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URL: https://adviceforsavingmore.com/m3jglp19v6/
Submission: On August 14 via manual from LT — Scanned from NL

Form analysis 1 forms found in the DOM

<form>
  <fieldset data-q="1">
    <h3>
      <strong>Select Your Age:</strong>
    </h3>
    <div class="row">
      <div class="col-12">
        <button class="btn btn-cta btn-q" type="button" value="55-64" data-listener-added="true">55-64</button>
      </div>
      <div class="col-12">
        <button class="btn btn-cta btn-q" type="button" value="65-74" data-listener-added="true">65-74</button>
      </div>
      <div class="col-12">
        <button class="btn btn-cta btn-q" type="button" value="75+" data-listener-added="true">75+</button>
      </div>
    </div>
  </fieldset>
  <fieldset data-q="2">
    <h3>
      <strong>Are you on Medicare <span class="br-mobile">Parts A &amp; B?</span></strong>
    </h3>
    <div class="row">
      <div class="col-12">
        <button class="btn btn-cta btn-q" type="button" value="Yes">Yes</button>
      </div>
      <div class="col-12">
        <button class="btn btn-cta btn-q" type="button" value="No">No</button>
      </div>
    </div>
  </fieldset>
  <fieldset data-q="3">
    <h3 class="steps">
      <svg xmlns="http://www.w3.org/2000/svg" class="svg-loader" xmlns:xlink="http://www.w3.org/1999/xlink" width="100px" height="100px" viewBox="0 0 100 100" preserveAspectRatio="xMidYMid">
        <g transform="translate(20 50)">
          <circle cx="0" cy="0" r="6" fill="#ff396f">
            <animateTransform attributeName="transform" type="scale" begin="-0.375s" calcMode="spline" keySplines="0.3 0 0.7 1;0.3 0 0.7 1" values="0;1;0" keyTimes="0;0.5;1" dur="1s" repeatCount="indefinite"></animateTransform>
          </circle>
        </g>
        <g transform="translate(40 50)">
          <circle cx="0" cy="0" r="6" fill="#6236ff">
            <animateTransform attributeName="transform" type="scale" begin="-0.25s" calcMode="spline" keySplines="0.3 0 0.7 1;0.3 0 0.7 1" values="0;1;0" keyTimes="0;0.5;1" dur="1s" repeatCount="indefinite"></animateTransform>
          </circle>
        </g>
        <g transform="translate(60 50)">
          <circle cx="0" cy="0" r="6" fill="#1dcc70">
            <animateTransform attributeName="transform" type="scale" begin="-0.125s" calcMode="spline" keySplines="0.3 0 0.7 1;0.3 0 0.7 1" values="0;1;0" keyTimes="0;0.5;1" dur="1s" repeatCount="indefinite"></animateTransform>
          </circle>
        </g>
        <g transform="translate(80 50)">
          <circle cx="0" cy="0" r="6" fill="#ffb400">
            <animateTransform attributeName="transform" type="scale" begin="0s" calcMode="spline" keySplines="0.3 0 0.7 1;0.3 0 0.7 1" values="0;1;0" keyTimes="0;0.5;1" dur="1s" repeatCount="indefinite"></animateTransform>
          </circle>
        </g>
      </svg>
      <span class="step1"><strong>Reviewing your answer</strong></span>
      <span class="step2" style="display: none"><strong>Matching with best option</strong></span>
      <span class="step3" style="display: none"><strong>Confirming Eligiblity</strong></span>
    </h3>
    <div class="result" style="display: none">
      <div id="continue-cta-call" style="display: none">
        <h3><span style="color:#90c156"><strong>Great News, You May Be Eligible! </strong></span>Speak with a licensed insurance agent to find out if you qualify. </h3>
        <p>
        </p>
        <a href="">
                  <button type="button" class="cta-btn">
                      <span>
                        <svg class="animate-shake" style="display: none" viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg">
                          <path d="M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z"></path>
                        </svg>
                      </span>
                      <span class="animate-ping round-bg-icon" style="display: none"></span>
                      <span class="cta-txt">Call (888) 527-1326</span>
                    </button>
                </a>
        <h4 class="time">Your spot is being held for <span></span>
        </h4>
      </div>
      <div id="continue-cta-medicare" style="display:none;">
        <h3><span style="color:#F00">Sorry</span>, you don't qualify at this time but check out these other offers below from our partners:</h3>
        <div id="twyne-render">
        </div>
      </div>
      <div id="continue-cta-medicaid" style="display:none;">
        <h3><span style="color:#F00">Sorry</span>, you don't qualify at this time.</h3>
      </div>
    </div>
  </fieldset>
</form>

Text Content

CALL TOLL-FREE
(888) 527-1326
TTY USERS 711 CALL TOLL-FREE M-F 7AM-10PM CST


OLDER AMERICANS MAY BE ELIGIBLE FOR NEW BENEFITS. CLICK BELOW TO CHECK
ELIGIBILITY.

Start Eligibility Process!
Click the button below to get started today!

0% Complete




SELECT YOUR AGE:

55-64
65-74
75+


ARE YOU ON MEDICARE PARTS A & B?

Yes
No


REVIEWING YOUR ANSWER MATCHING WITH BEST OPTION CONFIRMING ELIGIBLITY


GREAT NEWS, YOU MAY BE ELIGIBLE! SPEAK WITH A LICENSED INSURANCE AGENT TO FIND
OUT IF YOU QUALIFY.



Call (888) 527-1326

YOUR SPOT IS BEING HELD FOR


SORRY, YOU DON'T QUALIFY AT THIS TIME BUT CHECK OUT THESE OTHER OFFERS BELOW
FROM OUR PARTNERS:




SORRY, YOU DON'T QUALIFY AT THIS TIME.

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