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Submitted URL: https://clck.ru/dZETn
Effective URL: https://help.american-solutions.net/?ad=999624&p=everflow&tid=bb8dcec0f9164427901544adcc4da794&aid=4&offid=11
Submission: On March 14 via manual from PH — Scanned from DE
Effective URL: https://help.american-solutions.net/?ad=999624&p=everflow&tid=bb8dcec0f9164427901544adcc4da794&aid=4&offid=11
Submission: On March 14 via manual from PH — Scanned from DE
Form analysis 1 forms found in the DOM
POST /Home/myForm
<form action="/Home/myForm" data-ajax="true" data-ajax-begin="myFormBegin" data-ajax-failure="myFormFailure" data-ajax-loading="#progress" data-ajax-method="POST" data-ajax-mode="replace" data-ajax-success="maintainScroll" data-ajax-update="#Content"
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<div id="LayoutTemplate">
<div class="col-md-12" id="Content">
<div id="dialog"></div>
<div id="dialog2"></div>
<div id="dialog3"></div>
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<main>
<section id="intro">
<div class="container">
<div class="row justify-content-center">
<div class="col-lg-8 text-center">
<h2>Assistance programs are run by funding provided by The Federal Government</h2> <a href="#register" class="btn btn-pink">See more</a>
</div>
</div>
</div>
</section>
<section id="engagement">
<div class="container">
<div class="row">
<div class="col-12 text-center">
<h2>You must first be eligible</h2>
<p>Let us help you find the right assistance information for you, and your family.</p>
<hr>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/money.jpg" class="img-fluid" height="75">
<h4>Financial Assistance</h4>
<hr>
<h5>Welfare or Temporary Assistance for Needy Families (TANF)</h5>
<h5>Supplemental Security Income (SSI)</h5>
</div>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/food.jpg" class="img-fluid" height="75">
<h4>Food</h4>
<hr>
<h5>Supplemental Nutrition Assistance Program (Snap or food stamps)</h5>
</div>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/document.jpg" class="img-fluid" height="75">
<h4>Housing</h4>
<hr>
<h5>Subsidized Housing, Housing Voucher and Public Housing programs Low Income Home Energy Assistance Program (LIHEAP)</h5>
</div>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/doctor.jpg" class="img-fluid" height="75">
<h4>Healthcare</h4>
<hr>
<h5>Medicaid Children's Health Insurance Program (CHIP)</h5>
</div>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/doctor.jpg" class="img-fluid" height="75">
<h4>Medicaid</h4>
<hr>
<h5>Federal and state program that helps with medical costs for some people with limited income and resources</h5>
</div>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/doctor.jpg" class="img-fluid" height="75">
<h4>Medicare</h4>
<hr>
<h5>A health insurance program that primarily provides health insurance for Americans aged 65+</h5>
</div>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/clinic.jpg" class="img-fluid" height="75">
<h4>Tricare</h4>
<hr>
<h5>A health care program of the Uniformed Services. Tricare provides civilians health benefits for U.S Armed Forces military personnel, military retirees, and their dependents</h5>
</div>
</div>
<div class="col-sm-6 col-lg-4 text-center">
<div class="item"> <img src="/images/CI/benefitsprograms2/images/items/clinic.jpg" class="img-fluid" height="75">
<h4>SSDI</h4>
<hr>
<h5>A federal insurance program managed by the Social Security Administration designed to provide income supplements to people who are physically restricted in their ability to be employed because of disability</h5>
</div>
</div>
</div>
</div>
</section>
<section id="banner">
<div class="container">
<div class="row justify-content-center align-items-center">
<div class="col-sm-auto text-center">
<h2>For assistance programs</h2>
</div>
<div class="col-sm-auto text-center"> <a href="#register" class="btn btn-pink">click here</a> </div>
</div>
</div>
</section>
<section id="register" class="collapse">
<div class="container">
<div class="row justify-content-center">
<div class="col-12 text-center">
<h2>Answer the questions</h2>
<p>below for more information on assistance programs.</p>
</div>
<div class="col-4 col-md-2 col-xl-1">
<hr>
</div>
</div>
<div class="form-row">
<div class="col-sm-3 col-md-3 col-lg-3 "> <select class="form-control" id="SPQuestion_36583" name="SPQuestion_36583">
<option value="0" selected="" disabled="">I need assistance with</option>
<option value="food">Food</option>
<option value="healthcare">Healthcare</option>
<option value="housing">Housing</option>
<option value="ssdi">SSDI</option>
<option value="medicaid">Medicaid</option>
<option value="medicare">Medicare</option>
<option value="financial_assistance">Financial Assistance</option>
<option value="tricare">Tricare</option>
</select> </div>
<div class="col-sm-3 col-md-3 col-lg-3 "> <select class="form-control" id="SPQuestion_1045" name="SPQuestion_1045">
<option value="0" selected="" disabled="">Are you diabetic?</option>
<option value="yes">Yes</option>
<option value="no">No</option>
</select> </div>
<div class="col-sm-3 col-md-3 col-lg-3 "> <select class="form-control" id="SPQuestion_36589" name="SPQuestion_36589">
<option value="0" selected="" disabled="">Have you been in a car accident in the past 5 years?</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select> </div>
<div class="col-sm-3 col-md-3 col-lg-3 "> <select class="form-control" id="health_insurance_type" name="SPQuestion_1053">
<option value="0" selected="" disabled="">What type of health insurance do you have?</option>
<option value="Private">Private</option>
<option value="Medicaid">Medicaid</option>
<option value="Medicare">Medicare</option>
<option value="SSDI">SSDI</option>
<option value="CHIP">CHIP</option>
<option value="Uninsured">Uninsured</option>
</select> </div>
</div>
<div class="form-row">
<div class="col-lg-9 d-none d-lg-flex"></div>
<div class="col-lg-3 d-none d-lg-flex"> <label>Date of Birth</label> </div>
<div class="col-sm-2 col-md-4 col-lg-1 required"> <select id="SPQuestion_1034" name="SPQuestion_1034" class="form-control">
<option value="0" selected="" disabled="">Title</option>
<option value="Male">Mr.</option>
<option value="Female">Miss</option>
</select> </div>
<div class="col-6 col-sm-5 col-md-4 col-lg-4 required"> <input type="text" id="SPQuestion_1146" name="SPQuestion_1146" class="form-control" placeholder="First Name" value=""> </div>
<div class="col-6 col-sm-5 col-md-4 col-lg-4 required"> <input type="text" id="SPQuestion_1147" name="SPQuestion_1147" class="form-control" placeholder="Last Name" value=""> </div>
<div class="col-3 col-md-3 d-lg-none"> <label>Date of Birth</label> </div>
<div class="col-3 col-md-3 col-lg-1 required"> <input class="form-control birthdate month" min="1" max="12" maxlength="2" type="number" name="month" id="month" placeholder="MM" data-next-input=".birthdate.day" value=""> </div>
<div class="col-3 col-md-3 col-lg-1 required"> <input class="form-control birthdate day" min="1" max="31" maxlength="2" type="number" name="day" id="day" placeholder="DD" data-next-input=".birthdate.year" value=""> </div>
<div class="col-3 col-md-3 col-lg-1 required"> <input class="form-control birthdate year" type="number" maxlength="4" min="1936" max="2001" name="year" id="year" placeholder="YYYY" value=""> </div> <input type="hidden"
name="SPQuestion_1036" id="SPQuestion_1036">
<div class="col-12 col-sm-8 required"> <input type="text" id="SPQuestion_1039" name="SPQuestion_1039" class="form-control" placeholder="Address" value=""> </div>
<div class="col-12 col-sm-4 required"> <input type="text" id="SPQuestion_1040" name="SPQuestion_1040" maxlength="5" class="form-control" placeholder="ZIP Code" value=""> </div>
</div>
<div class="form-row justify-content-center">
<div class="col-6 col-sm-6 required"> <input type="text" id="SPQuestion_1037" name="SPQuestion_1037" class="form-control" placeholder="Email" value=""> </div>
<div class="col-6 col-sm-6 required"> <input type="text" id="SPQuestion_1038" name="SPQuestion_1038" class="form-control" placeholder="Contact / Mobile" minlength="10" maxlength="10" value=""> </div>
<div class="col-12">
<div class="row justify-content-center" id="leadconduitnetspend" style="">
<div class="col-xs-12 col-md-8 col-md-offset-2" style="background-color: white;">
<div class="row mt10 border-bottom coregquestion" data-module="34129999">
<style>
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color: #ffffff;
border: 1px solid #d43f3a;
background: -webkit-linear-gradient(-90deg, #d9534f 0, #d43f3a 100%);
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background: linear-gradient(180deg, #d9534f 0, #d43f3a 100%);
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<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"> <img class="img-responsive img-fluid thumbnail center-block" alt="Netspend All-Access" src="/images/CI/UnclaimedAssets/netSpendMC2.jpg"> </div>
<div class="col-lg-8 col-md-8 col-sm-8 col-xs-12">
<h3 class="text-left m0"> <strong>Netspend® Prepaid Mastercard® </strong> </h3>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<p class="text-left"> Tired of paying hight check cashing fees? Have your founds direct deposited to your card account! <br><strong>Send me a Netspend® Prepaid Mastercard®!</strong> </p>
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6" style="padding-left: 0px;"> <button id="OMC2btnNo2" class="btn btn-success btn-red col-lg-12 col-md-12 col-sm-12 col-xs-12"
style="white-space: normal; box-sizing: border-box;" type="button" data-value="no"> No </button> </div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6" style="padding: 0px;"> <button id="OMC2btnYes2" class="btn btn-success col-lg-12 col-md-12 col-sm-12 col-xs-12" style="white-space: normal; box-sizing: border-box;"
type="button" data-value="yes"> Yes </button> </div>
</div>
<p class="text-left"> <small>Subject to ID verification. Issued by Metabank®, Member FDIC..</small> </p> <input type="hidden" name="SPQuestion_1058" id="SPQuestion_1058">
</div>
</div>
</div>
</div>
<script>
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$("#SPQuestion_1058").val("No");
});
$("#OMC2btnYes2").click(function() {
$("#leadconduitnetspend").hide();
$("#SPQuestion_1058").val("Yes");
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<script type="text/javascript">
jQuery("#leadconduitnetspend").show();
</script>
</div>
<div class="col-12 text-center">
<div class="alert alert-danger" style="display: none;" id="errorBox"></div> <button type="submit" id="btnSubmit" class="btn btn-pink" name="button">I WANT BENEFITS</button>
<div class="soloLatinos">
<h1>Solo para Latinos.</h1>
<div class="checkbox"> <label class="container"> Quiero recibir una oferta exclusiva <input type="checkbox" name="SPQuestion_36685" class="chk_latinos" value="Yes"> <span class="checkmark"></span> </label> </div>
</div>
<script>
if (template_loaded) {
$(document).ready(function() {
var nIntervId;
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$('.soloLatinos').delay(1000).animate({
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$('.soloLatinos').delay(10000).animate({
right: "-720px",
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$('.chk_latinos').on('click', function() {
$('.soloLatinos').stop();
$('.soloLatinos').animate({
right: "-720px",
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}
function esVisible() {
visible = $('.soloLatinos').is(":visible");
if (visible) {
clearInterval(nIntervId);
animacionSoloLatinos();
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}
});
}
</script>
<style>
.soloLatinos {
position: fixed;
bottom: -120px;
right: 20px;
width: 600px;
height: 100px;
border: 1px solid black;
background-image: url('/images/CI/General/soloLatinos.jpg');
padding: 10px 40px;
z-index: 999999;
}
.soloLatinos h1 {
font-size: 2rem !important;
font-weight: bolder !important;
color: #212121 !important;
text-transform: uppercase !important;
}
.soloLatinos .checkbox {
margin-left: 20px;
}
.soloLatinos .container {
display: block;
position: relative;
padding-left: 55px;
margin-bottom: 0;
cursor: pointer;
font-size: 22px;
-webkit-user-select: none;
-moz-user-select: none;
-ms-user-select: none;
user-select: none;
font-size: 1.2rem;
font-weight: bolder;
color: #474747;
text-transform: uppercase;
}
.soloLatinos .container input {
position: absolute;
opacity: 0;
cursor: pointer;
height: 0;
width: 0;
}
.soloLatinos .checkmark {
position: absolute;
top: 0;
left: 0;
height: 25px;
width: 25px;
background-color: #FFF;
border: 1px solid #2196F3;
}
.soloLatinos .container:hover input~.checkmark {
background-color: #FFF;
}
.soloLatinos .container input:checked~.checkmark {
background-color: #2196F3;
}
.soloLatinos .checkmark:after {
content: "";
position: absolute;
display: none;
}
.soloLatinos .container input:checked~.checkmark:after {
display: block;
}
.soloLatinos .container .checkmark:after {
left: 9px;
top: 5px;
width: 5px;
height: 10px;
border: solid white;
border-width: 0 3px 3px 0;
-webkit-transform: rotate(45deg);
-ms-transform: rotate(45deg);
transform: rotate(45deg);
}
</style><!-- TCPA START-->
<div class="row justify-content-center">
<div class="col-12">
<div id="errorBox" class="p10 alert alert-danger mb-3" style="text-align: left;color: #AA0303;height: auto;margin-top: 10px;background-color: #F2DEDE;display:none"></div>
</div>
<div class="col-12">
<section class="checkbox tcpa custom-control custom-checkbox " style="position:relative;"> <input type="checkbox" name="checkbox1" id="checkbox1" style="margin-left: 0px;position:absolute; margin-top:-2px;"
class="custom-control-input radio_item"> <label id="checkbox1_label" for="checkbox1" style=" margin-left: 30px;" class="custom-control-label">By checking the box, </label>
<p align="justify"> <span id="tcpa" class="zfr3Q"> I agree to this website’s <a target="_blank" class="link" href="/Content/privacyPolicy.html">Privacy Policy</a> and
<a target="_blank" class="link" href="/Content/terms.html">Terms and Conditions</a> </span> <span id="tcpa_phone" class="zfr3Q">and provide my express written consent, electronic signature, and request for following 20
companies: Turbo Debt, LLC, Citizens Disability, National Disability, Cege Media, GuideToInsure, InsureaLife, PolicyScout And Policy Scout their
<a target="_blank" class="link" href="https://policyscout.com/partners">Partners</a>, Q3m Insurance, Disability Health Group, HomeBusinessFortune and Career Coach, Land Runs Ads, the-solar-project.com, Revenue Connect,
Lexington Law, T-Mobile, Pain Relief Network, Platinum Choice Health, InsideResponse, DebtManagementProject.com, HomeLight, Inc. and other
<a target="_blank" class="link" href="/Content/partner.html">Marketing Partners</a>, to receive my info and contact me at the email address, postal address and phone number I provided above or may provide later, with
with Debt, Finance, Credit Repair, wireless telecommunications, Insurance offers and related info, including possibly using live agents, an automatic telephone dialing system, artificial voices, prerecorded and text
messages even if I am on a federal or state do not call registry. Standard rates apply. Reply STOP to opt-out of texting. Agents are not connected with or endorsed by the U.S. government or the federal Medicare
program. I agree to the Terms of Use and Privacy Policy. I understand that I can revoke this consent through any reasonable means. Consent is not a condition of purchase.</span> </p>
</section>
</div>
</div><!-- TCPA END--><input class="hidden" type="hidden" name="SPQuestion_36547" id="SPQuestion_36547">
<script src="/images/ci/general/js/register.js"></script>
<style>
.tcpa {}
.tcpa p {
font-size: 10px;
color: #B6B6B6;
text-align: justify;
}
</style>
</div>
<div class="col-12 text-center">
<div class="btn-group share">
<a href="https://www.facebook.com/sharer/sharer.php?u=https://help.american-solutions.net/?ad=999624&p=everflow&tid=bb8dcec0f9164427901544adcc4da794&aid=4&offid=11" class="btn btn-dark facebook" target="_blank"> <img src="/images/CI/General/images/share/facebook.png" width="20" class="img-fluid"> </a>
<a href="https://twitter.com/intent/tweet?text=Check%20out%20this%20page%20about%20Benefits%20Programs!%20Don't%20forget%20to%20fill%20in%20the%20registration%20form%20:)&url=https://help.american-solutions.net/?ad=999624&p=everflow&tid=bb8dcec0f9164427901544adcc4da794&aid=4&offid=11" class="btn btn-dark twitter" target="_blank"> <img src="/images/CI/General/images/share/twitter.png" width="20" class="img-fluid"> </a>
<button type="button" class="btn btn-dark copy" data-clipboard-target="#temporaryCopyInput"> <img src="/images/CI/General/images/share/copy.png" width="20" class="img-fluid"> </button>
<a href="mailto:?subject=Check%20out%20this%20page%20about%20Benefits%20Programs!&body=Here's%20the%20link:%20https://help.american-solutions.net/?ad=999624&p=everflow&tid=bb8dcec0f9164427901544adcc4da794&aid=4&offid=11%0D%0ADon't%20forget%20to%20fill%20in%20the%20registration%20form%20:)" class="btn btn-dark email" target="_blank"> <img src="/images/CI/General/images/share/email.png" width="20" class="img-fluid"> </a>
</div> <input type="text" value="" style="position: absolute; z-index: -1;left: 0;" id="temporaryCopyInput">
</div>
</div>
</div> <input type="hidden" name="SPQuestion_1036" id="SPQuestion_1036" value=""> <input type="hidden" name="universal_leadid" id="leadid_token" value="6B087684-93B7-03F3-CF15-A466E96DF01B"> <input type="hidden" name="SPQuestion_1156"
id="SPQuestion_1156">
</section>
</main>
<footer>
<div class="container">
<div class="row justify-content-center">
<div class="col-12 text-center">
<p>The information provided on this site is for educational purposes. This is a private site, for government assistance qualification we encourage you to visit your state, and federal website
(<a href="https://usa.gov/benefits">https://usa.gov/benefits</a>)</p>
<p>© 2022 All Rights Reserved.</p>
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Tricare provides civilians health benefits for U.S Armed Forces military personnel, military retirees, and their dependents</h5> </div> </div> <div class=\"col-sm-6 col-lg-4 text-center\"> <div class=\"item\"> <img src=\"/images/CI/benefitsprograms2/images/items/clinic.jpg\" class=\"img-fluid\" height=\"75\" /> <h4>SSDI</h4> <hr /> <h5>A federal insurance program managed by the Social Security Administration designed to provide income supplements to people who are physically restricted in their ability to be employed because of disability</h5> </div> </div> </div> </div> </section> <section id=\"banner\"> <div class=\"container\"> <div class=\"row justify-content-center align-items-center\"> <div class=\"col-sm-auto text-center\"> <h2>For assistance programs</h2> </div> <div class=\"col-sm-auto text-center\"> <a href=\"#register\" class=\"btn btn-pink\">click here</a> </div> </div> </div> </section> <section id=\"register\" class=\"collapse\"> <div class=\"container\"> <div class=\"row justify-content-center\"> <div class=\"col-12 text-center\"> <h2>Answer the questions</h2> <p>below for more information on assistance programs.</p> </div> <div class=\"col-4 col-md-2 col-xl-1\"> <hr /> </div> </div> <div class=\"form-row\"> <div class=\"col-sm-3 col-md-3 col-lg-3 \"> <select class=\"form-control\" id=\"SPQuestion_36583\" name=\"SPQuestion_36583\"> <option value=\"0\" selected=\"\" disabled=\"\">I need assistance with</option> <option value=\"food\">Food</option> <option value=\"healthcare\">Healthcare</option> <option value=\"housing\">Housing</option> <option value=\"ssdi\">SSDI</option> <option value=\"medicaid\">Medicaid</option> <option value=\"medicare\">Medicare</option> <option value=\"financial_assistance\">Financial Assistance</option> <option value=\"tricare\">Tricare</option> </select> </div> <div class=\"col-sm-3 col-md-3 col-lg-3 \"> <select class=\"form-control\" id=\"SPQuestion_1045\" name=\"SPQuestion_1045\"> <option value=\"0\" selected=\"\" disabled=\"\">Are you diabetic?</option> <option value=\"yes\">Yes</option> <option value=\"no\">No</option> </select> </div> <div class=\"col-sm-3 col-md-3 col-lg-3 \"> <select class=\"form-control\" id=\"SPQuestion_36589\" name=\"SPQuestion_36589\"> <option value=\"0\" selected=\"\" disabled=\"\">Have you been in a car accident in the past 5 years?</option> <option value=\"Yes\">Yes</option> <option value=\"No\">No</option> </select> </div> <div class=\"col-sm-3 col-md-3 col-lg-3 \"> <select class=\"form-control\" id=\"health_insurance_type\" name=\"SPQuestion_1053\"> <option value=\"0\" selected=\"\" disabled=\"\">What type of health insurance do you have?</option> <option value=\"Private\">Private</option> <option value=\"Medicaid\">Medicaid</option> <option value=\"Medicare\">Medicare</option> <option value=\"SSDI\">SSDI</option> <option value=\"CHIP\">CHIP</option> <option value=\"Uninsured\">Uninsured</option> </select> </div> </div> <div class=\"form-row\"> <div 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placeholder=\"ZIP Code\" value=\"\"> </div> </div> <div class=\"form-row justify-content-center\"> <div class=\"col-6 col-sm-6 required\"> <input type=\"text\" id=\"SPQuestion_1037\" name=\"SPQuestion_1037\" class=\"form-control\" placeholder=\"Email\" value=\"\"> </div> <div class=\"col-6 col-sm-6 required\"> <input type=\"text\" id=\"SPQuestion_1038\" name=\"SPQuestion_1038\" class=\"form-control\" placeholder=\"Contact / Mobile\" minlength=\"10\" maxlength=\"10\" value=\"\"> </div> <div class=\"col-12\"> <div class=\"row justify-content-center\" id=\"leadconduitnetspend\" style=\"display:none;\"> <div class=\"col-xs-12 col-md-8 col-md-offset-2\" style=\"background-color: white;\"> <div class=\"row mt10 border-bottom coregquestion\" data-module=\"34129999\"> <style> #leadconduitnetspend .btn-red { color: #ffffff; border: 1px solid #d43f3a; background: -webkit-linear-gradient(-90deg, #d9534f 0, #d43f3a 100%); background: -moz-linear-gradient(180deg, #d9534f 0, #d43f3a 100%); 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Have your founds direct deposited to your card account! <br><strong>Send me a Netspend® Prepaid Mastercard®!</strong> </p> <div class=\"row\"> <div class=\"col-lg-6 col-md-6 col-sm-6 col-xs-6\" style=\"padding-left: 0px;\"> <button id=\"OMC2btnNo2\" class=\"btn btn-success btn-red col-lg-12 col-md-12 col-sm-12 col-xs-12\" style=\"white-space: normal; box-sizing: border-box;\" type=\"button\" data-value=\"no\"> No </button> </div> <div class=\"col-lg-6 col-md-6 col-sm-6 col-xs-6\" style=\"padding: 0px;\"> <button id=\"OMC2btnYes2\" class=\"btn btn-success col-lg-12 col-md-12 col-sm-12 col-xs-12\" style=\"white-space: normal; box-sizing: border-box;\" type=\"button\" data-value=\"yes\"> Yes </button> </div> </div> <p class=\"text-left\"> <small>Subject to ID verification. 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BENEFIT PROGRAMS ASSISTANCE PROGRAMS ARE RUN BY FUNDING PROVIDED BY THE FEDERAL GOVERNMENT See more YOU MUST FIRST BE ELIGIBLE Let us help you find the right assistance information for you, and your family. -------------------------------------------------------------------------------- FINANCIAL ASSISTANCE -------------------------------------------------------------------------------- WELFARE OR TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) SUPPLEMENTAL SECURITY INCOME (SSI) FOOD -------------------------------------------------------------------------------- SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP OR FOOD STAMPS) HOUSING -------------------------------------------------------------------------------- SUBSIDIZED HOUSING, HOUSING VOUCHER AND PUBLIC HOUSING PROGRAMS LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) HEALTHCARE -------------------------------------------------------------------------------- MEDICAID CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) MEDICAID -------------------------------------------------------------------------------- FEDERAL AND STATE PROGRAM THAT HELPS WITH MEDICAL COSTS FOR SOME PEOPLE WITH LIMITED INCOME AND RESOURCES MEDICARE -------------------------------------------------------------------------------- A HEALTH INSURANCE PROGRAM THAT PRIMARILY PROVIDES HEALTH INSURANCE FOR AMERICANS AGED 65+ TRICARE -------------------------------------------------------------------------------- A HEALTH CARE PROGRAM OF THE UNIFORMED SERVICES. TRICARE PROVIDES CIVILIANS HEALTH BENEFITS FOR U.S ARMED FORCES MILITARY PERSONNEL, MILITARY RETIREES, AND THEIR DEPENDENTS SSDI -------------------------------------------------------------------------------- A FEDERAL INSURANCE PROGRAM MANAGED BY THE SOCIAL SECURITY ADMINISTRATION DESIGNED TO PROVIDE INCOME SUPPLEMENTS TO PEOPLE WHO ARE PHYSICALLY RESTRICTED IN THEIR ABILITY TO BE EMPLOYED BECAUSE OF DISABILITY FOR ASSISTANCE PROGRAMS click here ANSWER THE QUESTIONS below for more information on assistance programs. -------------------------------------------------------------------------------- I need assistance with Food Healthcare Housing SSDI Medicaid Medicare Financial Assistance Tricare Are you diabetic? Yes No Have you been in a car accident in the past 5 years? Yes No What type of health insurance do you have? Private Medicaid Medicare SSDI CHIP Uninsured Date of Birth Title Mr. Miss Date of Birth NETSPEND® PREPAID MASTERCARD® Tired of paying hight check cashing fees? Have your founds direct deposited to your card account! Send me a Netspend® Prepaid Mastercard®! No Yes Subject to ID verification. Issued by Metabank®, Member FDIC.. I WANT BENEFITS SOLO PARA LATINOS. Quiero recibir una oferta exclusiva By checking the box, I agree to this website’s Privacy Policy and Terms and Conditions and provide my express written consent, electronic signature, and request for following 20 companies: Turbo Debt, LLC, Citizens Disability, National Disability, Cege Media, GuideToInsure, InsureaLife, PolicyScout And Policy Scout their Partners, Q3m Insurance, Disability Health Group, HomeBusinessFortune and Career Coach, Land Runs Ads, the-solar-project.com, Revenue Connect, Lexington Law, T-Mobile, Pain Relief Network, Platinum Choice Health, InsideResponse, DebtManagementProject.com, HomeLight, Inc. and other Marketing Partners, to receive my info and contact me at the email address, postal address and phone number I provided above or may provide later, with with Debt, Finance, Credit Repair, wireless telecommunications, Insurance offers and related info, including possibly using live agents, an automatic telephone dialing system, artificial voices, prerecorded and text messages even if I am on a federal or state do not call registry. Standard rates apply. Reply STOP to opt-out of texting. Agents are not connected with or endorsed by the U.S. government or the federal Medicare program. I agree to the Terms of Use and Privacy Policy. I understand that I can revoke this consent through any reasonable means. Consent is not a condition of purchase. The information provided on this site is for educational purposes. This is a private site, for government assistance qualification we encourage you to visit your state, and federal website (https://usa.gov/benefits) © 2022 All Rights Reserved.