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Submitted URL: https://links.email.healthcare.com/z/g5wp2le5z?uid=55dd5bbc-59fa-40d6-b8ec-59b5bf18c88a&txnid=c564fef3-b170-4809-ac41-e1b6a048caf6&...
Effective URL: https://www.healthcare.com/?uid=FCAC2A9928D34ECEA9E5EF6C0E43EE69&bsft_aaid=554e8eee-6c9a-423a-b09b-45d49e51f10d&bsft_eid=99...
Submission: On October 05 via manual from US — Scanned from DE
Effective URL: https://www.healthcare.com/?uid=FCAC2A9928D34ECEA9E5EF6C0E43EE69&bsft_aaid=554e8eee-6c9a-423a-b09b-45d49e51f10d&bsft_eid=99...
Submission: On October 05 via manual from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST
<form class="zip-codes-form-two hcinc_shortcodes hcinc_subsidy_calculator hcinc_subsidy_calculator_v2" id="hcinc_article_subsidyCalc"
style="border: 1px solid #A3A3A3 !important; border-top:6px solid #15B8C4 !important; box-sizing: border-box; box-shadow: 0px 4px 4px rgba(0, 0, 0, 0.1); border-radius: 8px;" method="POST" onsubmit="calculate_subsidy(event)">
<div>
<div class="" id="this_subsidy_calculator">
<h2 class="hcinc_title_subsidy_calculator hcinc_title_subsidy_calculator_v2"><img src="https://cdn.healthcare.com/resources/content/icons/calculator_icon.svg" align="left" id="calculator_icon">Subsidy <br>Calculator</h2>
<div class="row">
<div class="col-md-6 col-lg-4 zip-codes-form"><label for="calculator_zipcode">ZIP Code</label><br><input id="calculator_zipcode" class="hc-find__input thezip-code-input top_zipform calculator_input" type="number" inputmode="numeric"
max="99999" placeholder="ZIP Code" autocomplete="off" min="0" oninput="" style="border-color: #00AEBB !important; height: 44px!important;"><label id="zipcode_message" class="hc-find__label_error error_message"
style="text-indent: -9999px;">Provide a Valid ZIP Code</label>
<div style="display:none; top:26px !important; position:absolute;" class="hc-find__input-check input-check visible" id="validity_check"><i class="fas fa-check" aria-hidden="true" style="margin-top:20px !important;"></i></div>
</div>
<div class="col-md-6 col-lg-4 calculator_dob_col"><label for="calculator_birthdate">Date of Birth</label><br>
<div class="row">
<div class="col-5 dob-col-month"><select name="calculator_dob_month" id="calculator_dob_month" class="calculator_select">
<option disabled="" selected="" value=""> Month </option>
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select></div>
<div class="col-3 dob-col-day"><select name="calculator_dob_day" id="calculator_dob_day" class="calculator_select">
<option disabled="" selected="" value=""> Day </option>
<option value="01">1</option>
<option value="02">2</option>
<option value="03">3</option>
<option value="04">4</option>
<option value="05">5</option>
<option value="06">6</option>
<option value="07">7</option>
<option value="08">8</option>
<option value="09">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select></div>
<div class="col-4"><select name="calculator_dob_year" id="calculator_dob_year" class="calculator_select">
<option disabled="" selected="" value=""> Year </option>
<option>2004</option>
<option>2003</option>
<option>2002</option>
<option>2001</option>
<option>2000</option>
<option>1999</option>
<option>1998</option>
<option>1997</option>
<option>1996</option>
<option>1995</option>
<option>1994</option>
<option>1993</option>
<option>1992</option>
<option>1991</option>
<option>1990</option>
<option>1989</option>
<option>1988</option>
<option>1987</option>
<option>1986</option>
<option>1985</option>
<option>1984</option>
<option>1983</option>
<option>1982</option>
<option>1981</option>
<option>1980</option>
<option>1979</option>
<option>1978</option>
<option>1977</option>
<option>1976</option>
<option>1975</option>
<option>1974</option>
<option>1973</option>
<option>1972</option>
<option>1971</option>
<option>1970</option>
<option>1969</option>
<option>1968</option>
<option>1967</option>
<option>1966</option>
<option>1965</option>
<option>1964</option>
<option>1963</option>
<option>1962</option>
<option>1961</option>
<option>1960</option>
<option>1959</option>
<option>1958</option>
<option>1957</option>
<option>1956</option>
<option>1955</option>
<option>1954</option>
<option>1953</option>
<option>1952</option>
<option>1951</option>
<option>1950</option>
<option>1949</option>
<option>1948</option>
<option>1947</option>
<option>1946</option>
<option>1945</option>
<option>1944</option>
<option>1943</option>
<option>1942</option>
<option>1941</option>
<option>1940</option>
<option>1939</option>
<option>1938</option>
<option>1937</option>
<option>1936</option>
<option>1935</option>
<option>1934</option>
<option>1933</option>
<option>1932</option>
<option>1931</option>
<option>1930</option>
<option>1929</option>
<option>1928</option>
<option>1927</option>
<option>1926</option>
<option>1925</option>
<option>1924</option>
<option>1923</option>
<option>1922</option>
</select></div>
</div>
<div class="row">
<div class="col-12">
<div id="date_message" class="error_message"></div>
</div>
</div>
</div>
<div class="col-md-6 col-lg-4">
<label for="calculator_members">Number of Family Members</label><br>
<select name="calculator_members" id="calculator_members" class="calculator_select">
<option selected="" value=""> Select Members </option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
</select>
<label id="member_message" class="hc-find__label_error error_message" style="text-indent: -9999px;">Please select the members in your family</label>
</div>
<div class="col-md-6 col-lg-4 calculator_income_col">
<label for="calculator_income">Household Income</label><br>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text">$</span>
</div>
<input type="text" name="calculator_income" id="calculator_income" class="calculator_number" placeholder="Enter yearly income" inputmode="numeric" min="1" onkeyup="commas();">
</div>
<label id="income_message" class="hc-find__label_error error_message" style="text-indent: -9999px;">Provide a Valid Income</label>
</div>
<div class="col-md-6 col-lg-4 tobacco_selector"><label>Tobacco Use?</label>
<ul class="calculator_selector">
<li>
<input type="radio" id="tobacco_yes" name="calculator_tobacco" onchange="clearMessages()">
<label for="tobacco_yes" value="1" class="left_label">Yes</label>
</li>
<li>
<input type="radio" id="tobacco_no" name="calculator_tobacco" onchange="clearMessages()">
<label for="tobacco_no" value="0" class="right_label">No</label>
</li>
</ul>
<div id="tobacco_message" class="error_message"></div>
</div>
<div class="col-md-6 col-lg-4"><label>Gender</label>
<ul class="calculator_selector">
<li>
<input type="radio" id="gender_female" value="0" name="calculator_gender" onchange="clearMessages()">
<label for="gender_female" class="left_label">Female</label>
</li>
<li>
<input type="radio" id="gender_male" name="calculator_gender" value="1" onchange="clearMessages()">
<label for="gender_male" class="right_label">Male</label>
</li>
</ul>
<div id="gender_message" class="error_message"></div>
</div>
</div><input type="submit" id="calculator_submit_button" class="gform_button button" value="Find Your Subsidy Now!">
</div>
</div>
<div style="display:none;"><input class="form-check-input hc-select serviceType" type="radio" id="calculator_hc-radio1" name="calculator_hc-radio" value="insurance" checked=""></div>
</form>
<form class="zip-codes-form zip-codes-form-two hcinc_shortcodes ">
<div style="display:block;" class="zip-code-input-container-options">
<h6 class="form-check-label">I’m Looking for:</h6>
<div class="form-check"><input class="form-check-input hc-select serviceType" type="radio" id="bottom_hc-radio1" name="bottom_hc-radio" value="insurance" checked=""
onclick="spClickEvent('i-am-looking-for-health-insurance','footer','click','Health Insurance','','health');"><label class="form-check-label" for="bottom_hc-radio1">Health Insurance</label></div>
<div class="form-check"><input class="form-check-input hc-select serviceType" type="radio" id="bottom_hc-radio2" name="bottom_hc-radio" value="suplemment"
onclick="spClickEvent('i-am-looking-for-medicare','footer','click','Medicare','','medicare');"><label class="form-check-label" for="bottom_hc-radio2">Medicare</label></div>
</div>
<hr style="display:block;">
<div class="zip-code-input-container zip-code-input-container-numbers footer zip-code-state-numbers">
<div class="hc-find__field zip-code"><input class="hc-find__input thezip-code-input zip_code_state_pages bottom_zipform" type="number" inputmode="numeric" max="99999" placeholder="Enter Zip Code" autocomplete="off" min="0"
oninput="validity.valid||(value='');"><label class="hc-find__label_error">Provide a Valid ZipCode</label>
<div style="display:none;" class="hc-find__input-check input-check"><i class="fas fa-check" aria-hidden="true"></i></div>
</div>
</div>
<div class="zip-code-input-container zip-code-input-container-button zip-code-state-button"><button type="submit" class="zip-code-button hc-find__button input-send zip_code_state_btn" disabled="disabled"
onclick="spClickEvent('footer-zip-submit','footer','submit','See Plans','',isChecked());">See Plans</button></div>
</form>
Text Content
Skip to content Call for a Quote HEALTHCARE.COM – 2022 HEALTH PLANS AND HEALTH INSURANCE QUOTE SEARCH A BETTER WAY TO FIND HEALTH INSURANCE THAT’S RIGHT FOR YOU Tell us your age so we can pair you with the best coverage I am 64 or Younger I am Older than 64 HOW IT WORKS -------------------------------------------------------------------------------- You are just a few clicks away from healthcare you can trust. STEP 1 -------------------------------------------------------------------------------- Tell us about yourself and your health insurance needs. STEP 2 -------------------------------------------------------------------------------- We match you to a variety of plans with details to answer your questions. STEP 3 -------------------------------------------------------------------------------- Our experts help you enroll and secure your coverage online or by phone. 1. 2. 3. A BIT ABOUT OURSELVES -------------------------------------------------------------------------------- We’ve helped millions sign up for health insurance. That’s taught us what shoppers like you are looking for — an easy-to-use, tech-friendly, and end-to-end shopping and buying experience. SUBSIDY CALCULATOR ZIP Code Provide a Valid ZIP Code Date of Birth Month JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day 12345678910111213141516171819202122232425262728293031 Year 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 Number of Family Members Select Members 1 2 3 4 5 6 7 8 Please select the members in your family Household Income $ Provide a Valid Income Tobacco Use? * Yes * No Gender * Female * Male AT HEALTHCARE.COM We have helped over 5M people by providing information for more than 600 insurance carriers. Read More About Us AT HEALTHCARE.COM We have over 4500 plans to choose from. Read More About Us AT HEALTHCARE.COM We have helped more than 100,000 people manage their Pivot Health short-term insurance products. Read More About Us AT HEALTHCARE.COM We have developed more than 200 unique insurance plans to help folks find the flexible plans they need. Read More About Us 1. 2. 3. 4. FIND AFFORDABLE HEALTHCARE THAT’S RIGHT FOR YOU I’M LOOKING FOR: Health Insurance Medicare -------------------------------------------------------------------------------- Provide a Valid ZipCode See Plans LOOKING FOR A HEALTH INSURANCE QUOTE? Note: This number does not reach HealthCare.com personnel. ABOUT HEALTHCARE.COM * About Our Company * Privacy Policy * Jobs We Are Hiring * Terms & Conditions * Contact Us * Partner Companies * Licensing Get Support Code HealthCare.com is a website domain of HealthCare Insurance Services, LLC, a subsidiary of HealthCare, Inc., a privately-owned non-government website, not to be confused with HealthCare.gov. This website serves as an invitation for you, the customer, to inquire about further information regarding health insurance, and submission of your contact information constitutes permission for an agent from to contact you with further information, including complete details on cost and coverage of health insurance marketed by HealthCare Insurance Services, LLC or HealthCare, Inc. subsidiary Pivot Health Holdings, LLC. We are commited to protect and respect your privacy. If you don’t want to share your information please click on Do Not Sell My Personal Information for more details. CCPA Personal Information Request Read More We are committed to protecting and respecting your privacy. If you don’t want to share your information please submit a request from our contact page. Residents of California should use this form: CCPA Personal Information Request. If you are experiencing difficulty accessing our website content or require help with site functionality, please use one of the contact methods below. For assistance with Medicare plans dial 888-391-5203, for other plans please dial 888-380-0672 Copyright © 2006-2022 HealthCare, Inc.