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benefitcare.org Open in urlscan Pro
172.67.163.37  Public Scan

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URL: https://benefitcare.org/
Submission: On July 05 via api from BE — Scanned from DE

Form analysis 6 forms found in the DOM

Name: survey — POST 

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</form>

POST #

<form action="#" method="POST" id="name-form" class="name-form" novalidate="novalidate">
  <div class="flex-wrap">
    <input type="text" name="firstname" id="firstname" placeholder="First Name" required="">
    <input type="text" name="lastname" id="lastname" placeholder="Last Name" required="">
  </div>
  <div id="name-error" class="errors"></div>
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</form>

POST #

<form action="#" method="POST" class="zip-form" id="zip-form" novalidate="novalidate">
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</form>

POST #

<form action="#" method="POST" id="email-form" class="email-form" novalidate="novalidate">
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</form>

POST #

<form action="#" method="POST" class="dob-form" id="dob-form" novalidate="novalidate">
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</form>

POST #

<form id="phone-form" action="#" method="POST" class="phone-form" novalidate="novalidate">
  <input type="tel" class="phone" name="phoneNumber" id="phoneNumber" placeholder="(___) ___-____" required="">
  <div id="phone-error" class="errors"></div>
  <input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/754b536236693698d86c3aca35aa2fab3327004e" id="xxTrustedFormCertUrl_5"><input type="hidden" name="xxTrustedFormToken"
    value="https://cert.trustedform.com/754b536236693698d86c3aca35aa2fab3327004e" id="xxTrustedFormToken_5"><input type="hidden" name="xxTrustedFormPingUrl"
    value="https://ping.trustedform.com/0.Dv0s_WfGre7w-zjHohE3zmvsfdzVuHVKjPOGwaDkqbr-GDOy2umgpSj8kz_c93fcJ6fkhlEM.lxqBs9HeSTdQkXAl0KLe3w.l-OlYOun72825VDMx9oxrg" id="xxTrustedFormPingUrl_5">
</form>

Text Content

Speak to a Licensed Agent 1-844-939-4763 Call an Agent


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Please enter a valid phone number. e.g. (123) 456-7890
View My Results

Consent to Be Contacted. I agree to be contacted by select insurance carriers
and financial institutions, their agents, individual insurance agents, and/or
relevant organizations for marketing purposes concerning insurance and/or other
financial products by phone/text at my provided number (including by autodialer,
prerecorded message, and/or artificial voice), even if my number is on a do not
call list, or by email at the provided email address. Texts about these offers
may be sent from designated numbers (message and data rates may apply). Consent
is not required to make a purchase, and I can opt out at any time.

By clicking the View My Results Button, I agree to the consents below the
button.

Consent to Share Information. I agree to the sharing of my information with
affiliated companies and third-party partners so that they can market their
products and services to me. This includes select insurers and financial
institutions, and their agents, who may make insurance, credit, and other
financial offers to me. I agree to the Privacy Policy and Terms of Service of
the relevant organization.

Medicare. If I am Medicare-eligible, I am requesting to speak with a licensed
agent who is certified to discuss Medicare Advantage and Prescription Drug
insurance plans. This will NOT obligate me to enroll in a plan, affect my
current enrollment, or enroll me in a Medicare plan.

Or Call: 1-844-939-4763


PLEASE WAIT...


CHECKING AVAILABLE PLANS.


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I called the hotline from the ads (I wasn’t sure it’d actually work), and sure
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I am immensely grateful for their support and highly recommend this benefits
plan to anyone seeking affordable healthcare solutions.”

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“This plan saved me!

I recently ended up in a rough spot, but thankfully I had my health coverage.
Otherwise I don’t know what I would have ended up doing to pay the hospital
bill.”

Jeffrey Miller


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