{"id":49849,"date":"2026-08-14T12:26:11","date_gmt":"2026-08-14T16:26:11","guid":{"rendered":"https:\/\/www.elderplan.org\/?page_id=49849"},"modified":"2026-08-14T12:52:30","modified_gmt":"2026-08-14T16:52:30","slug":"join","status":"publish","type":"page","link":"https:\/\/www.elderplan.org\/es\/member-benefits\/elderplan-benefits\/otc-benefits\/determine-eligible-for-otc-grocery-meals\/join\/","title":{"rendered":"Confirme elegibilidad para el beneficio de OTC ampliado"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column padding-interior is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong><strong>Como miembro de Elderplan, es posible que sea elegible<sup> 1<\/sup> para usar su asignaci\u00f3n de productos de venta libre (OTC) para art\u00edculos adicionales, como alimentos, comidas a domicilio, asistencia para la renta\/hipoteca, Internet, conexi\u00f3n inal\u00e1mbrica, pagos de facturas de servicios p\u00fablicos o paseos sociales. Para saber si re\u00fane los requisitos para estos beneficios de OTC ampliados, primero debe confirmar que cumple con los requisitos del programa. Esto implica responder algunas preguntas relacionadas con la salud<\/strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ingrese la informaci\u00f3n a continuaci\u00f3n para iniciar el proceso de confirmaci\u00f3n y determinar su elegibilidad para este beneficio ampliado.<\/p>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f49844-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"49844\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/49849#wpcf7-f49844-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-auto-return-first-step cf7mls-no-moving-animation\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"49844\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f49844-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:49844,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;,&quot;notice_dismissed_update-cf7-5.9.8&quot;:true,&quot;notice_dismissed_update-cf7-6.0&quot;:true,&quot;notice_dismissed_update-cf7-6.0.1&quot;:true,&quot;notice_dismissed_update-cf7-6.0.2&quot;:true,&quot;notice_dismissed_update-cf7-6.0.3&quot;:true,&quot;notice_dismissed_update-cf7-6.0.6&quot;:true,&quot;notice_dismissed_update-cf7-6.1.1&quot;:true,&quot;notice_dismissed_update-cf7-6.1.4&quot;:true,&quot;notice_dismissed_update-cf7-6.1.5&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.7\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"otc-elderplan-id\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"dob-otc\" \/>\n<div class=\"padding-interior\">\n\t<div class=\"max-width-wrap\">\n\t\t<h2 class=\"wp-block-heading\" id=\"otc-h2\">Formulario de elegibilidad para OTC+ alimentos+ comidas a domicilio\n\t\t<\/h2>\n\t\t<p class=\"mb-16\"><br \/>\nPor favor confirme cualquier condici\u00f3n m\u00e9dica que aplique. Seleccione todas las opciones que correspondan.\n\t\t<\/p>\n\t\t<div class=\"box condition-outline\">\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Trastornos cr\u00f3nicos por consumo de alcohol y otras sustancias (SUD), incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"substance_abuse\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"substance_abuse[]\" value=\"Abuso de sustancias (abuso de alcohol, opioides\/drogas)\" \/><span class=\"wpcf7-list-item-label\">Abuso de sustancias (abuso de alcohol, opioides\/drogas)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tobacco_use_and_related_conditions\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"tobacco_use_and_related_conditions[]\" value=\"Consumo de tabaco y afecciones relacionadas\" \/><span class=\"wpcf7-list-item-label\">Consumo de tabaco y afecciones relacionadas<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Trastornos autoinmunes, incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"polyarteritis_nodosa_ads\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polyarteritis_nodosa_ads[]\" value=\"Poliarteritis nodosa\" \/><span class=\"wpcf7-list-item-label\">Poliarteritis nodosa<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polymyalgia_rheumatica_ads\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polymyalgia_rheumatica_ads[]\" value=\"Polimialgia reum\u00e1tica\" \/><span class=\"wpcf7-list-item-label\">Polimialgia reum\u00e1tica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polymyositis_ads\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polymyositis_ads[]\" value=\"Polimiositis\" \/><span class=\"wpcf7-list-item-label\">Polimiositis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lupus\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"lupus[]\" value=\"Lupus eritematoso sist\u00e9mico\" \/><span class=\"wpcf7-list-item-label\">Lupus eritematoso sist\u00e9mico<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">C\u00e1ncer, incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cancer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cancer[]\" value=\"C\u00e1ncer\" \/><span class=\"wpcf7-list-item-label\">C\u00e1ncer<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hodgkin_lymphoma_cancer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hodgkin_lymphoma_cancer[]\" value=\"Linfoma de Hodgkin\" \/><span class=\"wpcf7-list-item-label\">Linfoma de Hodgkin<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"leukemia_cancer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"leukemia_cancer[]\" value=\"Leucemia\" \/><span class=\"wpcf7-list-item-label\">Leucemia<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Trastornos cardiovasculares, incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cardiovascular_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cardiovascular_disorders[]\" value=\"Trastornos cardiovasculares\" \/><span class=\"wpcf7-list-item-label\">Trastornos cardiovasculares<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cardiac_arrhythmias\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cardiac_arrhythmias[]\" value=\"Arritmias card\u00edacas\" \/><span class=\"wpcf7-list-item-label\">Arritmias card\u00edacas<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_heart_failure\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_heart_failure[]\" value=\"Insuficiencia card\u00edaca cr\u00f3nica\" \/><span class=\"wpcf7-list-item-label\">Insuficiencia card\u00edaca cr\u00f3nica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_venous_thromboembolic_cvds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_venous_thromboembolic_cvds[]\" value=\"Trastorno tromboemb\u00f3lico venoso cr\u00f3nico\" \/><span class=\"wpcf7-list-item-label\">Trastorno tromboemb\u00f3lico venoso cr\u00f3nico<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"coronary_artery_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"coronary_artery_disease[]\" value=\"Enfermedad coronaria arterial\" \/><span class=\"wpcf7-list-item-label\">Enfermedad coronaria arterial<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hypertension\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hypertension[]\" value=\"Hipertensi\u00f3n\" \/><span class=\"wpcf7-list-item-label\">Hipertensi\u00f3n<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"peripheral_vascular_disease_cvds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"peripheral_vascular_disease_cvds[]\" value=\"Enfermedad vascular perif\u00e9rica\" \/><span class=\"wpcf7-list-item-label\">Enfermedad vascular perif\u00e9rica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetes_mellitus_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetes_mellitus_ds[]\" value=\"Diabetes mellitus\" \/><span class=\"wpcf7-list-item-label\">Diabetes mellitus<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetic_nephropathy_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetic_nephropathy_ds[]\" value=\"Nefropat\u00eda diab\u00e9tica\" \/><span class=\"wpcf7-list-item-label\">Nefropat\u00eda diab\u00e9tica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetic_neuropathy_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetic_neuropathy_ds[]\" value=\"Neuropat\u00eda diab\u00e9tica\" \/><span class=\"wpcf7-list-item-label\">Neuropat\u00eda diab\u00e9tica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetic_retinopathy_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetic_retinopathy_ds[]\" value=\"Retinopat\u00eda diab\u00e9tica\" \/><span class=\"wpcf7-list-item-label\">Retinopat\u00eda diab\u00e9tica<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Enfermedades gastrointestinales cr\u00f3nicas, incluidas, entre otras:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"celiac_disease_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"celiac_disease_cgids[]\" value=\"Celiaqu\u00eda\" \/><span class=\"wpcf7-list-item-label\">Celiaqu\u00eda<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"crohns_disease_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"crohns_disease_cgids[]\" value=\"Enfermedad de Crohn\" \/><span class=\"wpcf7-list-item-label\">Enfermedad de Crohn<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cystic_fibrosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cystic_fibrosis[]\" value=\"Fibrosis qu\u00edstica\" \/><span class=\"wpcf7-list-item-label\">Fibrosis qu\u00edstica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"end_stage_liver_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"end_stage_liver_disease[]\" value=\"Enfermedad hep\u00e1tica terminal\" \/><span class=\"wpcf7-list-item-label\">Enfermedad hep\u00e1tica terminal<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hepatitis_b\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hepatitis_b[]\" value=\"Hepatitis B\" \/><span class=\"wpcf7-list-item-label\">Hepatitis B<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hepatitis_c\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hepatitis_c[]\" value=\"Hepatitis C\" \/><span class=\"wpcf7-list-item-label\">Hepatitis C<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ibd_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ibd_cgids[]\" value=\"Enfermedad inflamatoria intestinal (IBD)\" \/><span class=\"wpcf7-list-item-label\">Enfermedad inflamatoria intestinal (IBD)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ibs_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ibs_cgids[]\" value=\"S\u00edndrome del intestino irritable (IBS)\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome del intestino irritable (IBS)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ulcerative_colitis_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ulcerative_colitis_cgids[]\" value=\"Colitis ulcerosa\" \/><span class=\"wpcf7-list-item-label\">Colitis ulcerosa<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Trastornos hematol\u00f3gicos graves, incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anemia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"anemia[]\" value=\"Anemia\" \/><span class=\"wpcf7-list-item-label\">Anemia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aplastic_anemia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"aplastic_anemia_shds[]\" value=\"Anemia apl\u00e1sica\" \/><span class=\"wpcf7-list-item-label\">Anemia apl\u00e1sica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_venous_thromboembolic_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_venous_thromboembolic_shds[]\" value=\"Trastorno tromboemb\u00f3lico venoso cr\u00f3nico\" \/><span class=\"wpcf7-list-item-label\">Trastorno tromboemb\u00f3lico venoso cr\u00f3nico<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"essential_thromocythemia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"essential_thromocythemia_shds[]\" value=\"Trombocitemia esencial\" \/><span class=\"wpcf7-list-item-label\">Trombocitemia esencial<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hemochromatosis_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hemochromatosis_shds[]\" value=\"Hemocromatosis\" \/><span class=\"wpcf7-list-item-label\">Hemocromatosis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hemophilia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hemophilia[]\" value=\"Hemofilia\" \/><span class=\"wpcf7-list-item-label\">Hemofilia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"immune_thrombocytopenic_purpura\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"immune_thrombocytopenic_purpura[]\" value=\"P\u00farpura trombocitop\u00e9nica inmune\" \/><span class=\"wpcf7-list-item-label\">P\u00farpura trombocitop\u00e9nica inmune<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"myelodysplastic_syndrome\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"myelodysplastic_syndrome[]\" value=\"S\u00edndrome mielodispl\u00e1sico\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome mielodispl\u00e1sico<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polycythemia_vera_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polycythemia_vera_shds[]\" value=\"Policitemia vera\" \/><span class=\"wpcf7-list-item-label\">Policitemia vera<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sickle_cell_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"sickle_cell_disease[]\" value=\"Anemia falciforme (excluido el rasgo falciforme)\" \/><span class=\"wpcf7-list-item-label\">Anemia falciforme (excluido el rasgo falciforme)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"thalassemia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"thalassemia[]\" value=\"Talasemia\" \/><span class=\"wpcf7-list-item-label\">Talasemia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"thrombocytopenia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"thrombocytopenia_shds[]\" value=\"Trombocitopenia\" \/><span class=\"wpcf7-list-item-label\">Trombocitopenia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"waldenstrom_macroglobulinemia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"waldenstrom_macroglobulinemia_shds[]\" value=\"Macroglobulinemia de Waldenstr\u00f6m\" \/><span class=\"wpcf7-list-item-label\">Macroglobulinemia de Waldenstr\u00f6m<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hiv_aids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hiv_aids[]\" value=\"VIH\/SIDA\" \/><span class=\"wpcf7-list-item-label\">VIH\/SIDA<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Trastornos pulmonares cr\u00f3nicos, incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"asthma\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"asthma[]\" value=\"Asma\" \/><span class=\"wpcf7-list-item-label\">Asma<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bronchitis_clds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"bronchitis_clds[]\" value=\"Bronquitis\" \/><span class=\"wpcf7-list-item-label\">Bronquitis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_bronchitis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_bronchitis[]\" value=\"Bronquitis cr\u00f3nica\" \/><span class=\"wpcf7-list-item-label\">Bronquitis cr\u00f3nica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_obstructive_pulmonary_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_obstructive_pulmonary_disease[]\" value=\"Enfermedad pulmonar obstructiva cr\u00f3nica (EPOC)\" \/><span class=\"wpcf7-list-item-label\">Enfermedad pulmonar obstructiva cr\u00f3nica (EPOC)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"emphysema\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"emphysema[]\" value=\"Enfisema\" \/><span class=\"wpcf7-list-item-label\">Enfisema<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pulmonary_fibrosis_clds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"pulmonary_fibrosis_clds[]\" value=\"Fibrosis pulmonar\" \/><span class=\"wpcf7-list-item-label\">Fibrosis pulmonar<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pulmonary_hypertension_clds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"pulmonary_hypertension_clds[]\" value=\"Hipertensi\u00f3n pulmonar\" \/><span class=\"wpcf7-list-item-label\">Hipertensi\u00f3n pulmonar<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Afecciones cr\u00f3nicas de salud mental, incluidas, entre otras, las siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"bipolar_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"bipolar_disorders[]\" value=\"Trastorno de bipolaridad\" \/><span class=\"wpcf7-list-item-label\">Trastorno de bipolaridad<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"eating_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"eating_disorders[]\" value=\"Trastornos alimenticios\" \/><span class=\"wpcf7-list-item-label\">Trastornos alimenticios<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"major_depressive_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"major_depressive_disorders[]\" value=\"Trastornos depresivos graves\" \/><span class=\"wpcf7-list-item-label\">Trastornos depresivos graves<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"paranoid_disorder\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"paranoid_disorder[]\" value=\"Trastorno de paranoia\" \/><span class=\"wpcf7-list-item-label\">Trastorno de paranoia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"schizoaffective_disorder\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"schizoaffective_disorder[]\" value=\"Trastorno esquizoafectivo\" \/><span class=\"wpcf7-list-item-label\">Trastorno esquizoafectivo<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"schizophrenia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"schizophrenia[]\" value=\"Esquizofrenia\" \/><span class=\"wpcf7-list-item-label\">Esquizofrenia<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Trastornos neurol\u00f3gicos incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"amyotrophic_lateral_sclerosis_als\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"amyotrophic_lateral_sclerosis_als[]\" value=\"Esclerosis lateral amiotr\u00f3fica (ALS)\" \/><span class=\"wpcf7-list-item-label\">Esclerosis lateral amiotr\u00f3fica (ALS)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"epilepsy\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"epilepsy[]\" value=\"Epilepsia\" \/><span class=\"wpcf7-list-item-label\">Epilepsia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"extensive_paralysis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"extensive_paralysis[]\" value=\"Par\u00e1lisis extendida (p. ej., hemiplej\u00eda, cuadriplej\u00eda, paraplej\u00eda, monoplej\u00eda)\" \/><span class=\"wpcf7-list-item-label\">Par\u00e1lisis extendida (p. ej., hemiplej\u00eda, cuadriplej\u00eda, paraplej\u00eda, monoplej\u00eda)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stroke\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"stroke[]\" value=\"Antecedentes de accidente cerebrovascular\" \/><span class=\"wpcf7-list-item-label\">Antecedentes de accidente cerebrovascular<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polyneuropathy_nds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polyneuropathy_nds[]\" value=\"Polineuropat\u00eda\" \/><span class=\"wpcf7-list-item-label\">Polineuropat\u00eda<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"post_organ_transplant_nds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"post_organ_transplant_nds[]\" value=\"Postrasplante de \u00f3rganos\" \/><span class=\"wpcf7-list-item-label\">Postrasplante de \u00f3rganos<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"spinal_stenosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"spinal_stenosis[]\" value=\"Estenosis espinal\" \/><span class=\"wpcf7-list-item-label\">Estenosis espinal<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stroke_related_neuro_deficit_nds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"stroke_related_neuro_deficit_nds[]\" value=\"D\u00e9ficit neurol\u00f3gico relacionado con accidentes cerebrovasculares\" \/><span class=\"wpcf7-list-item-label\">D\u00e9ficit neurol\u00f3gico relacionado con accidentes cerebrovasculares<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Transtornos de inmunodeficiencia incluidos, entre otros, los siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cgd_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cgd_iids[]\" value=\"Enfermedad granulomatosa cr\u00f3nica (CGD)\" \/><span class=\"wpcf7-list-item-label\">Enfermedad granulomatosa cr\u00f3nica (CGD)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cvid_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cvid_iids[]\" value=\"Inmunodeficiencia com\u00fan variable (CVID)\" \/><span class=\"wpcf7-list-item-label\">Inmunodeficiencia com\u00fan variable (CVID)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"complement_def_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"complement_def_iids[]\" value=\"Deficiencias del complemento\" \/><span class=\"wpcf7-list-item-label\">Deficiencias del complemento<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"digeorge_syndrome_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"digeorge_syndrome_iids[]\" value=\"S\u00edndrome de DiGeorge\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome de DiGeorge<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"scid_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"scid_iids[]\" value=\"Inmunodeficiencia combinada grave (SCID)\" \/><span class=\"wpcf7-list-item-label\">Inmunodeficiencia combinada grave (SCID)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"wiskott_aldrich_synd_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"wiskott_aldrich_synd_iids[]\" value=\"S\u00edndrome de Wiskott-Aldrich\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome de Wiskott-Aldrich<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"xla_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"xla_iids[]\" value=\"Agammaglobulinemia ligada al cromosoma X (XLA)\" \/><span class=\"wpcf7-list-item-label\">Agammaglobulinemia ligada al cromosoma X (XLA)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Afecciones asociadas con el deterioro cognitivo, incluidas, entre otras:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alzheimers_disease_and_other_dementias\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"alzheimers_disease_and_other_dementias[]\" value=\"Enfermedad de Alzheimer y otros tipos de demencia\" \/><span class=\"wpcf7-list-item-label\">Enfermedad de Alzheimer y otros tipos de demencia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"delirium_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"delirium_cics[]\" value=\"Delirio\" \/><span class=\"wpcf7-list-item-label\">Delirio<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dementia_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"dementia_cics[]\" value=\"Demencia\" \/><span class=\"wpcf7-list-item-label\">Demencia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"depression_other_psych_conditions_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"depression_other_psych_conditions_cics[]\" value=\"Depresi\u00f3n y otras afecciones psiqui\u00e1tricas\" \/><span class=\"wpcf7-list-item-label\">Depresi\u00f3n y otras afecciones psiqui\u00e1tricas<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ftd_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ftd_cics[]\" value=\"Demencia frontotemporal (FTD)\" \/><span class=\"wpcf7-list-item-label\">Demencia frontotemporal (FTD)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"huntingtons_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"huntingtons_disease[]\" value=\"Enfermedad de Huntington\" \/><span class=\"wpcf7-list-item-label\">Enfermedad de Huntington<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lewy_body_dementia_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"lewy_body_dementia_cics[]\" value=\"Demencia con cuerpos de Lewy\" \/><span class=\"wpcf7-list-item-label\">Demencia con cuerpos de Lewy<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nph_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"nph_cics[]\" value=\"Hidrocefalia normotensiva (NPH)\" \/><span class=\"wpcf7-list-item-label\">Hidrocefalia normotensiva (NPH)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parkinsons_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"parkinsons_disease[]\" value=\"Enfermedad de Parkinson\" \/><span class=\"wpcf7-list-item-label\">Enfermedad de Parkinson<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prion_diseases_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"prion_diseases_cics[]\" value=\"Enfermedades pri\u00f3nicas\" \/><span class=\"wpcf7-list-item-label\">Enfermedades pri\u00f3nicas<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sleep_disorders_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"sleep_disorders_cics[]\" value=\"Trastornos del sue\u00f1o\" \/><span class=\"wpcf7-list-item-label\">Trastornos del sue\u00f1o<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tbi_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"tbi_cics[]\" value=\"Lesi\u00f3n cerebral traum\u00e1tica (TBI)\" \/><span class=\"wpcf7-list-item-label\">Lesi\u00f3n cerebral traum\u00e1tica (TBI)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vascular_dementia_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"vascular_dementia_cics[]\" value=\"Demencia vascular\" \/><span class=\"wpcf7-list-item-label\">Demencia vascular<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Afecciones con limitaciones funcionales, incluidas, entre otras, las siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"arthritis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"arthritis[]\" value=\"Artritis\" \/><span class=\"wpcf7-list-item-label\">Artritis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"multiple_sclerosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"multiple_sclerosis[]\" value=\"Esclerosis m\u00faltiple\" \/><span class=\"wpcf7-list-item-label\">Esclerosis m\u00faltiple<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"muscular_dystrophy_fccs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"muscular_dystrophy_fccs[]\" value=\"Distrofia muscular\" \/><span class=\"wpcf7-list-item-label\">Distrofia muscular<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"osteoarthritis_fccs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"osteoarthritis_fccs[]\" value=\"Artrosis\" \/><span class=\"wpcf7-list-item-label\">Artrosis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rheumatoid_arthritis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"rheumatoid_arthritis[]\" value=\"Artritis reumatoide\" \/><span class=\"wpcf7-list-item-label\">Artritis reumatoide<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stroke_fccs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"stroke_fccs[]\" value=\"Accidente cerebrovascular\" \/><span class=\"wpcf7-list-item-label\">Accidente cerebrovascular<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Afecciones cr\u00f3nicas que afectan la visi\u00f3n, la audici\u00f3n (sordera), el gusto, el tacto y el olfato, incluidas, entre otras, las siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acoustic_neuroma_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"acoustic_neuroma_cscs[]\" value=\"Neuroma ac\u00fastico\" \/><span class=\"wpcf7-list-item-label\">Neuroma ac\u00fastico<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"amd_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"amd_cscs[]\" value=\"Degeneraci\u00f3n macular relacionada con la edad (AMD)\" \/><span class=\"wpcf7-list-item-label\">Degeneraci\u00f3n macular relacionada con la edad (AMD)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"amblyopia_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"amblyopia_cscs[]\" value=\"Ambliop\u00eda\" \/><span class=\"wpcf7-list-item-label\">Ambliop\u00eda<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aied_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"aied_cscs[]\" value=\"Enfermedad autoinmune del o\u00eddo interno (AIED)\" \/><span class=\"wpcf7-list-item-label\">Enfermedad autoinmune del o\u00eddo interno (AIED)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"carpal_tunnel_synd_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"carpal_tunnel_synd_cscs[]\" value=\"S\u00edndrome del t\u00fanel carpiano\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome del t\u00fanel carpiano<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"guillain_barre_synd_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"guillain_barre_synd_cscs[]\" value=\"S\u00edndrome de Guillain-Barr\u00e9\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome de Guillain-Barr\u00e9<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lyme_disease_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"lyme_disease_cscs[]\" value=\"Enfermedad de Lyme\" \/><span class=\"wpcf7-list-item-label\">Enfermedad de Lyme<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menieres_disease_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"menieres_disease_cscs[]\" value=\"Enfermedad de M\u00e9ni\u00e8re\" \/><span class=\"wpcf7-list-item-label\">Enfermedad de M\u00e9ni\u00e8re<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"optic_neuritis_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"optic_neuritis_cscs[]\" value=\"Neuritis \u00f3ptica\" \/><span class=\"wpcf7-list-item-label\">Neuritis \u00f3ptica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"otosclerosis_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"otosclerosis_cscs[]\" value=\"Otosclerosis\" \/><span class=\"wpcf7-list-item-label\">Otosclerosis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ted_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ted_cscs[]\" value=\"Enfermedad ocular tiroidea (TED)\" \/><span class=\"wpcf7-list-item-label\">Enfermedad ocular tiroidea (TED)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"usher_syndrome_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"usher_syndrome_cscs[]\" value=\"S\u00edndrome de Usher\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome de Usher<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">Afecciones que requieren servicios terap\u00e9uticos continuos para mantener o recuperar el funcionamiento, incluidas, entre otras, las siguientes:\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"bipolar_disorder_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"bipolar_disorder_ctss[]\" value=\"Trastorno de bipolaridad\" \/><span class=\"wpcf7-list-item-label\">Trastorno de bipolaridad<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cerebral_palsy_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cerebral_palsy_ctss[]\" value=\"Par\u00e1lisis cerebral\" \/><span class=\"wpcf7-list-item-label\">Par\u00e1lisis cerebral<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ptsd_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ptsd_ctss[]\" value=\"Trastorno de estr\u00e9s postraum\u00e1tico (TEPT)\" \/><span class=\"wpcf7-list-item-label\">Trastorno de estr\u00e9s postraum\u00e1tico (TEPT)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"severe_anxiety_disorders_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"severe_anxiety_disorders_ctss[]\" value=\"Trastornos de ansiedad graves\" \/><span class=\"wpcf7-list-item-label\">Trastornos de ansiedad graves<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"severe_depression_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"severe_depression_ctss[]\" value=\"Depresi\u00f3n grave\" \/><span class=\"wpcf7-list-item-label\">Depresi\u00f3n grave<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_kidney_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_kidney_disease[]\" value=\"Enfermedad renal cr\u00f3nica\" \/><span class=\"wpcf7-list-item-label\">Enfermedad renal cr\u00f3nica<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"end_stage_renal_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"end_stage_renal_disease[]\" value=\"Enfermedad renal en etapa terminal (ESRD) que requiere di\u00e1lisis\" \/><span class=\"wpcf7-list-item-label\">Enfermedad renal en etapa terminal (ESRD) que requiere di\u00e1lisis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"osteoporosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"osteoporosis[]\" value=\"Osteoporosis\" \/><span class=\"wpcf7-list-item-label\">Osteoporosis<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"obesity\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"obesity[]\" value=\"Sobrepeso, obesidad y s\u00edndrome metab\u00f3lico\" \/><span class=\"wpcf7-list-item-label\">Sobrepeso, obesidad y s\u00edndrome metab\u00f3lico<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rsd_syndrome\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"rsd_syndrome[]\" value=\"S\u00edndrome de distrofia simp\u00e1tica refleja (RSD)\" \/><span class=\"wpcf7-list-item-label\">S\u00edndrome de distrofia simp\u00e1tica refleja (RSD)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u00bfQui\u00e9n est\u00e1 completando el formulario?\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"who-is-filling\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"who-is-filling\"><option value=\"\">Usted mismo<\/option><option value=\"Familiar\">Familiar<\/option><option value=\"Amigo\">Amigo<\/option><option value=\"Personal de Elderplan\">Personal de Elderplan<\/option><option value=\"Corredor\">Corredor<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"screen-reader-response\">\n\t<div role=\"status\">\n\t<\/div>\n\t<p><script>\n(function () {\n function populateOtcFields(data) {\n var idField = document.querySelector('input[name=\"otc-elderplan-id\"]');\n var dobField = document.querySelector('input[name=\"dob-otc\"]');\n if (idField) idField.value = data.id;\n if (dobField) dobField.value = data.dob;\n }\n\n fetch('\/wp-json\/sd-cf7\/v1\/otc-token', { credentials: 'same-origin' })\n .then(function (r) { return r.ok ? r.json() : null; })\n .then(function (data) { if (data && data.id) populateOtcFields(data); });\n})();\n<\/script>\n\t<\/p>\n<\/div><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n<\/form>\n<\/div>\n\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Como miembro de Elderplan, es posible que sea elegible 1 para usar su asignaci\u00f3n de productos de venta libre (OTC) para art\u00edculos adicionales, como alimentos, comidas a domicilio, asistencia para [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":0,"parent":15359,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-49849","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.3","language":"es","enabled_languages":["en","es","zh"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"zh":{"title":true,"content":true,"excerpt":false}}},"acf":[],"jetpack_sharing_enabled":true,"publishpress_future_action":{"enabled":false,"date":"2026-08-22 00:31:06","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/pages\/49849","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/comments?post=49849"}],"version-history":[{"count":3,"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/pages\/49849\/revisions"}],"predecessor-version":[{"id":49900,"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/pages\/49849\/revisions\/49900"}],"up":[{"embeddable":true,"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/pages\/15359"}],"wp:attachment":[{"href":"https:\/\/www.elderplan.org\/es\/wp-json\/wp\/v2\/media?parent=49849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}