURES * ACCESSIBILITY , opens in a new window * LANGUAGE ASSISTANCE / NON-DISCRIMINATION NOTICE , opens in a new window * ASISTENCIA DE IDIOMAS / AVISO DE NO DISCRIMINACIÓN , opens in a new window * 語言協助 / 不歧視通知 , opens in a new window * MEDICARE COMPLAINT FORM , opens in a new window * DISASTER AND EMERGENCY SUPPORT 2023-04-21T00:01:00.00+00:00 © 2023 United HealthCare Services, Inc. All rights reserved