www.medicare.gov Open in urlscan Pro
2a02:26f0:480:6b3::348  Public Scan

Form analysis
2 forms found in the DOM

<form novalidate="">
  <input name="e" type="email" required="" id="prefix-emailInput" aria-labelledby="prefix-overlay-label" placeholder="">
  <div id="prefix-consent-outer">
    <input name="consent" type="checkbox" id="prefix-consentPolicyInput"> <label for="prefix-consentPolicyInput" id="prefix-consentPolicyLabel">By checking this box, you consent to our
      <a href="https://www.medicare.gov/privacy-policy" target="_blank" rel="noopener noreferrer">data privacy policy</a>.</label>
  </div>
  <input type="submit" value="Next Step" id="prefix-submitButton">
</form>

<form id="prefix-formStepForm" novalidate="">
  <label for="q_74299" style="text-transform: uppercase;">Please tell us which best describes you</label>
  <div id="prefix-questions"><select name="q_74299" class="prefix-questionId" id="prefix-q_74299" disabled="" tabindex="-1">
      <option value="228746">I currently have Medicare</option>
      <option value="228747">I will have Medicare soon (in less than 3 years) </option>
      <option value="228748">I am a caregiver for someone who has Medicare</option>
      <option value="228749">Other </option>
    </select></div>
  <label for="q_65497" style="text-transform: uppercase;">Select your state</label>
  <div id="prefix-questions"><select name="q_65497" id="prefix-q_65497" class="prefix-questionId" disabled="" tabindex="-1">
      <option value="" selected="" disabled="">Select your state</option>
      <option value="193817">Alabama</option>
      <option value="193818">Alaska</option>
      <option value="193819">Arizona</option>
      <option value="193820">Arkansas</option>
      <option value="193821">California</option>
      <option value="193822">Colorado</option>
      <option value="193823">Connecticut</option>
      <option value="193824">Delaware</option>
      <option value="193825">District of Columbia</option>
      <option value="193826">Florida</option>
      <option value="193827">Georgia</option>
      <option value="193828">Hawaii</option>
      <option value="193829">Idaho</option>
      <option value="193830">Illinois</option>
      <option value="193831">Indiana</option>
      <option value="193832">Iowa</option>
      <option value="193833">Kansas</option>
      <option value="193834">Kentucky</option>
      <option value="193835">Louisiana</option>
      <option value="193836">Maine</option>
      <option value="193837">Maryland</option>
      <option value="193838">Massachusetts</option>
      <option value="193839">Michigan</option>
      <option value="193840">Minnesota</option>
      <option value="193841">Mississippi</option>
      <option value="193842">Missouri</option>
      <option value="193843">Montana</option>
      <option value="193844">Nebraska</option>
      <option value="193845">Nevada</option>
      <option value="193846">New Hampshire</option>
      <option value="193847">New Jersey</option>
      <option value="193848">New Mexico</option>
      <option value="193849">New York</option>
      <option value="193850">North Carolina</option>
      <option value="193851">North Dakota</option>
      <option value="193852">Ohio</option>
      <option value="193853">Oklahoma</option>
      <option value="193854">Oregon</option>
      <option value="193855">Pennsylvania</option>
      <option value="193856">Rhode Island</option>
      <option value="193857">South Carolina</option>
      <option value="193858">South Dakota</option>
      <option value="193859">Tennessee</option>
      <option value="193860">Texas</option>
      <option value="193861">Utah</option>
      <option value="193862">Vermont</option>
      <option value="193863">Virginia</option>
      <option value="193864">Washington</option>
      <option value="193865">West Virginia</option>
      <option value="193866">Wisconsin</option>
      <option value="193867">Wyoming</option>
      <option value="193868">Puerto Rico</option>
      <option value="193869">U.S. Virgin Islands</option>
      <option value="193870">American Samoa</option>
      <option value="193871">Guam</option>
      <option value="193872">Northern Mariana Islands</option>
      <option value="239669">Other</option>
    </select></div>
  <input type="submit" value="Continue" id="prefix-formStep-submitButton" tabindex="-1">
</form>

Text Content

 




ERROR: PAGE NOT FOUND



We're sorry, but there is no Medicare.gov page that matches your entry. You may
have been directed here because:

 1. The address you typed contains a typo;
 2. The requested page may have expired or;
 3. The requested page may have been moved.


Please try one of the following resources:

 * Home Page
 * Contact CMS
 * Archive

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page.




 


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GET INFORMATION THAT'S SPECIFIC TO YOU

Please tell us which best describes you
I currently have Medicare I will have Medicare soon (in less than 3 years) I am
a caregiver for someone who has Medicare Other
Select your state
Select your state Alabama Alaska Arizona Arkansas California Colorado
Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois
Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan
Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey
New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon
Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah
Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico U.S.
Virgin Islands American Samoa Guam Northern Mariana Islands Other