www.healthcare.com Open in urlscan Pro
44.211.114.170  Public Scan

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

Form analysis 2 forms found in the DOM

POST

<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>

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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





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