www.ehealthmedicare.com Open in urlscan Pro
23.37.61.65 Public Scan

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Submitted URL:
http://ehealthmedicare.com/
Effective URL:
https://www.ehealthmedicare.com/
Submission: On November 19 via manual (November 19th 2021, 1:02:55 am UTC) from PT — Scanned from DE

Form analysis
7 forms found in the DOM

<form class="at-hide LiveHomeBanner justify-left md:flex hide-errors" data-qa="ZipFormHeroBanner:Form">
  <div class="tablet-stacker md:flex w-full max-w-72 swift-in-viewport">
    <div class="zip-container zip-input text-left md:mr-3 md:max-w-20 w-full text-white swift-in-viewport"> <label class="zip-label flex items-center h-6" for="live-zip-LiveHomeBanner-e1c82791-f758-44b7-ad31-09bf02c1d6a8"> ZIP Code <button
          type="button" class="ml-1 icon-tooltip outline-none focus:outline-none" aria-label="More info about zip code"> <svg width="16" height="16" viewBox="0 0 16 16" fill="none" xmlns="http://www.w3.org/2000/svg">
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          </svg>
          <div class="tooltip-content" role="dialog" aria-labelledby="zipCodeDialog-e1c82791-f758-44b7-ad31-09bf02c1d6a8">
            <p class="tooltip-content-text text-left" id="zipCodeDialog-e1c82791-f758-44b7-ad31-09bf02c1d6a8"> Your ZIP Code allows us to filter for Medicare plans in your area. </p>
            <i class="close-btn" tabindex="0" role="button" aria-label="Close"></i>
          </div>
        </button> </label> <input type="number" name="zip" aria-label="zip code" role="textbox" maxlength="5" min="0" pattern="[0-9]*" size="7"
        class="zip-field zipCodeLiveHomeBanner zip-input key-validate p-3 border border-gray-outline rounded placeholder-gray text-gray-dark bg-white w-full flex-grow input" data-qa="ZipFormHeroBanner:ZipInput"
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        <div class="bg-white rounded-full h-4 w-4 mr-1"> <i class="icon-error icon-16 block bg-no-repeat"></i> </div>
        <div class="zip-invalid hidden text-14 text-white">Invalid zip code</div>
        <div class="zip-empty hidden text-14 text-white">ZIP Code is required</div>
      </div>
    </div>
    <div class="county-container hidden zip-input text-left md:mr-3 md:max-w-20 w-full text-white"> <label class="flex items-center h-6" for="live-county-LiveHomeBanner-e1c82791-f758-44b7-ad31-09bf02c1d6a8"> County </label> <select
        disabled="disabled" name="county" class="county-field county-LiveHomeBanner zip-input key-validate p-3 border border-gray-outline rounded placeholder-gray text-gray-dark bg-white w-full flex-grow" data-qa="ZipFormHeroBanner:CountySelect"
        id="live-county-LiveHomeBanner-e1c82791-f758-44b7-ad31-09bf02c1d6a8">
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      </select>
      <div class="county-error error-msg flex items-center h-6 sm:pt-2 xl:pt-0 sm:items-start xl:items-center hidden">
        <div class="bg-white rounded-full h-4 w-4 mr-1"> <i class="icon-error icon-16 block bg-no-repeat"></i> </div>
        <div class="county-error-text text-14 text-white">Select your county</div>
      </div>
    </div>
  </div>
  <div class="zip-button-container w-full swift-in-viewport">
    <div class="h-6 swift-in-viewport"></div> <button type="submit" class="zip-input btn btn-primary whitespace-nowrap w-full max-w-72" data-tracking-value="Click:EHM:FindPlans" data-qa="ZipFormHeroBanner:SubmitButton">Find Plans</button>
    <div class="h-6 swift-in-viewport"></div>
  </div> <input type="hidden" name="lastV1Action" value="quoteFromV1"><input type="hidden" name="allid" value=""><input type="hidden" name="type" value="MA"><input type="hidden" name="sid" value=""><input type="hidden" name="pid" value=""><input
    type="hidden" name="leadId" value=""><input type="hidden" name="campaign" value=""><input type="hidden" name="showPdpOnly" value=""><input type="hidden" name="hideContact" value=""><input type="hidden" name="leadFormEnabled" value=""><input
    type="hidden" name="hideEnrollPage" value=""><input type="hidden" name="defaultThrottle" value=""><input type="hidden" name="aep2020" value=""><input type="hidden" name="planYear" value=""><input type="hidden" name="isShowPlanYearElement"
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    type="hidden" name="personalCode" value=""><input type="hidden" name="n2m" value=""><input type="hidden" name="_ga" value=""><input type="hidden" name="adobe_mc" value=""><input type="hidden" name="_gac" value=""><input type="hidden" name="gclid"
    value=""><input type="hidden" name="msclkid" value=""><input type="hidden" name="mkt_code" value="">
</form>

<form novalidate="">
  <div class="text-16 leading-20 mb-2 text-left swift-in-viewport"><label for="email-sticky-var-c">Enter your email</label></div> <input type="email" name="email" id="email-sticky-var-c"
    class="w-full p-3 border border-gray-outline rounded text-gray-dark">
  <div class="email-error hidden w-full flex items-center mt-1"> <img class="inline-block mr-1" aria-hidden="true" src="//s26712.pcdn.co/wp-content/themes/medicare_styles/assets/images/red-white-close.svg"> <span class="text-14 text-white">Invalid
      email address</span> </div> <button type="submit" id="sticky-email-submit" class="btn btn-primary w-full mt-3"> <i class="hidden spinner spinner-white mr-1"></i> <span>Get The Guide</span> </button>
</form>

<form>
  <div class="tablet-stacker">
    <div class="zip-container"> <label class="zip-label flex items-center h-6"> ZIP Code <button type="button" class="ml-1 icon-tooltip outline-none focus:outline-none" aria-label="More info about zip code"> <svg width="16" height="16"
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            <path d="M8 11V8" stroke="#3A5EBA" stroke-width="2" stroke-miterlimit="10" stroke-linecap="round" stroke-linejoin="round"></path>
          </svg>
          <div class="tooltip-content" role="dialog">
            <p class="tooltip-content-text text-left"> Your ZIP Code allows us to filter for Medicare plans in your area. </p> <i class="close-btn" tabindex="0" role="button" aria-label="Close"></i>
          </div>
        </button> </label> <input type="number" name="zip" aria-label="zip code" role="textbox" maxlength="5" min="0" pattern="[0-9]*" size="7">
      <div class="zipcode-error">
        <div class="bg-white rounded-full h-4 w-4 mr-1"> <i class="icon-error icon-16 block bg-no-repeat"></i> </div>
        <div class="zip-invalid">Invalid zip code</div>
        <div class="zip-empty hidden">ZIP Code is required</div>
      </div>
    </div>
    <div class="county-container hidden"> <label class="flex items-center h-6"> County </label> <select disabled="disabled" name="county">
        <option value="" disabled="" selected="">Select...</option>
      </select>
      <div class="county-error">
        <div class="bg-white rounded-full h-4 w-4 mr-1"> <i class="icon-error icon-16 block bg-no-repeat"></i> </div>
        <div class="county-error-text">Select your county</div>
      </div>
    </div>
  </div>
  <div class="zip-button-container">
    <div class="h-6"></div> <button type="submit" class="zip-input btn btn-primary whitespace-nowrap w-full"></button>
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  </div>
</form>

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      background-image: -webkit-gradient(linear, left top, left bottom, from(#99c47c), to(#75ae4c));
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          <div class="mktoAsterix">*</div>Email Address:
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        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Email" name="Email" maxlength="255" aria-labelledby="LblEmail InstructEmail" type="email" class="mktoField mktoEmailField mktoHasWidth" style="width: 150px;"><span
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<form id="mktoForm_1014" class="hidden mktoForm mktoHasWidth mktoLayoutLeft" novalidate="novalidate" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); width: 1px;">
  <style type="text/css">
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      color: #fff;
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          <div class="mktoAsterix">*</div>First Name:
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