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Submission: On October 19 via api from US — Scanned from US
Submission: On October 19 via api from US — Scanned from US
Form analysis 2 forms found in the DOM
POST /#wpcf7-f94-p31-o1
<form action="/#wpcf7-f94-p31-o1" method="post" class="wpcf7-form init" aria-label="Contact form" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="94">
<input type="hidden" name="_wpcf7_version" value="5.9.8">
<input type="hidden" name="_wpcf7_locale" value="en_US">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f94-p31-o1">
<input type="hidden" name="_wpcf7_container_post" value="31">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
</div>
<div class="row">
<div class="column">
<p><span class="wpcf7-form-control-wrap" data-name="first-name"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="First Name" value=""
type="text" name="first-name"></span>
</p>
</div>
<div class="column" id="col201">
<p><span class="wpcf7-form-control-wrap" data-name="last-name"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Last Name" value=""
type="text" name="last-name"></span>
</p>
</div>
</div>
<!--
<div class="row">
<span class="wpcf7-form-control-wrap" data-name="email-address"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email" aria-invalid="false" placeholder="Email Address" value="" type="email" name="email-address" /></span>
</div>
-->
<div class="row">
<p><span class="wpcf7-form-control-wrap" data-name="phone-number"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel" aria-required="true" aria-invalid="false"
placeholder="Phone Number" value="" type="tel" name="phone-number"></span>
</p>
</div>
<!--
<div class="column">
<span class="wpcf7-form-control-wrap" data-name="City"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" aria-invalid="false" placeholder="Enter Your City" value="" type="text" name="City" /></span>
</div>
-->
<div class="column" id="col201">
<p><span class="wpcf7-form-control-wrap" data-name="State"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Enter Your State" value=""
type="text" name="State"></span>
</p>
</div>
<div class="row">
<p><span class="wpcf7-form-control-wrap" data-name="Zipcode"><input class="wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number" aria-required="true" aria-invalid="false" placeholder="Enter Zipcode" value=""
type="number" name="Zipcode"></span>
</p>
</div>
<!--
<div class="row">
<span class="wpcf7-form-control-wrap" data-name="textarea-125"><textarea cols="40" rows="10" maxlength="2000" class="wpcf7-form-control wpcf7-textarea" id="txtarea" aria-invalid="false" placeholder="(Required) Please state medical conditions if any?" name="textarea-125"></textarea></span>
</div>
-->
<div class="row">
<p><span class="wpcf7-form-control-wrap" data-name="checkbox-583"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first last"><label><input type="checkbox" name="checkbox-583[]"
value="By clicking submitting Medicare or Medicaid or Yes, I provide my express written consent via this webform to initiate a chat interaction for a licensed sales agent associated with Marketing Partner to contact me via chat, text, or call at the number I provided, even if the phone number provided is on the National Do Not Call registry, regarding products or services, including Medicare Supplement, Medicare Advantage, Prescription Drug insurance plans, and other health-related services. I consent to being contacted via chat, a live, automated dialing system telephone call, SMS text, or email. I understand this request has been initiated by me and that this is an unscheduled contact request where I am requesting information immediately. I understand my telephone company may impose charges on me for these contacts and am not required to enter into this agreement as a condition of any purchase or service. I further understand that this request, initiated by me, is my affirmative consent to be contacted which is in compliance with all federal and state telemarketing and Do-Not-Call laws. Licensed Sales Agents are not connected with or endorsed by the U.S. government or the federal Medicare program. I agree to the Privacy Policy and Terms and Conditions. Please note this is a solicitation for insurance. There is no obligation to enroll."><span
class="wpcf7-list-item-label">By clicking submitting Medicare or Medicaid or Yes, I provide my express written consent via this webform to initiate a chat interaction for a licensed sales agent associated with Marketing Partner to
contact me via chat, text, or call at the number I provided, even if the phone number provided is on the National Do Not Call registry, regarding products or services, including Medicare Supplement, Medicare Advantage, Prescription
Drug insurance plans, and other health-related services. I consent to being contacted via chat, a live, automated dialing system telephone call, SMS text, or email. I understand this request has been initiated by me and that this is
an unscheduled contact request where I am requesting information immediately. I understand my telephone company may impose charges on me for these contacts and am not required to enter into this agreement as a condition of any
purchase or service. I further understand that this request, initiated by me, is my affirmative consent to be contacted which is in compliance with all federal and state telemarketing and Do-Not-Call laws. Licensed Sales Agents are
not connected with or endorsed by the U.S. government or the federal Medicare program. I agree to the Privacy Policy and Terms and Conditions. Please note this is a solicitation for insurance. There is no obligation to
enroll.</span></label></span></span></span>
</p>
</div>
<p><input id="leadid_token" name="universal_leadid" type="hidden" value="">
</p>
<div class="row">
<p><button class="btn theme-btn-1 btn-effect-1 text-uppercase wpcf7-form-control has-spinner wpcf7-submit" type="submit">Submit Your Request</button><span class="wpcf7-spinner"></span>
</p>
</div>
<!--
<div class="row">
<input class="wpcf7-form-control wpcf7-submit has-spinner" type="submit" value="Submit Your Request" />
</div>
-->
<style>
/* Container for the rows */
.wpcf7 form .row {
margin-bottom: 15px;
}
/* Columns for the first row */
.wpcf7 form .row .column {
flex: 1;
box-sizing: border-box;
}
/* Ensure the columns' input fields have the same height as other rows */
.wpcf7 form .row .column input {
height: auto;
/* Match the height of other inputs */
}
/* Adjust the layout for smaller screens */
@media (max-width: 600px) {
.wpcf7 form .row .column {
flex: 100%;
max-width: 100%;
}
.wpcf7 form .row {
flex-direction: column;
}
}
/* Ensure the submit button matches the style */
.wpcf7 form .row input[type="submit"] {
width: 100%;
border-radius: 5px;
/* Adjust the radius as needed */
padding: 10px;
/* Add padding for better usability */
box-sizing: border-box;
/* Ensure padding doesn't affect total width */
border: none;
/* Default border style */
background-color: #0073aa;
/* Button background color */
color: white;
/* Button text color */
cursor: pointer;
/* Pointer cursor on hover */
}
.wpcf7 form .row input[type="submit"]:hover {
background-color: #005f8d;
/* Darker background on hover */
}
</style>
<div class="wpcf7-response-output" aria-hidden="true"></div>
</form>Name: New Form — POST
<form class="elementor-form" method="post" name="New Form">
<input type="hidden" name="post_id" value="31">
<input type="hidden" name="form_id" value="5eb08fcb">
<input type="hidden" name="referer_title" value="Home - Medi Fortify">
<input type="hidden" name="queried_id" value="31">
<div class="elementor-form-fields-wrapper elementor-labels-above">
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6fbe932 elementor-col-50">
<label for="form-field-field_6fbe932" class="elementor-field-label"> Name </label>
<input size="1" type="text" name="form_fields[field_6fbe932]" id="form-field-field_6fbe932" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Name">
</div>
<div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required">
<label for="form-field-email" class="elementor-field-label"> Email </label>
<input size="1" type="email" name="form_fields[email]" id="form-field-email" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Email" required="required" aria-required="true">
</div>
<div class="elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-name elementor-col-50">
<label for="form-field-name" class="elementor-field-label"> Mobile </label>
<input size="1" type="tel" name="form_fields[name]" id="form-field-name" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="+353-" pattern="[0-9()#&+*-=.]+"
title="Only numbers and phone characters (#, -, *, etc) are accepted.">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_653b59f elementor-col-50 elementor-field-required">
<label for="form-field-field_653b59f" class="elementor-field-label"> Post code </label>
<input size="1" type="text" name="form_fields[field_653b59f]" id="form-field-field_653b59f" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="V94-" required="required" aria-required="true">
</div>
<div class="elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100">
<label for="form-field-message" class="elementor-field-label"> Message </label>
<textarea class="elementor-field-textual elementor-field elementor-size-sm" name="form_fields[message]" id="form-field-message" rows="3" placeholder="Message"></textarea>
</div>
<div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-50 e-form__buttons">
<button type="submit" class="elementor-button elementor-size-md">
<span>
<span class=" elementor-button-icon">
</span>
<span class="elementor-button-text">Submit your Request</span>
</span>
</button>
</div>
</div>
</form>Text Content
* Email: josh@dev.medifortify.com * Phone Number: (888) 890-9156 TTY 771 Facebook-f Twitter Youtube * Home * About * Services * FAQ * Contact X Get a Quotation SECURE YOUR HEALTH MEDI FORTIFY - SECURE YOUR FUTURE Confused about Medicare options? You're not alone. At Medi Fortify, our mission is to help simplify Medicare Advantage Plan. We offer personalized guidance and a wide range of plans to help you find the right plan for you at possibly an affordable price. GET A FREE NO OBLIGATION PLAN REVIEW TODAY AND EXPLORE HOW MEDI FORTIFY MAY HELP EMPOWER YOU TO MAKE INFORMED DECISIONS ABOUT YOUR HEALTHCARE FUTURE. Get a No Obligation Plan Review KNOWLEDGEABLE GUIDANCE Our dedicated Licenced Insurance Agents will walk you through every step of the process. PERSONALIZED SUPPORT We take the time to understand your unique situation and healthcare goals. WIDE RANGE OF PLANS We offer a variety of MEDICARE ADVANTAGE PLANS, SUPPLEMENT, OR PRESCRIPTION DRUG PLANS. HASSLE-FREE ENROLLMENT A licensed insurance agent will handle the entire enrollment process for you, helping to possibly make it easy and hassle-free. ABOUT US YOUR GUIDE THROUGH MEDICARE ADVANTAGE PLANS Medi Fortify was founded with a single mission: to help empower individuals with clear and reliable information to help make informed decisions about their Medicare Advantage Plan journey. Our team of dedicated licenced Insurance Agents are passionate about helping to simplifying the process and ensuring you have access to the coverage you may be eligible for. Learn More UNDERSTANDING MEDICARE ADVANTAGE PLANS YOUR GUIDE TO COVERAGE OPTIONS Medicare, a federal health insurance program, provides coverage for millions of Americans aged 65 and older, as well as younger individuals with disabilities. While it can seem complex, understanding the different parts of Medicare Advantage Plans and available plan options is essential for making informed decisions about your healthcare future. Medi Fortify is here to help simplify the process and ensure you have the knowledge and support you need to navigate Medicare Advantage Plans with confidence. Learn More OUR SERVICES MEDICARE ADVANTAGE PLANS FOR YOU MEDICARE PLAN SELECTION Our licensed insurance agents will help analyze your medical history, medications, and desired coverage to recommend the most suitable Medicare plan for your needs. ENROLLMENT We'll guide you through the entire enrollment process. ONGOING SUPPORT & REVIEW We're here for you beyond enrollment. We offer ongoing support to answer questions, address concerns, and review your plan options as your healthcare needs evolve. Enrollment in the described plan type may be limited to certain times of the year unless you qualify for a Special Enrollment Period or year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period. FIND THE RIGHT MEDICARE PLAN FOR YOUR NEEDS At Medi Fortify, we work with you to find the Medicare plan that may help fit your budget and healthcare goals. Customer Satisfaction 0 % Network of Hospitals and Clinics 0 + Participating sales agencies represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal. CONTACT US LET'S GET YOU STARTED ON YOUR MEDICARE JOURNEY By clicking submitting Medicare or Medicaid or Yes, I provide my express written consent via this webform to initiate a chat interaction for a licensed sales agent associated with Marketing Partner to contact me via chat, text, or call at the number I provided, even if the phone number provided is on the National Do Not Call registry, regarding products or services, including Medicare Supplement, Medicare Advantage, Prescription Drug insurance plans, and other health-related services. I consent to being contacted via chat, a live, automated dialing system telephone call, SMS text, or email. I understand this request has been initiated by me and that this is an unscheduled contact request where I am requesting information immediately. I understand my telephone company may impose charges on me for these contacts and am not required to enter into this agreement as a condition of any purchase or service. I further understand that this request, initiated by me, is my affirmative consent to be contacted which is in compliance with all federal and state telemarketing and Do-Not-Call laws. Licensed Sales Agents are not connected with or endorsed by the U.S. government or the federal Medicare program. I agree to the Privacy Policy and Terms and Conditions. Please note this is a solicitation for insurance. There is no obligation to enroll. Submit Your Request Name Email Mobile Post code Message Submit your Request OUR TEAM MEET OUR EXPERT MEDICAL INSURANCE TEAM Emily Walsh Chief Executive Officer Facebook-f Twitter Youtube Liam Byrne Chief Financial Officer Facebook-f Twitter Youtube Grace Donovan Customer Relations Facebook-f Twitter Youtube Ethan Doyle Customer Relations Facebook-f Twitter Youtube What is Medicare Advantage Plan? Medicare Advantage Plan is a federal health insurance program for people aged 65 and older, as well as younger individuals with certain disabilities. What are the different parts of Medicare? Medicare is divided into different parts (A, B, C, and D) that offer various types of coverage. We may help you understand the different options and possibly help you choose the plan that fits your needs. When can I enroll in Medicare? There is a specific enrollment window for Medicare, typically around your 65th birthday (3 Months Before and 3 Months After). We can help you understand the enrollment process and ensure you don't miss any deadlines. How much does Medicare Advantage Plan cost? The cost of Medicare Plans could depending on the plan you choose and location. We may help you find affordable options that fit your budget. What are Medicare Supplement plans? Medicare Supplement plans help cover out-of-pocket costs associated with Original Medicare (Parts A & B). We can explain the different Medigap options and help you find the one that complements your coverage. What are Medicare Advantage plans? Medicare Advantage plans (Part C) are offered by private insurance companies and bundle hospital and medical coverage (similar to Parts A & B) into a single plan. We can help you compare Medicare Advantage plans and find one that help provides the coverage you that is right for you. ABOUT US At Medi Fortify, our goal is to help empower individuals with clear information and personalized guidance to help make informed decisions about their Medicare journey. We believe everyone should have access to quality healthcare coverage, and we're passionate about helping to simplifying Medicare Plans to help ensure a secure and healthy future for you. CONTACTS * (888) 890-9156 TTY 771 * josh@dev.medifortify.com * 9800 Hillwood Parkway, Suite 140 Fort Worth, Texas 76177 BUSINESS HOURS * Mon - Fri: 8:00 AM - 6:00 PM * Saturday: 9:00 AM - 4:00 PM * Sunday: Closed We do not offer every plan available in your area. Currently, we represent 20 plus organizations which offer various products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. MULTI-PLAN_3ghf48bv2025_C © 2024 Medifortify. All Rights Reserved.