{"id":26302,"date":"2024-09-13T03:39:50","date_gmt":"2024-09-13T07:39:50","guid":{"rendered":"https:\/\/www.elderplan.org\/?page_id=26302"},"modified":"2024-11-15T12:46:10","modified_gmt":"2024-11-15T17:46:10","slug":"enrollment","status":"publish","type":"page","link":"https:\/\/www.elderplan.org\/zh\/enrollment\/","title":{"rendered":"Enrollment \u2014 Chinese"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f28163-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"28163\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/zh\/wp-json\/wp\/v2\/pages\/26302#wpcf7-f28163-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-moving-animation wpcf7-acceptance-as-validation\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"28163\"><input type=\"hidden\" 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class=\"screen-reader-response\">\n\t\t<div role=\"status\" aria-live=\"polite\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-hero__mobile-bg\">\n\t<\/div>\n\t<div class=\"form-hero__content\">\n\t\t<h1 class=\"form-hero__heading\">\u6b61\u8fce\u60a8\u7dda\u4e0a\u53c3\u4fdd\uff01\n\t\t<\/h1>\n\t<\/div>\n<\/div>\n<div class=\"white-bg\">\n\t<h2 class=\"font-24 text-centered page-heading\">\u8b93\u6211\u5011\u5354\u52a9\u60a8\u9078\u64c7\u6b63\u78ba\u7684\u8a08\u5283\n\t<\/h2>\n\t<div class=\"large-radios\">\n\t\t<div class=\"large-radio\">\n\t\t\t<p><br>\n<label class=\"large-radio-label\"><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"plan-join\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"plan-join\" value=\"\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283\"><span class=\"wpcf7-list-item-label\">\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283<\/span><\/span><\/span><\/span><br>\n<em>\u6bcf\u6708 $31.30 \u7f8e\u5143<\/em><br>\n<span class=\"btn-outline\">\u9078\u64c7\u6b64\u8a08\u5283<\/span><br>\n<\/label>\n\t\t\t<\/p>\n\t\t\t<details class=\"tablet-only\">\n\t\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t\t<\/summary>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/%E7%A6%8F%E5%88%A9%E6%91%98%E8%A6%81-elderplan%EF%BC%88%E9%95%B7%E8%80%81%E8%A8%88%E5%8A%83%EF%BC%89medicaid-%E9%86%AB%E7%99%82%E8%A3%9C%E5%8A%A9%E5%8F%97%E7%9B%8A%E4%BA%BA\/\" class=\"pdf-download-link\">\u798f\u5229\u6458\u8981 \u2013 Medicaid \u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4ebaElderplan\uff08\u9577\u8001\u8a08\u5283\uff09<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\/\" class=\"pdf-download-link\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/details>\n\t\t<\/div>\n\t\t<div class=\"large-radio\">\n\t\t\t<p><br>\n<label class=\"large-radio-label\"><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"plan-join\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"plan-join\" value=\"Elderplan Extra Help (HMO-POS)\"><span class=\"wpcf7-list-item-label\">Elderplan Extra Help (HMO-POS)<\/span><\/span><\/span><\/span><br>\n<em>\u6bcf\u6708 $41.00 \u7f8e\u5143<\/em><br>\n<span class=\"btn-outline\">\u9078\u64c7\u6b64\u8a08\u5283<\/span><br>\n<\/label>\n\t\t\t<\/p>\n\t\t\t<details class=\"tablet-only\">\n\t\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t\t<\/summary>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/%E7%A6%8F%E5%88%A9%E6%91%98%E8%A6%81-elderplan%EF%BC%88%E9%95%B7%E8%80%81%E8%A8%88%E5%8A%83%EF%BC%89extra-help\/\" class=\"pdf-download-link\">\u798f\u5229\u6458\u8981 \u2013 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\/\" class=\"pdf-download-link\"><br>\nC \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/details>\n\t\t<\/div>\n\t\t<div class=\"large-radio\">\n\t\t\t<p><br>\n<label class=\"large-radio-label\"><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"plan-join\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"plan-join\" value=\"Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS)\"><span class=\"wpcf7-list-item-label\">Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS)<\/span><\/span><\/span><\/span><br>\n<em>\u6bcf\u6708 0.00 \u7f8e\u5143<\/em><br>\n<span class=\"btn-outline\">\u9078\u64c7\u6b64\u8a08\u5283<\/span><br>\n<\/label>\n\t\t\t<\/p>\n\t\t\t<details class=\"tablet-only\">\n\t\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t\t<\/summary>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/%E7%A6%8F%E5%88%A9%E6%91%98%E8%A6%81-elderplan%EF%BC%88%E9%95%B7%E8%80%81%E8%A8%88%E5%8A%83%EF%BC%89-flex\/\">\u798f\u5229\u6458\u8981 \u2013 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\/\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/details>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"desktop-only three-column\">\n\t\t<details>\n\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t<\/summary>\n\t\t\t<ul>\n\t\t\t\t<li>\n\t\t\t\t\t<p><a href=\"\/files\/%E7%A6%8F%E5%88%A9%E6%91%98%E8%A6%81-elderplan%EF%BC%88%E9%95%B7%E8%80%81%E8%A8%88%E5%8A%83%EF%BC%89medicaid-%E9%86%AB%E7%99%82%E8%A3%9C%E5%8A%A9%E5%8F%97%E7%9B%8A%E4%BA%BA\/\" class=\"pdf-download-link\">\u798f\u5229\u6458\u8981 \u2013 Medicaid \u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4ebaElderplan\uff08\u9577\u8001\u8a08\u5283\uff09<\/a> (PDF)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\/\" class=\"pdf-download-link\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/details>\n\t\t<details>\n\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t<\/summary>\n\t\t\t<ul>\n\t\t\t\t<li>\n\t\t\t\t\t<p><a href=\"\/files\/%E7%A6%8F%E5%88%A9%E6%91%98%E8%A6%81-elderplan%EF%BC%88%E9%95%B7%E8%80%81%E8%A8%88%E5%8A%83%EF%BC%89extra-help\/\" class=\"pdf-download-link\">\u798f\u5229\u6458\u8981 \u2013 Medicaid \u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4ebaElderplan\uff08\u9577\u8001\u8a08\u5283\uff09<\/a> (PDF)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\/\" class=\"pdf-download-link\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/details>\n\t\t<details>\n\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t<\/summary>\n\t\t\t<ul>\n\t\t\t\t<li>\n\t\t\t\t\t<p><a href=\"\/files\/%E7%A6%8F%E5%88%A9%E6%91%98%E8%A6%81-elderplan%EF%BC%88%E9%95%B7%E8%80%81%E8%A8%88%E5%8A%83%EF%BC%89-flex\/\">\u798f\u5229\u6458\u8981 \u2013 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex\" class=pdf-download-link&gt;\u798f\u5229\u6458\u8981 \u2013 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex<\/a> (PDF)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\/\" class=\"pdf-download-link\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/details>\n\t<\/div>\n<\/div>\n<div class=\"grey-bg\">\n\t<h2 class=\"font-24 text-centered font-bolder\">\u9700\u8981\u8003\u616e\u7684\u5176\u4ed6\u8a08\u5283\n\t<\/h2>\n\t<div class=\"three-up three-up--line-seperator \">\n\t\t<div>\n\t\t\t<p><br>\n<span class=\"font-bold font-24\">Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)<\/span>\u6bcf\u6708 $45.00 \u7f8e\u5143\n\t\t\t<\/p>\n\t\t\t<details>\n\t\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t\t<\/summary>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/sb-nh-tch-2025\/\" class=\"pdf-download-link\">Summary of Benefits \u2013 Elderplan Advantage for Nursing Home Residents<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\" class=\"pdf-download-link\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/details>\n\t\t\t<p>\u8acb\u96fb <a href=\"tel:1-844-642-4115\">1-844-642-4115<\/a> \uff0c\u7372\u5f97\u66f4\u591a\u8cc7\u8a0a\u548c\u53c3\u4fdd\u6b64\u8a08\u5283\u7684\u5354\u52a9\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"spacer\"><\/span>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p><br>\n<span class=\"font-bold font-24\">Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u52a0\u5f3a\u9577\u671f\u8b77\u7406 (HMO-POS D-SNP)<\/span>\u6bcf\u6708 0.00 \u7f8e\u5143\n\t\t\t<\/p>\n\t\t\t<details>\n\t\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t\t<\/summary>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/%E7%A6%8F%E5%88%A9%E6%91%98%E8%A6%81-elderplan%EF%BC%88%E9%95%B7%E8%80%81%E8%A8%88%E5%8A%83%EF%BC%89plus-long-term-care\/\" class=\"pdf-download-link\">\u798f\u5229\u6458\u8981 \u2013 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u52a0\u5f3a\u9577\u671f\u8b77\u7406<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17854_m_map_2025_star_rating_tch_10-16-24_accessible\/\" class=\"pdf-download-link\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/details>\n\t\t\t<p>\u8acb\u96fb <a href=\"tel:1-866-360-1934\">1-866-360-1934<\/a> \uff0c\u7372\u5f97\u66f4\u591a\u8cc7\u8a0a\u548c\u53c3\u4fdd\u6b64\u8a08\u5283\u7684\u5354\u52a9\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"spacer\"><\/span>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p><br>\n<span class=\"font-bold font-24\">Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u9078\u64c7 (HMO-POS I-SNP\/IE-SNP)<\/span>\u6bcf\u6708 0.00\n\t\t\t<\/p>\n\t\t\t<details>\n\t\t\t\t<summary>\u67e5\u770b\u8a08\u5283\u8cc7\u6599\n\t\t\t\t<\/summary>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/sb-sel-tch-2025\/\" class=\"pdf-download-link\">\u798f\u5229\u6458\u8981 \u2013 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u9078\u64c7<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p><a href=\"\/files\/h3347_epc17853_m_mapd_2025_star_rating_tch_10-16-24_accessible\" class=\"pdf-download-link\">C \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a (MAPD)<\/a> (PDF)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/details>\n\t\t\t<p>\u8acb\u96fb <a href=\"tel:1-844-642-4115\">1-844-642-4115<\/a> \uff0c\u7372\u5f97\u66f4\u591a\u8cc7\u8a0a\u548c\u53c3\u4fdd\u6b64\u8a08\u5283\u7684\u5354\u52a9\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p class=\"text-centered\"><br>\n\u4e0d\u78ba\u5b9a\u54ea\u500b\u8a08\u5283\u9069\u5408\u60a8\uff1f <a href=\"\/zh\/medicare-advantage-plan-options\/2025-options\/\">\u8a73\u7d30\u77ad\u89e3\u6211\u5011\u7684\u8a08\u5283\u3002<\/a>\n\t<\/p>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-1\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-circle-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<p class=\"font-50\">\u4e0b\u4e00\u6b65\u9810\u671f\n\t\t<\/p>\n\t\t<p class=\"font-24\">\u8acb\u81f3\u5c11\u7559\u51fa 20 \u5206\u9418\u4f86\u586b\u5beb\u8cc7\u8a0a\u3002\n\t\t<\/p>\n\t\t<div class=\"large-list-item\">\n\t\t\t<p><span>1<\/span>\n\t\t\t<\/p>\n\t\t\t<p>\u6211\u5011\u5c07\u8a62\u554f\u60a8\u4e00\u7cfb\u5217\u554f\u984c\uff0c\u4ee5\u78ba\u8a8d\u60a8\u662f\u5426\u6709\u8cc7\u683c\u53c3\u4fdd\u60a8\u9078\u64c7\u7684\u8a08\u5283\u3002 \u60a8\u5c07\u9700\u8981\u60a8\u7684 <strong>Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u5361\u548c\u865f\u78bc<\/strong> \uff0c\u4e26\u4e14\u6839\u64da\u60a8\u6b63\u5728\u53c3\u4fdd\u7684\u8a08\u5283\uff0c\u53ef\u80fd\u9084\u9700\u8981\u60a8\u7684 <strong>Medicaid \u91ab\u7642\u88dc\u52a9\u865f\u78bc<\/strong>\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"large-list-item\">\n\t\t\t<p><span>2<\/span>\n\t\t\t<\/p>\n\t\t\t<p>\u6211\u5011\u5c07\u6536\u96c6\u60a8\u7684 <strong>\u500b\u4eba\u8cc7\u8a0a<\/strong> \u548c <strong>\u500b\u4eba\u504f\u597d<\/strong>\u3002 \u5982\u679c\u60a8\u7684 \u8a08\u5283\u6709\u4fdd\u8cbb\uff0c\u6211\u5011\u9084\u5c07\u6536\u96c6\u6709\u95dc\u60a8\u5e0c\u671b\u5982\u4f55\u6bcf\u6708\u4ed8\u6b3e\u7684\u8cc7\u8a0a\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"large-list-item\">\n\t\t\t<p><span>3<\/span>\n\t\t\t<\/p>\n\t\t\t<p>\u63d0\u4ea4\u7533\u8acb\u5f8c\uff0c\u60a8\u5c07\u6536\u5230\u4e00\u500b\u78ba\u8a8d\u865f\u78bc\uff0c\u6211\u5011\u5c07\u958b\u59cb\u8655\u7406\u60a8\u7684 \u53c3\u4fdd\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-2\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-circle-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>10%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u627e\u5230\u6700\u7b26\u5408\u60a8\u73fe\u5728\u53c3\u4fdd\u539f\u56e0\u7684\u9078\u9805\u3002\n\t\t<\/h2>\n\t\t<details class=\"secondary\">\n\t\t\t<summary><br>\n<span>\u77ad\u89e3\u66f4\u591a<\/span><span>\u96b1\u85cf<\/span>\n\t\t\t<\/summary>\n\t\t\t<div class=\"details-content\">\n\t\t\t\t<p><br>\n<strong>\u8cc7\u683c\u8b49\u660e<\/strong><br>\n\u4e00\u822c\uff0c\u60a8\u53ea\u80fd\u5728\u5e74\u5ea6\u53c3\u4fdd\u671f (AEP)\uff08\u6bcf\u5e74 10 \u6708 15 \u65e5\u81f3 12 \u6708 7 \u65e5\uff09\u5167\u53c3\u4fdd Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u512a\u52e2\u8a08\u5283\u3002 \u4f46\u662f\uff0c\u4e5f\u6709\u60a8\u53ef\u4ee5\u5728\u6b64\u671f\u9593\u4e4b\u5916\u53c3\u4fdd\u7684\u4f8b\u5916\u60c5\u6cc1\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p><br>\n\u8acb\u95b1\u8b80\u4ee5\u4e0b\u8072\u660e\u4e26\u52fe\u9078\u6240\u6709\u9069\u7528\u65bc\u60a8\u7684\u5167\u5bb9\u3002 \u900f\u904e\u9078\u53d6\u4efb\u4f55\u65b9\u584a\uff0c\u60a8\u8b49\u660e\uff0c\u64da\u60a8\u6240\u77e5\uff0c\u60a8\u7b26\u5408\u67d0\u500b\u53c3\u4fdd\u671f\u6216\u88dc\u9078\u7684\u8cc7\u683c\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/details>\n\t\t<div class=\"large-radios mb-24\">\n\t\t\t<div class=\"large-radio large-radio--description\">\n\t\t\t\t<p><label class=\"large-radio-label\"><span class=\"wpcf7-form-control-wrap\" data-name=\"enrollment-reason\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"enrollment-reason\" value=\"\u6211\u662f\u521d\u6b21\u53c3\u4fdd Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u662f\u521d\u6b21\u53c3\u4fdd Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u3002<\/span><\/span><\/span><\/span><\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"large-radio large-radio--description\">\n\t\t\t\t<p><label class=\"large-radio-label\"><span class=\"wpcf7-form-control-wrap\" data-name=\"enrollment-reason\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"enrollment-reason\" value=\"\u6211\u6b63\u5728 10 \u6708 15 \u65e5\u81f3 12 \u6708 7 \u65e5\u7684\u5e74\u5ea6\u53c3\u4fdd\u671f\u53c3\u4fdd\"><span class=\"wpcf7-list-item-label\">\u6211\u6b63\u5728 10 \u6708 15 \u65e5\u81f3 12 \u6708 7 \u65e5\u7684\u5e74\u5ea6\u53c3\u4fdd\u671f\u53c3\u4fdd<\/span><\/span><\/span><\/span><\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"large-radio large-radio--description\">\n\t\t\t\t<p><label class=\"large-radio-label\"><span class=\"wpcf7-form-control-wrap\" data-name=\"enrollment-reason\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"enrollment-reason\" value=\"\u6211\u76ee\u524d\u5df2\u53c3\u4fdd Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u512a\u52e2\u8a08\u5283\uff0c\u4e26\u5e0c\u671b\u5728 1 \u6708 1 \u65e5\u81f3 3 \u6708 31 \u65e5\u7684\u958b\u653e\u53c3\u4fdd\u671f\u9593\u9032\u884c\u8b8a\u66f4\"><span class=\"wpcf7-list-item-label\">\u6211\u76ee\u524d\u5df2\u53c3\u4fdd Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u512a\u52e2\u8a08\u5283\uff0c\u4e26\u5e0c\u671b\u5728 1 \u6708 1 \u65e5\u81f3 3 \u6708 31 \u65e5\u7684\u958b\u653e\u53c3\u4fdd\u671f\u9593\u9032\u884c\u8b8a\u66f4<\/span><\/span><\/span><\/span><\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"large-radio\">\n\t\t\t\t<p><label class=\"large-radio-label\"><span class=\"wpcf7-form-control-wrap\" data-name=\"enrollment-reason\"><span class=\"wpcf7-form-control wpcf7-radio moregroup\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"enrollment-reason\" value=\"\u6211\u7d93\u6b77\u4e86\u4e00\u4ef6\u6539\u8b8a\u751f\u6d3b\u7684\u4e8b\u4ef6\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u7d93\u6b77\u4e86\u4e00\u4ef6\u6539\u8b8a\u751f\u6d3b\u7684\u4e8b\u4ef6\u3002<\/span><\/span><\/span><\/span><\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"large-radio\">\n\t\t\t\t<p><label class=\"large-radio-label\"><span class=\"wpcf7-form-control-wrap\" data-name=\"enrollment-reason\"><span class=\"wpcf7-form-control wpcf7-radio moregroup\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"enrollment-reason\" value=\"\u6211\u6700\u8fd1\u8b8a\u66f4\u4e86\u76ee\u524d\u627f\u4fdd\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6700\u8fd1\u8b8a\u66f4\u4e86\u76ee\u524d\u627f\u4fdd\u3002<\/span><\/span><\/span><\/span><\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"large-radio\">\n\t\t\t\t<p><label class=\"large-radio-label\"><span class=\"wpcf7-form-control-wrap\" data-name=\"enrollment-reason\"><span class=\"wpcf7-form-control wpcf7-radio moregroup\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"enrollment-reason\" value=\"\u6211\u76ee\u524d\u53c3\u4fdd\u4e86\u4e00\u9805\u8a08\u5283\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u76ee\u524d\u53c3\u4fdd\u4e86\u4e00\u9805\u8a08\u5283\u3002<\/span><\/span><\/span><\/span><\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div data-id=\"group-life-changing\" data-orig_data_id=\"group-life-changing\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"group-green-box\">\n\t\t\t\t<h2 class=\"font-24 text-centered\">\u6211\u7d93\u6b77\u4e86\u4e00\u4ef6 <strong>\u6539\u8b8a\u751f\u6d3b\u7684\u4e8b\u4ef6<\/strong>\u3002\n\t\t\t\t<\/h2>\n\t\t\t\t<h3 class=\"font-22 text-centered\">\u9078\u64c7\u8b8a\u66f4\u7684\u6700\u4f73\u539f\u56e0\u3002\n\t\t\t\t<\/h3>\n\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-life-changing-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-life-changing-selection\" value=\"\u6211\u6700\u8fd1\u642c\u96e2\u6211\u73fe\u6709\u8a08\u5283\u7684\u670d\u52d9\u5340\u57df\uff0c\u6216\u8005\u6211\u525b\u642c\u5bb6\uff0c\u800c\u9019\u9805\u8a08\u5283\u5c0d\u6211\u4f86\u8aaa\u662f\u65b0\u7684\u9078\u9805\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6700\u8fd1\u642c\u96e2\u6211\u73fe\u6709\u8a08\u5283\u7684\u670d\u52d9\u5340\u57df\uff0c\u6216\u8005\u6211\u525b\u642c\u5bb6\uff0c\u800c\u9019\u9805\u8a08\u5283\u5c0d\u6211\u4f86\u8aaa\u662f\u65b0\u7684\u9078\u9805\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-moved\" data-orig_data_id=\"group-moved\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-moved\">\u6211\u65bc\u4ee5\u4e0b\u65e5\u671f\u642c\u8d70\u4e86*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-moved\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-moved\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-moved\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-life-changing-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-life-changing-selection\" value=\"\u6211\u6b63\u5728\u642c\u9032\u3001\u4f4f\u5728\u6216\u8005\u6700\u8fd1\u642c\u51fa\u4e86\u9577\u671f\u8b77\u7406\u6a5f\u69cb\uff08\u4f8b\u5982\uff0c\u990a\u8001\u9662\u6216\u9577\u671f\u8b77\u7406\u6a5f\u69cb\uff09\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6b63\u5728\u642c\u9032\u3001\u4f4f\u5728\u6216\u8005\u6700\u8fd1\u642c\u51fa\u4e86\u9577\u671f\u8b77\u7406\u6a5f\u69cb\uff08\u4f8b\u5982\uff0c\u990a\u8001\u9662\u6216\u9577\u671f\u8b77\u7406\u6a5f\u69cb\uff09\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-facility\" data-orig_data_id=\"group-facility\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-facility\">\u6211\u65bc\u4ee5\u4e0b\u65e5\u671f\u642c\u8d70\u4e86\/\u642c\u5165\/\u642c\u51fa\u4e86\u8a72\u8a2d\u65bd*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-facility\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-facility\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-facility\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-life-changing-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-life-changing-selection\" value=\"\u6211\u6700\u8fd1\u88ab\u5211\u6eff\u91cb\u653e\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6700\u8fd1\u88ab\u5211\u6eff\u91cb\u653e\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-released\" data-orig_data_id=\"group-released\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-released\">\u6211\u65bc\u4ee5\u4e0b\u65e5\u671f\u5f97\u5230\u653e\u884c*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-released\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-released\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-released\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-life-changing-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-life-changing-selection\" value=\"\u6211\u5e38\u5e74\u5728\u570b\u5916\u5c45\u4f4f\uff0c\u6700\u8fd1\u525b\u56de\u5230\u7f8e\u570b\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u5e38\u5e74\u5728\u570b\u5916\u5c45\u4f4f\uff0c\u6700\u8fd1\u525b\u56de\u5230\u7f8e\u570b\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-returned\" data-orig_data_id=\"group-returned\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-returned\">\u6211\u65bc\u8a72\u65e5\u671f\u8fd4\u56de\u4e86\u7f8e\u570b*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-returned\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-returned\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-returned\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-life-changing-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-life-changing-selection\" value=\"\u6211\u6700\u8fd1\u525b\u7372\u5f97\u7f8e\u570b\u5408\u6cd5\u5c45\u7559\u8eab\u4efd\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6700\u8fd1\u525b\u7372\u5f97\u7f8e\u570b\u5408\u6cd5\u5c45\u7559\u8eab\u4efd\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-lawful\" data-orig_data_id=\"group-lawful\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-lawful\">\u6211\u65bc\u4ee5\u4e0b\u65e5\u671f\u5177\u6709\u4e86\u6b64\u72c0\u614b*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-lawful\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-lawful\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-lawful\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-life-changing-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-life-changing-selection\" value=\"\u6211\u5c07\u8981\u9000\u51fa\u50f1\u4e3b\u6216\u5de5\u6703\u4fdd\u96aa\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u5c07\u8981\u9000\u51fa\u50f1\u4e3b\u6216\u5de5\u6703\u4fdd\u96aa\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-leaving\" data-orig_data_id=\"group-leaving\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-leaving\">\u6211\u5c07\u65bc\u4ee5\u4e0b\u65e5\u671f\u96e2\u958b*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-leaving\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-leaving\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-leaving\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-life-changing-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-life-changing-selection\" value=\"\u6211\u66fe\u53d7\u5230\u8207\u6c23\u5019\u76f8\u95dc\u7684\u7dca\u6025\u72c0\u6cc1\u6216\u91cd\u5927\u707d\u5bb3\uff08\u7531\u806f\u90a6\u7dca\u6025\u4e8b\u52d9\u7ba1\u7406\u7f72 (FEMA) \u767c\u4f48\uff09\u7684\u5f71\u97ff\u3002 \u672c\u6587\u6709\u5176\u4ed6\u63cf\u8ff0\u7b26\u5408\u6211\u7684\u60c5\u6cc1\uff0c\u4f46\u7531\u65bc\u81ea\u7136\u707d\u5bb3\uff0c\u6211\u7121\u6cd5\u53c3\u4fdd\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u66fe\u53d7\u5230\u8207\u6c23\u5019\u76f8\u95dc\u7684\u7dca\u6025\u72c0\u6cc1\u6216\u91cd\u5927\u707d\u5bb3\uff08\u7531\u806f\u90a6\u7dca\u6025\u4e8b\u52d9\u7ba1\u7406\u7f72 (FEMA) \u767c\u4f48\uff09\u7684\u5f71\u97ff\u3002 \u672c\u6587\u6709\u5176\u4ed6\u63cf\u8ff0\u7b26\u5408\u6211\u7684\u60c5\u6cc1\uff0c\u4f46\u7531\u65bc\u81ea\u7136\u707d\u5bb3\uff0c\u6211\u7121\u6cd5\u53c3\u4fdd\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div data-id=\"group-change-in-coverage\" data-orig_data_id=\"group-change-in-coverage\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"group-green-box\">\n\t\t\t\t<h2 class=\"font-24 text-centered\">\u6211\u6700\u8fd1\u8b8a\u66f4\u4e86\u76ee\u524d\u627f\u4fdd\u3002\n\t\t\t\t<\/h2>\n\t\t\t\t<h3 class=\"font-22 text-centered\">\u9078\u64c7\u8b8a\u66f4\u7684\u6700\u4f73\u539f\u56e0\u3002\n\t\t\t\t<\/h3>\n\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-change-in-coverage-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-change-in-coverage-selection\" value=\"\u6211\u7684 Medicaid \u91ab\u7642\u88dc\u52a9\u6700\u8fd1\u767c\u751f\u8b8a\u66f4\uff08\u65b0\u8fd1\u7372\u5f97 Medicaid \u91ab\u7642\u88dc\u52a9\uff0cMedicaid \u91ab\u7642\u88dc\u52a9\u8f14\u52a9\u6c34\u6e96\u6709\u8b8a\u66f4\uff0c\u6216\u5931\u53bb Medicaid \u91ab\u7642\u88dc\u52a9\uff09\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u7684 Medicaid \u91ab\u7642\u88dc\u52a9\u6700\u8fd1\u767c\u751f\u8b8a\u66f4\uff08\u65b0\u8fd1\u7372\u5f97 Medicaid \u91ab\u7642\u88dc\u52a9\uff0cMedicaid \u91ab\u7642\u88dc\u52a9\u8f14\u52a9\u6c34\u6e96\u6709\u8b8a\u66f4\uff0c\u6216\u5931\u53bb Medicaid \u91ab\u7642\u88dc\u52a9\uff09\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-medicaid-change\" data-orig_data_id=\"group-medicaid-change\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-medicaid\">Medicaid \u91ab\u7642\u88dc\u52a9\u8b8a\u66f4\u65e5\u671f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-medicaid\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-medicaid\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-medicaid\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-change-in-coverage-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-change-in-coverage-selection\" value=\"\u6211\u652f\u4ed8 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8655\u65b9\u85e5\u4fdd\u96aa\u7684\u300c\u984d\u5916\u8f14\u52a9\u300d\u6700\u8fd1\u65bc\u767c\u751f\u8b8a\u66f4\uff08\u65b0\u8fd1\u7372\u5f97\u300c\u984d\u5916\u8f14\u52a9\u300d\uff0c\u300c\u984d\u5916\u8f14\u52a9\u300d\u6c34\u6e96\u6709\u8b8a\u66f4\uff0c\u6216\u5931\u53bb\u300c\u984d\u5916\u8f14\u52a9\u300d\uff09\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u652f\u4ed8 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8655\u65b9\u85e5\u4fdd\u96aa\u7684\u300c\u984d\u5916\u8f14\u52a9\u300d\u6700\u8fd1\u65bc\u767c\u751f\u8b8a\u66f4\uff08\u65b0\u8fd1\u7372\u5f97\u300c\u984d\u5916\u8f14\u52a9\u300d\uff0c\u300c\u984d\u5916\u8f14\u52a9\u300d\u6c34\u6e96\u6709\u8b8a\u66f4\uff0c\u6216\u5931\u53bb\u300c\u984d\u5916\u8f14\u52a9\u300d\uff09\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-extra-help-change\" data-orig_data_id=\"group-extra-help-change\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-extra-help\">\u6211\u300c\u984d\u5916\u8f14\u52a9\u300d\u7684\u8b8a\u66f4\u65e5\u671f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-extra-help\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-extra-help\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-extra-help\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-change-in-coverage-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-change-in-coverage-selection\" value=\"\u6211\u6700\u8fd1\u975e\u81ea\u9858\u6027\u5730\u5931\u53bb\u4e86\u6709\u4fe1\u8b7d\u5ea6\u7684\u8655\u65b9\u85e5\u4fdd\u96aa\uff08\u627f\u4fdd\u7bc4\u570d\u8207 Medicare \u76f8\u540c\uff09\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6700\u8fd1\u975e\u81ea\u9858\u6027\u5730\u5931\u53bb\u4e86\u6709\u4fe1\u8b7d\u5ea6\u7684\u8655\u65b9\u85e5\u4fdd\u96aa\uff08\u627f\u4fdd\u7bc4\u570d\u8207 Medicare \u76f8\u540c\uff09\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-drug-coverage-change\" data-orig_data_id=\"group-drug-coverage-change\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-drug-coverage\">\u6211\u65bc\u4ee5\u4e0b\u65e5\u671f\u5931\u53bb\u4e86\u85e5\u7269\u627f\u4fdd*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-drug-coverage\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-drug-coverage\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-drug-coverage\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-change-in-coverage-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-change-in-coverage-selection\" value=\"\u6211\u66fe\u53c3\u4fdd Special Needs Plan (SNP)\uff0c\u4f46\u73fe\u5df2\u5931\u53bb\u4e86\u53c3\u4fdd\u8a72\u8a08\u5283\u6240\u9700\u7684\u7279\u6b8a\u9700\u6c42\u8cc7\u683c\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u66fe\u53c3\u4fdd Special Needs Plan (SNP)\uff0c\u4f46\u73fe\u5df2\u5931\u53bb\u4e86\u53c3\u4fdd\u8a72\u8a08\u5283\u6240\u9700\u7684\u7279\u6b8a\u9700\u6c42\u8cc7\u683c\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-disenrolled\" data-orig_data_id=\"group-disenrolled\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-disenrolled\">\u6211\u65bc\u4ee5\u4e0b\u65e5\u671f\u88ab SNP \u9664\u540d*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-disenrolled\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-disenrolled\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-disenrolled\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-change-in-coverage-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-change-in-coverage-selection\" value=\"\u6211\u6700\u8fd1\u96e2\u958b\u4e86 PACE \u8a08\u5283\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6700\u8fd1\u96e2\u958b\u4e86 PACE \u8a08\u5283\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-pace\" data-orig_data_id=\"group-pace\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-pace\">\u96e2\u958b PACE \u8a08\u5283\u7684\u65e5\u671f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-pace\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-pace\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-pace\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-change-in-coverage-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-change-in-coverage-selection\" value=\"\u6211\u7684\u8a08\u5283\u5373\u5c07\u7d42\u6b62\u8207 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u7684\u5408\u7d04\uff0c\u6216\u8005 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u5373\u5c07\u7d42\u6b62\u8207\u8a72\u8a08\u5283\u7684\u5408\u7d04\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u7684\u8a08\u5283\u5373\u5c07\u7d42\u6b62\u8207 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u7684\u5408\u7d04\uff0c\u6216\u8005 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u5373\u5c07\u7d42\u6b62\u8207\u8a72\u8a08\u5283\u7684\u5408\u7d04\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div data-id=\"group-currently-enrolled\" data-orig_data_id=\"group-currently-enrolled\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"group-green-box\">\n\t\t\t\t<h2 class=\"font-24 text-centered\">\u6211\u76ee\u524d\u53c3\u4fdd\u4e86\u4e00\u9805\u8a08\u5283\u3002\n\t\t\t\t<\/h2>\n\t\t\t\t<h3 class=\"font-22 text-centered\">\u9078\u64c7\u8b8a\u66f4\u7684\u6700\u4f73\u539f\u56e0\u3002\n\t\t\t\t<\/h3>\n\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t<div class=\"form-single-column\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-currently-enrolled-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-currently-enrolled-selection\" value=\"\u6211\u5df2\u53c3\u4fdd\u7531 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\uff08\u6216\u6211\u7684\u6240\u5728\u5dde\uff09\u63d0\u4f9b\u7684\u8a08\u5283\uff0c\u6211\u5e0c\u671b\u53e6\u9078\u8a08\u5283\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u5df2\u53c3\u4fdd\u7531 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\uff08\u6216\u6211\u7684\u6240\u5728\u5dde\uff09\u63d0\u4f9b\u7684\u8a08\u5283\uff0c\u6211\u5e0c\u671b\u53e6\u9078\u8a08\u5283\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div data-id=\"group-chose-new\" data-orig_data_id=\"group-chose-new\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t\t<p><label for=\"date-chose-new\">\u6211\u65bc\u4ee5\u4e0b\u65e5\u671f\u958b\u59cb\u53c3\u4fdd\u8a72\u8a08\u5283*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-chose-new\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-chose-new\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-chose-new\"><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-currently-enrolled-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-currently-enrolled-selection\" value=\"\u6211\u540c\u6642\u64c1\u6709 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u548c Medicaid \u91ab\u7642\u88dc\u52a9\uff08\u6216\u6211\u6240\u5728\u7684\u5dde\u653f\u5e9c\u5e6b\u52a9\u652f\u4ed8\u6211\u7684 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u4fdd\u8cbb\uff09\uff0c\u6216\u8005\u6211\u4eab\u6709\u984d\u5916\u88dc\u52a9\u4ee5\u652f\u4ed8 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8655\u65b9\u85e5\u4fdd\u96aa\uff0c\u4e14\u6211\u7684\u60c5\u6cc1\u6c92\u6709\u767c\u751f\u8b8a\u5316\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u540c\u6642\u64c1\u6709 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u548c Medicaid \u91ab\u7642\u88dc\u52a9\uff08\u6216\u6211\u6240\u5728\u7684\u5dde\u653f\u5e9c\u5e6b\u52a9\u652f\u4ed8\u6211\u7684 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u4fdd\u8cbb\uff09\uff0c\u6216\u8005\u6211\u4eab\u6709\u984d\u5916\u88dc\u52a9\u4ee5\u652f\u4ed8 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8655\u65b9\u85e5\u4fdd\u96aa\uff0c\u4e14\u6211\u7684\u60c5\u6cc1\u6c92\u6709\u767c\u751f\u8b8a\u5316\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-currently-enrolled-selection\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-currently-enrolled-selection\" value=\"\u6211\u53d7\u5c45\u4f4f\u5730\u4e4b\u5dde\u653f\u5e9c\u63d0\u4f9b\u7684\u85e5\u623f\u5354\u52a9\u8a08\u5283\u627f\u4fdd\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u53d7\u5c45\u4f4f\u5730\u4e4b\u5dde\u653f\u5e9c\u63d0\u4f9b\u7684\u85e5\u623f\u5354\u52a9\u8a08\u5283\u627f\u4fdd\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-3\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-circle-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>20%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u8cc7\u683c\n\t\t<\/h2>\n\t\t<h3 class=\"font-24 text-centered\">\u8acb\u63d0\u4f9b\u60a8\u7684\u4fdd\u96aa\u8cc7\u8a0a\u3002\n\t\t<\/h3>\n\t\t<p class=\"small-cf7 text-centered\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t<\/p>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<h3>\u60a8\u76ee\u524d\u7684 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u865f\u662f\u591a\u5c11\uff1f\n\t\t\t<\/h3>\n\t\t\t<p class=\"mb-12\">\u7576\u60a8\u5728\u4e0b\u9762\u8f38\u5165\u60a8\u7684 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u865f\u6642\uff0c\u5c07\u4f7f\u7528\u4f86\u81ea Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u548c Medicaid \u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (CMS) \u7684\u8cc7\u6599\u9a57\u8b49\u60a8\u7684 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8cc7\u683c\u3002 \u5982\u679c\u60a8\u76ee\u524d\u4e0d\u7b26\u5408 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u7684\u8cc7\u683c\uff0c\u60a8\u7684\u7533\u8acb\u53ef\u80fd\u6703\u88ab\u62d2\u7d55\u3002\n\t\t\t<\/p>\n\t\t\t<p><label for=\"medicare-number\">Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u865f\u78bc*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"medicare-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"medicare-number\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medicare-number\"><\/span>\n\t\t\t<\/p>\n\t\t\t<p class=\"small-cf7 input-help mb-24\">\u9019\u662f\u4e00\u500b 11 \u4f4d\u6578\u5b57\n\t\t\t<\/p>\n\t\t\t<div data-id=\"group-medicaid-question\" data-orig_data_id=\"group-medicaid-question\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><label>\u60a8\u662f\u5426\u53c3\u4fdd\u4e86\u7d10\u7d04\u5dde Medicaid \u91ab\u7642\u88dc\u52a9\u8a08\u5283\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"medicaid-enrollment\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"medicaid-enrollment\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"medicaid-enrollment\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"medicaid-enrollment\" value=\"\u6211\u4e0d\u77e5\u9053\"><span class=\"wpcf7-list-item-label\">\u6211\u4e0d\u77e5\u9053<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-medicaid-yes\" data-orig_data_id=\"group-medicaid-yes\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"group-green-box-lt\">\n\t\t\t\t\t<p><label for=\"medicaid-number\">Medicaid \u91ab\u7642\u88dc\u52a9\u865f\u78bc*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"medicaid-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"medicaid-number\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medicaid-number\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<p class=\"small-cf7 input-help\">\u9019\u662f 2 \u500b\u5b57\u6bcd\u30015 \u500b\u6578\u5b57\u548c 1 \u500b\u5b57\u6bcd\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label>\u60a8\u662f\u5426\u7b26\u5408\u7372\u5f97\u7d10\u7d04\u5dde Medicaid \u91ab\u7642\u88dc\u52a9\u4e0b\u7684 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8cbb\u7528\u5206\u6524\u63f4\u52a9\u7684\u8cc7\u683c\uff1f *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"medicaid-cost-sharing\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"medicaid-cost-sharing\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"medicaid-cost-sharing\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-medicaid-no\" data-orig_data_id=\"group-medicaid-no\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<div class=\"mb-24 small-cf7 input-help content-width\">\n\t\t\t\t\t\t<p>\u5982\u8981\u53c3\u4fdd <strong>Elderplan for Medicaid Beneficiaries (HMO-POS D-SNP)<\/strong>\uff0c\u60a8\u5fc5\u9808\u6709\u6b0a\u4eab\u6709 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u548c\u7d10\u7d04\u5dde Medicaid \u8a08\u5283\uff0c\u540c\u6642\u5fc5\u9808\u7b26\u5408\u4eab\u6709 Medicaid \u91ab\u7642\u88dc\u52a9\u4fdd\u96aa\u7684\u8cc7\u683c\uff0c\u4e26\u7b26\u5408 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u5c0d Medicaid \u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4eba\u7684\u53c3\u4fdd\u8cc7\u683c\u8981\u6c42\u3002\u60a8\u53ef\u7372\u5f97\u7684 Medicaid \u91ab\u7642\u88dc\u52a9\u798f\u5229\u7531\u7d10\u7d04\u5dde\u6c7a\u5b9a\uff0c\u4e26\u4e14\u6839\u64da\u60a8\u7684\u6536\u5165\u548c\u8cc7\u7522\u60c5\u6cc1\u53ef\u80fd\u6703\u5404\u6709\u4e0d\u540c\u3002\u5982\u679c\u60a8\u76ee\u524d\u6c92\u6709\u63a5\u53d7 Medicaid \u91ab\u7642\u88dc\u52a9\uff0c\u6211\u5011\u53ef\u80fd\u70ba\u60a8\u63d0\u4f9b\u5176\u4ed6\u8a08\u5283\uff0c\u4f8b\u5982 <strong>Elderplan Flex (HMO-POS)<\/strong> \u548c <strong>Elderplan Extra Help (HMO-POS)\u3002<\/strong>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"prescription-drug-coverage\">\u9664\u4e86 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u4e4b\u5916\uff0c\u60a8\u9084\u6709\u5176\u4ed6\u8655\u65b9\u85e5\u627f\u4fdd\u55ce\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"prescription-drug-coverage\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"prescription-drug-coverage\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"prescription-drug-coverage\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"group-additional-drug\" data-orig_data_id=\"group-additional-drug\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"group-green-box-lt\">\n\t\t\t\t\t<p class=\"mb-12\">\u5982\u70ba\u662f\uff0c\u8acb\u63d0\u4f9b\u4ee5\u4e0b\u8a73\u7d30\u8cc7\u8a0a\uff1a\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<p><label for=\"other-coverage-name\">\u5176\u4ed6\u627f\u4fdd\u7684\u540d\u7a31*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"other-coverage-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"other-coverage-name\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-coverage-name\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label>\u8a72\u627f\u4fdd\u7684\u6703\u54e1\u7de8\u865f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"other-coverage-member-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-coverage-member-number\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label for=\"other-coverage-group-number\">\u8a72\u627f\u4fdd\u7684\u5718\u9ad4\u7de8\u865f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"other-coverage-group-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"other-coverage-group-number\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-coverage-group-number\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<p class=\"small-cf7 input-help\">\u7bc4\u4f8b\uff1a \u5176\u4ed6\u79c1\u4eba\u4fdd\u96aa\u3001TRICARE\u3001\u806f\u90a6\u96c7\u54e1\u4fdd\u96aa\u3001VA \u798f\u5229\u6216\u5dde\u8a08\u5283\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-4\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-4\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-circle-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>35%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u60a8\u662f\u6388\u6b0a\u4ee3\u8868\u55ce\uff1f\n\t\t<\/h2>\n\t\t<p class=\"small-cf7 text-centered\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t<\/p>\n\t\t<details class=\"secondary\">\n\t\t\t<summary><span>\u77ad\u89e3\u66f4\u591a<\/span><span>\u96b1\u85cf<\/span>\n\t\t\t<\/summary>\n\t\t\t<div class=\"details-content\">\n\t\t\t\t<p>\u6388\u6b0a\u4ee3\u8868\u662f\u6307\u5df2\u7372\u5f97\u6cd5\u5f8b\u8a31\u53ef\u5728\u67d0\u4e9b\u4e8b\u52d9\u4e0a\u4ee3\u8868\u53e6\u4e00\u500b\u4eba\u884c\u4e8b\u7684\u500b\u4eba\u6216\u7d44\u7e54\u3002 \u9019\u53ef\u4ee5\u5305\u62ec\u4f5c\u51fa\u6c7a\u5b9a\u3001\u5b58\u53d6\u8cc7\u8a0a\u4ee5\u53ca\u57f7\u884c\u500b\u4eba\u901a\u5e38\u81ea\u5df1\u8655\u7406\u7684\u64cd\u4f5c\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/details>\n\t\t<div class=\"box box--top\">\n\t\t\t<p class=\"font-22 mb-16\">\u60a8\u8207\u6b63\u5728\u672c\u7533\u8acb\u8868\u4e2d\u9032\u884c\u53c3\u4fdd\u7684\u4eba\u662f\u4ec0\u9ebc\u95dc\u4fc2\uff1f\n\t\t\t<\/p>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-authorized\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-authorized\" value=\"\u6211\u662f\u672c\u7533\u8acb\u8868\u4e2d\u7684\u53c3\u4fdd\u8005\" checked><span class=\"wpcf7-list-item-label\">\u6211\u662f\u672c\u7533\u8acb\u8868\u4e2d\u7684\u53c3\u4fdd\u8005<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-authorized\" value=\"\u6211\u662f\u672c\u7533\u8acb\u8868\u4e2d\u53c3\u4fdd\u8005\u7684\u6388\u6b0a\u4ee3\u8868\"><span class=\"wpcf7-list-item-label\">\u6211\u662f\u672c\u7533\u8acb\u8868\u4e2d\u53c3\u4fdd\u8005\u7684\u6388\u6b0a\u4ee3\u8868<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-authorized\" data-orig_data_id=\"group-authorized\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"box box--bottom\">\n\t\t\t\t<p class=\"font-22 mb-16 font-bolder\">\u60a8\u5df2\u8868\u660e\u60a8\u662f\u6388\u6b0a\u4ee3\u8868\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"small-red-cf7 mb-16 content-width\"><i class=\"fa-solid fa-triangle-exclamation\"><\/i>\u5982\u679c\u60a8\u4f5c\u70ba\u6388\u6b0a\u4ee3\u8868\u7c3d\u540d\uff0c\u5247\u610f\u5473\u8457\u60a8\u64c1\u6709\u5dde\u6cd5\u5f8b\u898f\u5b9a\u7684\u5408\u6cd5\u6b0a\u5229\u9032\u884c\u7c3d\u5b57\uff0c\u4e26\u4e14\u5982\u679c Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8981\u6c42\uff0c\u60a8\u80fd\u5920\u51fa\u793a\u8a72\u6b0a\u5229\u7684\u66f8\u9762\u8b49\u660e\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"small-red-cf7 mb-24\">\u8acb\u6ce8\u610f\uff1a\u6b64\u8868\u683c\u4e0a\u7684\u6240\u6709\u8cc7\u8a0a\u5747\u61c9\u7279\u5b9a\u65bc\u5c07\u5f9e Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u7372\u5f97\u798f\u5229\u7684\u4eba\u54e1\uff0c\u800c\u4e0d\u662f\u6388\u6b0a\u4ee3\u8868\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p><label for=\"authorized-representative-name\">\u5168\u540d*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"authorized-representative-name\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"authorized-representative-name\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"relationship-to-enrollee\">\u8207\u53c3\u4fdd\u4eba\u7684\u95dc\u4fc2*<\/label><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship-to-enrollee\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"relationship-to-enrollee\" aria-required=\"true\" aria-invalid=\"false\" name=\"relationship-to-enrollee\"><option value=\"\u5b50\u5973\">\u5b50\u5973<\/option><option value=\"\u914d\u5076\">\u914d\u5076<\/option><option value=\"\u7236\u6bcd\">\u7236\u6bcd<\/option><option value=\"\u670b\u53cb\">\u670b\u53cb<\/option><option value=\"\u9060\u89aa\">\u9060\u89aa<\/option><option value=\"\u5176\u4ed6\">\u5176\u4ed6<\/option><option value=\"\u5176\u4ed6\">\u5176\u4ed6<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-street-address\">\u8857\u9053\u5730\u5740*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-street-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"authorized-representative-street-address\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"authorized-representative-street-address\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-street-address-2\">\u8857\u9053\u5730\u5740\u7b2c 2 \u884c<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-street-address-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"authorized-representative-street-address-2\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"authorized-representative-street-address-2\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-city\">\u57ce\u5e02*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"authorized-representative-city\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"authorized-representative-city\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-county\">\u7e23*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-county\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"authorized-representative-county\" aria-required=\"true\" aria-invalid=\"false\" name=\"authorized-representative-county\"><option value=\"Bronx\">Bronx<\/option><option value=\"Dutchess\">Dutchess<\/option><option value=\"\u570b\u738b\">\u570b\u738b<\/option><option value=\"\u5229\u6587\u65af\u9813\">\u5229\u6587\u65af\u9813<\/option><option value=\"Monroe\">Monroe<\/option><option value=\"\u62ff\u7d22\">\u62ff\u7d22<\/option><option value=\"\u7d10\u7d04\">\u7d10\u7d04<\/option><option value=\"\u5b89\u5927\u7565\">\u5b89\u5927\u7565<\/option><option value=\"\u6a58\u7e23\">\u6a58\u7e23<\/option><option value=\"\u5967\u723e\u826f\">\u5967\u723e\u826f<\/option><option value=\"\u666e\u7279\u5357\">\u666e\u7279\u5357<\/option><option value=\"\u7687\u540e\u5340\">\u7687\u540e\u5340<\/option><option value=\"\u91cc\u5947\u8499\">\u91cc\u5947\u8499<\/option><option value=\"Rockland\">Rockland<\/option><option value=\"\u585e\u5167\u5361\">\u585e\u5167\u5361<\/option><option value=\"Suffolk\">Suffolk<\/option><option value=\"Ulster\">Ulster<\/option><option value=\"\u5a01\u5fb9\u65af\u7279\">\u5a01\u5fb9\u65af\u7279<\/option><option value=\"\u8036\u8328\">\u8036\u8328<\/option><option value=\"Onondaga\">Onondaga<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-state\">\u5dde*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-state\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"authorized-representative-state\" aria-required=\"true\" aria-invalid=\"false\" name=\"authorized-representative-state\"><option value=\"\u7d10\u7d04\">\u7d10\u7d04<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-zip-code\">\u90f5\u905e\u5340\u865f\/\u90f5\u905e\u5340\u865f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"authorized-representative-zip-code\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"authorized-representative-zip-code\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-email\">\u96fb\u5b50\u90f5\u4ef6*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"authorized-representative-email\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"authorized-representative-email\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label for=\"authorized-representative-phone-number\">\u96fb\u8a71\u865f\u78bc*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"authorized-representative-phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"authorized-representative-phone-number\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"authorized-representative-phone-number\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"small-cf7 input-help mb-24\">\u9019\u662f\u4e00\u500b 10 \u4f4d\u6578\u865f\u78bc\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-5\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-5\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-circle-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>40%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u8ab0\u5728\u53c3\u4fdd\uff1f\n\t\t<\/h2>\n\t\t<p class=\"small-cf7 text-centered mb-24\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t<\/p>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<p class=\"font-24 mb-12\">\u500b\u4eba\u8cc7\u8a0a\n\t\t\t<\/p>\n\t\t\t<p><label for=\"first-name\">\u540d\u5b57*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"first-name\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"middle-initial\">\u4e2d\u9593\u540d\u7e2e\u5beb<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"middle-initial\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"middle-initial\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-initial\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"last-name\">\u59d3\u6c0f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"last-name\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"birth-date\">\u51fa\u751f\u65e5\u671f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"birth-date\" max=\"2006-10-15\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birth-date\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label>\u6027\u5225*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"sex\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sex\" value=\"\u7537\u6027\" checked><span class=\"wpcf7-list-item-label\">\u7537\u6027<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sex\" value=\"\u5973\u6027\"><span class=\"wpcf7-list-item-label\">\u5973\u6027<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label>\u60a8\u662f\u5426\u5de5\u4f5c\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"work\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"work\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"work\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label>\u5a5a\u59fb\u72c0\u6cc1*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"marital\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"marital\" value=\"\u5df2\u5a5a\"><span class=\"wpcf7-list-item-label\">\u5df2\u5a5a<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"marital\" value=\"\u55ae\u8eab\" checked><span class=\"wpcf7-list-item-label\">\u55ae\u8eab<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"marital\" value=\"\u96e2\u5a5a\"><span class=\"wpcf7-list-item-label\">\u96e2\u5a5a<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"marital\" value=\"\u55aa\u5076\"><span class=\"wpcf7-list-item-label\">\u55aa\u5076<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-spouse-work\" data-orig_data_id=\"group-spouse-work\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"group-green-box-lt\">\n\t\t\t\t\t<p><label>\u60a8\u7684\u914d\u5076\u6216\u4f34\u4fb6\u662f\u5426\u5728\u5de5\u4f5c\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-work\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"spouse-work\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"spouse-work\" value=\"\u5426\"><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-6\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-6\" style=\" \">Next<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>45%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u60a8\u751f\u6d3b\u5728\u54ea\u88e1\uff1f\n\t\t<\/h2>\n\t\t<details class=\"secondary\">\n\t\t\t<summary><span>\u60a8\u70ba\u4ec0\u9ebc\u9700\u8981\u6b64\u8cc7\u8a0a\uff1f<\/span><span>\u96b1\u85cf<\/span>\n\t\t\t<\/summary>\n\t\t\t<div class=\"details-content\">\n\t\t\t\t<p>\u5728 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\uff0c\u6211\u5011\u6536\u96c6\u60a8\u7684\u8cc7\u8a0a\u662f\u70ba\u4e86\u78ba\u4fdd\u6211\u5011\u63d0\u4f9b\u6700\u4f73\u8b77\u7406\u4e26\u6709\u6548\u4fdd\u6301\u60a8\u7684\u627f\u4fdd\u3002 \u6839\u64da\u60a8\u7684\u9996\u9078\u901a\u8a0a\u65b9\u5f0f\uff0c\u6211\u5011\u9084\u4f7f\u7528\u5b83\u4f86\u70ba\u60a8\u63d0\u4f9b\u8a08\u5283\u8cc7\u8a0a\u7684\u66f4\u65b0\uff0c\u4ee5\u53ca\u5411\u60a8\u50b3\u9001\u91cd\u8981\u901a\u77e5\uff0c\u4ee5\u4fbf\u4f7f\u60a8\u53ca\u6642\u77ad\u89e3\u60c5\u6cc1\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/details>\n\t\t<p class=\"small-cf7 text-centered mb-24\">\u9019\u61c9\u662f\u60a8\u76ee\u524d\u5c45\u4f4f\u4e26\u5c07\u63a5\u53d7\u670d\u52d9\u7684\u4f4f\u5b85\u3002 \u8acb\u52ff\u8f38\u5165\u90f5\u653f\u4fe1\u7bb1\u3002\n\t\t<\/p>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<p class=\"mb-24\">\u60a8\u7684\u4e3b\u8981\u5730\u5740\u662f\u4ec0\u9ebc\uff1f\n\t\t\t<\/p>\n\t\t\t<p><label for=\"street-address\">\u8857\u9053\u5730\u5740*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"street-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"street-address\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-address\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"street-address-2\">\u8857\u9053\u5730\u5740\u7b2c 2 \u884c<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"street-address-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"street-address-2\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-address-2\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"city\">\u57ce\u5e02*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"city\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"state\">\u5dde*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"state\" aria-required=\"true\" aria-invalid=\"false\" name=\"state\"><option value=\"\u7d10\u7d04\">\u7d10\u7d04<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"county\">\u7e23*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"county\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"county\" aria-required=\"true\" aria-invalid=\"false\" name=\"county\"><option value=\"Bronx\">Bronx<\/option><option value=\"Dutchess\">Dutchess<\/option><option value=\"\u570b\u738b\">\u570b\u738b<\/option><option value=\"\u5229\u6587\u65af\u9813\">\u5229\u6587\u65af\u9813<\/option><option value=\"Monroe\">Monroe<\/option><option value=\"\u62ff\u7d22\">\u62ff\u7d22<\/option><option value=\"\u7d10\u7d04\">\u7d10\u7d04<\/option><option value=\"\u5b89\u5927\u7565\">\u5b89\u5927\u7565<\/option><option value=\"\u6a58\u7e23\">\u6a58\u7e23<\/option><option value=\"\u5967\u723e\u826f\">\u5967\u723e\u826f<\/option><option value=\"\u666e\u7279\u5357\">\u666e\u7279\u5357<\/option><option value=\"\u7687\u540e\u5340\">\u7687\u540e\u5340<\/option><option value=\"\u91cc\u5947\u8499\">\u91cc\u5947\u8499<\/option><option value=\"Rockland\">Rockland<\/option><option value=\"\u585e\u5167\u5361\">\u585e\u5167\u5361<\/option><option value=\"Suffolk\">Suffolk<\/option><option value=\"Ulster\">Ulster<\/option><option value=\"\u5a01\u5fb9\u65af\u7279\">\u5a01\u5fb9\u65af\u7279<\/option><option value=\"\u8036\u8328\">\u8036\u8328<\/option><option value=\"Onondaga\">Onondaga<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"zip-code\">\u90f5\u905e\u5340\u865f\/\u90f5\u905e\u5340\u865f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"zip-cod\" autocomplete=\"offe\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label>\u60a8\u7684\u90f5\u5bc4\u5730\u5740\u8207\u60a8\u7684\u4e3b\u8981\u5730\u5740\u76f8\u540c\u55ce\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mailing-address-same\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"mailing-address-same\" value=\"\u662f\" checked><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"mailing-address-same\" value=\"\u5426\"><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-mailing-same-no\" data-orig_data_id=\"group-mailing-same-no\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"group-green-box-lt\">\n\t\t\t\t\t<p class=\"mb-12\">\u5982\u679c\u70ba\u5426\uff0c\u8acb\u63d0\u4f9b\u60a8\u7684\u90f5\u5bc4\u5730\u5740\uff1a\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<p><label for=\"mailing-street-address\">\u8857\u9053\u5730\u5740*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mailing-street-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"mailing-street-address\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mailing-street-address\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label for=\"mailing-street-address-2\">\u8857\u9053\u5730\u5740\u7b2c 2 \u884c<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mailing-street-address-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mailing-street-address-2\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mailing-street-address-2\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label for=\"mailing-city\">\u57ce\u5e02*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mailing-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"mailing-city\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mailing-city\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label for=\"mailing-state\">\u5dde*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mailing-state\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"mailing-state\" aria-required=\"true\" aria-invalid=\"false\" name=\"mailing-state\"><option value=\"\u7d10\u7d04\">\u7d10\u7d04<\/option><\/select><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label for=\"mailing-county\">\u7e23*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mailing-county\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"mailing-county\" aria-required=\"true\" aria-invalid=\"false\" name=\"mailing-county\"><option value=\"\">\u2014Please choose an option\u2014<\/option><option value=\"Bronx\">Bronx<\/option><option value=\"Dutchess\">Dutchess<\/option><option value=\"\u570b\u738b\">\u570b\u738b<\/option><option value=\"\u5229\u6587\u65af\u9813\">\u5229\u6587\u65af\u9813<\/option><option value=\"Monroe\">Monroe<\/option><option value=\"\u62ff\u7d22\">\u62ff\u7d22<\/option><option value=\"\u7d10\u7d04\">\u7d10\u7d04<\/option><option value=\"\u5b89\u5927\u7565\">\u5b89\u5927\u7565<\/option><option value=\"\u6a58\u7e23\">\u6a58\u7e23<\/option><option value=\"\u5967\u723e\u826f\">\u5967\u723e\u826f<\/option><option value=\"\u666e\u7279\u5357\">\u666e\u7279\u5357<\/option><option value=\"\u7687\u540e\u5340\">\u7687\u540e\u5340<\/option><option value=\"\u91cc\u5947\u8499\">\u91cc\u5947\u8499<\/option><option value=\"Rockland\">Rockland<\/option><option value=\"\u585e\u5167\u5361\">\u585e\u5167\u5361<\/option><option value=\"Suffolk\">Suffolk<\/option><option value=\"Ulster\">Ulster<\/option><option value=\"\u5a01\u5fb9\u65af\u7279\">\u5a01\u5fb9\u65af\u7279<\/option><option value=\"\u8036\u8328\">\u8036\u8328<\/option><option value=\"Onondaga\">Onondaga<\/option><\/select><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label for=\"mailing-zip-code\">\u90f5\u905e\u5340\u865f\/\u90f5\u905e\u5340\u865f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mailing-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"mailing-zip-code\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mailing-zip-code\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-7\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-7\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>50%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u6211\u5011\u5982\u4f55\u80fd\u5920\u806f\u7d61\u5230\u60a8\uff1f\n\t\t<\/h2>\n\t\t<p class=\"small-cf7 mb-12 text-centered\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t<\/p>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<p class=\"mb-12\">\u60a8\u7684\u96fb\u8a71\u865f\u78bc\u662f\u4ec0\u9ebc\uff1f\n\t\t\t<\/p>\n\t\t\t<p><label for=\"home-phone\">\u5bb6\u5ead\u96fb\u8a71*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"home-phone\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"home-phone\"><\/span>\n\t\t\t<\/p>\n\t\t\t<p class=\"small-cf7 input-help mb-24\">\u9019\u662f\u4e00\u500b 10 \u4f4d\u6578\u865f\u78bc.\n\t\t\t<\/p>\n\t\t\t<p><label for=\"cell-phone\">\u624b\u6a5f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"cell-phone\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"cell-phone\"><\/span>\n\t\t\t<\/p>\n\t\t\t<p class=\"small-cf7 input-help mb-24\">\u9019\u662f\u4e00\u500b 10 \u4f4d\u6578\u865f\u78bc.\n\t\t\t<\/p>\n\t\t\t<div data-id=\"group-sms-opt-in\" data-orig_data_id=\"group-sms-opt-in\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p class=\"mb-12\">\u9078\u64c7\u63a5\u6536\u4ee5\u4e0b SMS \u7c21\u8a0a\u901a\u77e5\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<p><label>\u5065\u4fdd\u8a08\u5283\u8cc7\u8a0a:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"health-plan-information\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"health-plan-information\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"health-plan-information\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label>\u4fdd\u5065\u8cc7\u8a0a:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"wellness-information\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"wellness-information\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"wellness-information\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label>\u734e\u52f5\u548c\u8abf\u67e5:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"incentives-and-surveys\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"incentives-and-surveys\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"incentives-and-surveys\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-if-email\" data-orig_data_id=\"group-if-email\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><label for=\"email\">\u60a8\u7684\u96fb\u5b50\u90f5\u5bc4\u5730\u5740\u662f\u4ec0\u9ebc\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"email\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p class=\"small-cf7\">\u6839\u64da\u60a8\u7684\u96fb\u5b50\u90f5\u4ef6\u504f\u597d\uff0c\u6211\u5011\u4f7f\u7528\u6b64\u8cc7\u8a0a\u5411\u60a8\u50b3\u9001\u6709\u95dc\u8a08\u5283\u8a73\u7d30\u8cc7\u8a0a\u548c\u91cd\u8981\u901a\u77e5\u7684\u66f4\u65b0\uff0c\u4ee5\u4fbf\u4f7f\u60a8\u53ca\u6642\u77ad\u89e3\u60c5\u6cc1\u3002 \u6211\u5011\u9084\u5c07\u900f\u904e\u78ba\u8a8d\u865f\u78bc\u5411\u60a8\u50b3\u9001\u672c\u6b21\u53c3\u4fdd\u7684\u8a18\u9304\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-no-email\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-no-email[]\" value=\"\u6211\u6c92\u6709\u96fb\u5b50\u90f5\u5bc4\u5730\u5740\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u6c92\u6709\u96fb\u5b50\u90f5\u5bc4\u5730\u5740\u3002<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-if-email\" data-orig_data_id=\"group-if-email\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p class=\"mb-12\"><strong>\u60a8\u559c\u6b61\u900f\u904e\u4ec0\u9ebc\u65b9\u6cd5\u63a5\u6536\u6709\u95dc\u60a8\u7684\u8a08\u5283\u6216\u8a08\u5283\u8cc7\u6599\u7684\u901a\u77e5\uff1f<\/strong>\n\t\t\t\t<\/p>\n\t\t\t\t<p><label>\u9078\u64c7\u60a8\u7684\u504f\u597d*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-contact-preference\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-contact-preference\" value=\"\u90ae\u5bc4\" checked><span class=\"wpcf7-list-item-label\">\u90ae\u5bc4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-contact-preference\" value=\"\u96fb\u5b50\u90f5\u4ef6\"><span class=\"wpcf7-list-item-label\">\u96fb\u5b50\u90f5\u4ef6<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t\t<p><label>\u60a8\u5e0c\u671b\u900f\u904e\u96fb\u5b50\u90f5\u4ef6\u63a5\u6536\u4ee5\u4e0b\u54ea\u4e9b\u8cc7\u6599\uff1f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-email-materials\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-email-materials[]\" value=\"\u798f\u5229\u6458\u8981\"><span class=\"wpcf7-list-item-label\">\u798f\u5229\u6458\u8981<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-email-materials[]\" value=\"\u5e74\u5ea6\u8b8a\u66f4\u5167\u5bb9\u901a\u77e5\"><span class=\"wpcf7-list-item-label\">\u5e74\u5ea6\u8b8a\u66f4\u5167\u5bb9\u901a\u77e5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-email-materials[]\" value=\"\u8655\u65b9\u85e5\u4e00\u89bd\u8868\"><span class=\"wpcf7-list-item-label\">\u8655\u65b9\u85e5\u4e00\u89bd\u8868<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-email-materials[]\" value=\"\u627f\u4fdd\u8b49\u66f8\"><span class=\"wpcf7-list-item-label\">\u627f\u4fdd\u8b49\u66f8<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-email-materials[]\" value=\"\u91ab\u7642\u670d\u52d9\u63d0\u4f9b\u8005\/\u85e5\u623f\u540d\u9304\"><span class=\"wpcf7-list-item-label\">\u91ab\u7642\u670d\u52d9\u63d0\u4f9b\u8005\/\u85e5\u623f\u540d\u9304<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-8\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-8\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>55%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u544a\u8a34\u6211\u5011\u66f4\u591a\u95dc\u65bc\u60a8\u7684\u8cc7\u8a0a\n\t\t<\/h2>\n\t\t<p class=\"small-cf7 mb-12 text-centered\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t<\/p>\n\t\t<details class=\"secondary\">\n\t\t\t<summary><span>\u60a8\u70ba\u4ec0\u9ebc\u9700\u8981\u6b64\u8cc7\u8a0a\uff1f<\/span><span>\u96b1\u85cf<\/span>\n\t\t\t<\/summary>\n\t\t\t<div class=\"details-content\">\n\t\t\t\t<p>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u81f4\u529b\u65bc\u78ba\u5b9a\u4e26\u5f4c\u88dc\u8b77\u7406\u65b9\u9762\u7684\u5dee\u8ddd\u3002 \u6211\u5011\u7684\u76ee\u6a19\u662f\u78ba\u4fdd\u6bcf\u500b \u4eba\u90fd\u6709\u516c\u5e73\u516c\u6b63\u7684\u6a5f\u6703\u7372\u5f97\u6700\u4f73\u5065\u5eb7\uff0c\u7121\u8ad6\u7a2e\u65cf\u3001\u65cf\u88d4\u3001\u6b98\u969c\u3001\u6027\u53d6\u5411\u3001\u6027\u5225\u8a8d\u540c\u3001\u793e\u6703\u7d93\u6fdf\u5730\u4f4d\u3001\u5730\u7406\u4f4d\u7f6e\u3001\u9996\u9078 \u8a9e\u8a00\u6216\u5f71\u97ff\u7372\u5f97\u8b77\u7406\u548c\u5065\u5eb7\u7d50\u679c\u7684\u4efb\u4f55\u5176\u4ed6\u56e0\u7d20\u5982\u4f55\u3002 \u56de\u7b54\u9019\u4e9b \u554f\u984c\u662f\u53ef\u9078\u7684\uff0c\u9019\u7d55\u4e0d\u6703\u5f71\u97ff\u60a8\u7684\u8cc7\u683c\u3002 \u6211\u5011\u6536\u96c6\u5b83\u5011\u53ea\u662f\u70ba\u4e86\u66f4\u597d\u5730 \u4ee5\u5c0d\u60a8\u6709\u7528\u4e14\u6709\u610f\u7fa9\u7684\u65b9\u5f0f\u70ba\u60a8\u63d0\u4f9b\u8b77\u7406\u627f\u4fdd\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/details>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<p class=\"font-24 mb-12\">\u504f\u597d\u8a9e\u8a00\n\t\t\t<\/p>\n\t\t\t<p><label>\u9664\u4e86\u82f1\u8a9e\u4e4b\u5916\uff0c\u60a8\u9084\u6709\u9996\u9078\u8a9e\u8a00\u55ce\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"language-preference-yes-no\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"language-preference-yes-no\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"language-preference-yes-no\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-speak-english\" data-orig_data_id=\"group-speak-english\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><label>\u4f60\u6703\u8aaa\u82f1\u8a9e\u55ce\uff1f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"speak_english_radio\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"speak_english_radio\" value=\"\u662f\"><span class=\"wpcf7-list-item-label\">\u662f<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"speak_english_radio\" value=\"\u5426\" checked><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div data-id=\"group-preferred-language\" data-orig_data_id=\"group-preferred-language\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"group-green-box-lt mb-24\">\n\t\t\t\t\t<p><label>\u5982\u679c\u60a8\u56de\u7b54\u300c\u662f\u300d\uff0c\u60a8\u559c\u6b61\u54ea\u7a2e\u8a9e\u8a00\uff1f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-language\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"preferred-language\" aria-invalid=\"false\" name=\"preferred-language\"><option value=\"\u897f\u73ed\u7259\u8a9e\">\u897f\u73ed\u7259\u8a9e<\/option><option value=\"\u4e2d\u6587\">\u4e2d\u6587<\/option><option value=\"\u666e\u901a\u8a71\uff08\u4e2d\u570b\uff09\">\u666e\u901a\u8a71\uff08\u4e2d\u570b\uff09<\/option><option value=\"\u7cb5\u8a9e\uff08\u4e2d\u570b\uff09\">\u7cb5\u8a9e\uff08\u4e2d\u570b\uff09<\/option><option value=\"\u963f\u723e\u5df4\u5c3c\u4e9e\u8a9e\">\u963f\u723e\u5df4\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u963f\u59c6\u54c8\u62c9\u6587\">\u963f\u59c6\u54c8\u62c9\u6587<\/option><option value=\"\u963f\u62c9\u4f2f\u8a9e\">\u963f\u62c9\u4f2f\u8a9e<\/option><option value=\"\u4e9e\u7f8e\u5c3c\u4e9e\u8a9e\">\u4e9e\u7f8e\u5c3c\u4e9e\u8a9e<\/option><option value=\"Ashanti\">Ashanti<\/option><option value=\"\u5b5f\u52a0\u62c9\u8a9e\">\u5b5f\u52a0\u62c9\u8a9e<\/option><option value=\"\u6ce2\u65af\u5c3c\u4e9e\u8a9e\">\u6ce2\u65af\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u4fdd\u52a0\u5229\u4e9e\u8a9e\">\u4fdd\u52a0\u5229\u4e9e\u8a9e<\/option><option value=\"\u7dec\u7538\u8a9e\">\u7dec\u7538\u8a9e<\/option><option value=\"\u514b\u91cc\u5967\u723e\u8a9e\">\u514b\u91cc\u5967\u723e\u8a9e<\/option><option value=\"\u514b\u7f85\u5730\u4e9e\u8a9e\">\u514b\u7f85\u5730\u4e9e\u8a9e<\/option><option value=\"\u4e39\u9ea5\u8a9e\">\u4e39\u9ea5\u8a9e<\/option><option value=\"\u8377\u862d\u8a9e\">\u8377\u862d\u8a9e<\/option><option value=\"\u611b\u6c99\u5c3c\u4e9e\u8a9e\">\u611b\u6c99\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u5384\u7dad\u8a9e\">\u5384\u7dad\u8a9e<\/option><option value=\"\u6cd5\u8a9e\">\u6cd5\u8a9e<\/option><option value=\"\u83f2\u5f8b\u8cd3\u8a9e\">\u83f2\u5f8b\u8cd3\u8a9e<\/option><option value=\"\u6cd5\u8a9e\">\u6cd5\u8a9e<\/option><option value=\"\u798f\u5efa\u8a71\">\u798f\u5efa\u8a71<\/option><option value=\"\u798f\u5dde\u8a71\">\u798f\u5dde\u8a71<\/option><option value=\"\u55ac\u6cbb\u4e9e\u8a9e\">\u55ac\u6cbb\u4e9e\u8a9e<\/option><option value=\"\u5fb7\u8a9e\">\u5fb7\u8a9e<\/option><option value=\"\u5e0c\u81d8\u8a9e\">\u5e0c\u81d8\u8a9e<\/option><option value=\"\u53e4\u52a0\u7b2c\u8a9e\">\u53e4\u52a0\u7b2c\u8a9e<\/option><option value=\"\u54c8\u9054\u5fb7\u8a9e\">\u54c8\u9054\u5fb7\u8a9e<\/option><option value=\"\u6d77\u5730\u8a9e\">\u6d77\u5730\u8a9e<\/option><option value=\"\u8c6a\u6c99\u8a9e\">\u8c6a\u6c99\u8a9e<\/option><option value=\"\u5e0c\u4f2f\u4f86\u8a9e\">\u5e0c\u4f2f\u4f86\u8a9e<\/option><option value=\"\u5370\u5ea6\u6587\">\u5370\u5ea6\u6587<\/option><option value=\"\u5308\u7259\u5229\u8a9e\">\u5308\u7259\u5229\u8a9e<\/option><option value=\"\u4f0a\u5e03\u6587\">\u4f0a\u5e03\u6587<\/option><option value=\"\u5370\u7b2c\u5b89\u8a9e\">\u5370\u7b2c\u5b89\u8a9e<\/option><option value=\"\u7fa9\u5927\u5229\u8a9e\">\u7fa9\u5927\u5229\u8a9e<\/option><option value=\"\u65e5\u8a9e\">\u65e5\u8a9e<\/option><option value=\"\u5361\u5947\u8a9e\">\u5361\u5947\u8a9e<\/option><option value=\"\u574e\u90a3\u9054\u8a9e\">\u574e\u90a3\u9054\u8a9e<\/option><option value=\"\u97d3\u8a9e\">\u97d3\u8a9e<\/option><option value=\"\u62c9\u812b\u7dad\u4e9e\u8a9e\">\u62c9\u812b\u7dad\u4e9e\u8a9e<\/option><option value=\"Macedonian\">Macedonian<\/option><option value=\"\u99ac\u4f86\u8a9e\">\u99ac\u4f86\u8a9e<\/option><option value=\"\u99ac\u62c9\u7b2c\u8a9e\">\u99ac\u62c9\u7b2c\u8a9e<\/option><option value=\"\u7d0d\u5e15\u5229\u8a9e\">\u7d0d\u5e15\u5229\u8a9e<\/option><option value=\"\u632a\u5a01\u6587\">\u632a\u5a01\u6587<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"\u6ce2\u862d\u8a9e\">\u6ce2\u862d\u8a9e<\/option><option value=\"\u8461\u8404\u7259\u8a9e\">\u8461\u8404\u7259\u8a9e<\/option><option value=\"\u73ed\u52a0\u8a9e\">\u73ed\u52a0\u8a9e<\/option><option value=\"\u96f7\u5fb7\u8a9e\">\u96f7\u5fb7\u8a9e<\/option><option value=\"\u7f85\u99ac\u5c3c\u4e9e\u8a9e\">\u7f85\u99ac\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u4fc4\u8a9e\">\u4fc4\u8a9e<\/option><option value=\"\u585e\u5167\u52a0\u723e\u8a9e\">\u585e\u5167\u52a0\u723e\u8a9e<\/option><option value=\"Shanghai\">Shanghai<\/option><option value=\"Sichuanese\">Sichuanese<\/option><option value=\"\u624b\u8a9e\">\u624b\u8a9e<\/option><option value=\"\u932b\u862d\u6587\">\u932b\u862d\u6587<\/option><option value=\"\u65af\u6d1b\u7dad\u5c3c\u4e9e\u8a9e\">\u65af\u6d1b\u7dad\u5c3c\u4e9e\u8a9e<\/option><option value=\"Somali\">Somali<\/option><option value=\"\u65af\u83ef\u5e0c\u91cc\u8a9e\">\u65af\u83ef\u5e0c\u91cc\u8a9e<\/option><option value=\"\u745e\u5178\u6587\">\u745e\u5178\u6587<\/option><option value=\"\u6558\u5229\u4e9e\u8a9e\">\u6558\u5229\u4e9e\u8a9e<\/option><option value=\"\u4ed6\u52a0\u797f\u8a9e\">\u4ed6\u52a0\u797f\u8a9e<\/option><option value=\"Taishanese\">Taishanese<\/option><option value=\"\u53f0\u7063\u570b\u8a9e\">\u53f0\u7063\u570b\u8a9e<\/option><option value=\"\u53f0\u7063\u570b\u8a9e\">\u53f0\u7063\u570b\u8a9e<\/option><option value=\"\u9435\u9b6f\u53e4\u8a9e\">\u9435\u9b6f\u53e4\u8a9e<\/option><option value=\"\u6cf0\u8a9e\">\u6cf0\u8a9e<\/option><option value=\"\u63d0\u683c\u91cc\u5c3c\u4e9e\u8a9e\uff08\u5317\u57c3\u585e\u4fc4\u6bd4\u4e9e\uff09\">\u63d0\u683c\u91cc\u5c3c\u4e9e\u8a9e\uff08\u5317\u57c3\u585e\u4fc4\u6bd4\u4e9e\uff09<\/option><option value=\"\u571f\u8033\u5176\u8a9e\">\u571f\u8033\u5176\u8a9e<\/option><option value=\"\u70cf\u514b\u862d\u8a9e\">\u70cf\u514b\u862d\u8a9e<\/option><option value=\"\u543e\u9b6f\u90fd\u8a9e\">\u543e\u9b6f\u90fd\u8a9e<\/option><option value=\"\u70cf\u7386\u5225\u514b\u8a9e\">\u70cf\u7386\u5225\u514b\u8a9e<\/option><option value=\"\u8d8a\u5357\u8a9e\">\u8d8a\u5357\u8a9e<\/option><option value=\"\u610f\u7b2c\u7dd2\u6587\">\u610f\u7b2c\u7dd2\u6587<\/option><option value=\"\u512a\u9b6f\u5df4\u6587\">\u512a\u9b6f\u5df4\u6587<\/option><\/select><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p><label>\u5982\u679c\u60a8\u5e0c\u671b\u6211\u5011\u4ee5\u82f1\u8a9e\u4ee5\u5916\u7684\u8a9e\u8a00\u5411\u60a8\u767c\u9001\u8a0a\u606f\uff0c\u8acb\u9078\u64c7\u4e00\u9805\u3002<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-language-information\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"preferred-language-information\" aria-invalid=\"false\" name=\"preferred-language-information\"><option value=\"\u897f\u73ed\u7259\u8a9e\">\u897f\u73ed\u7259\u8a9e<\/option><option value=\"\u4e2d\u6587\">\u4e2d\u6587<\/option><option value=\"\u666e\u901a\u8a71\uff08\u4e2d\u570b\uff09\">\u666e\u901a\u8a71\uff08\u4e2d\u570b\uff09<\/option><option value=\"\u7cb5\u8a9e\uff08\u4e2d\u570b\uff09\">\u7cb5\u8a9e\uff08\u4e2d\u570b\uff09<\/option><option value=\"\u963f\u723e\u5df4\u5c3c\u4e9e\u8a9e\">\u963f\u723e\u5df4\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u963f\u59c6\u54c8\u62c9\u6587\">\u963f\u59c6\u54c8\u62c9\u6587<\/option><option value=\"\u963f\u62c9\u4f2f\u8a9e\">\u963f\u62c9\u4f2f\u8a9e<\/option><option value=\"\u4e9e\u7f8e\u5c3c\u4e9e\u8a9e\">\u4e9e\u7f8e\u5c3c\u4e9e\u8a9e<\/option><option value=\"Ashanti\">Ashanti<\/option><option value=\"\u5b5f\u52a0\u62c9\u8a9e\">\u5b5f\u52a0\u62c9\u8a9e<\/option><option value=\"\u6ce2\u65af\u5c3c\u4e9e\u8a9e\">\u6ce2\u65af\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u4fdd\u52a0\u5229\u4e9e\u8a9e\">\u4fdd\u52a0\u5229\u4e9e\u8a9e<\/option><option value=\"\u7dec\u7538\u8a9e\">\u7dec\u7538\u8a9e<\/option><option value=\"\u514b\u91cc\u5967\u723e\u8a9e\">\u514b\u91cc\u5967\u723e\u8a9e<\/option><option value=\"\u514b\u7f85\u5730\u4e9e\u8a9e\">\u514b\u7f85\u5730\u4e9e\u8a9e<\/option><option value=\"\u4e39\u9ea5\u8a9e\">\u4e39\u9ea5\u8a9e<\/option><option value=\"\u8377\u862d\u8a9e\">\u8377\u862d\u8a9e<\/option><option value=\"\u611b\u6c99\u5c3c\u4e9e\u8a9e\">\u611b\u6c99\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u5384\u7dad\u8a9e\">\u5384\u7dad\u8a9e<\/option><option value=\"\u6cd5\u8a9e\">\u6cd5\u8a9e<\/option><option value=\"\u83f2\u5f8b\u8cd3\u8a9e\">\u83f2\u5f8b\u8cd3\u8a9e<\/option><option value=\"\u6cd5\u8a9e\">\u6cd5\u8a9e<\/option><option value=\"\u798f\u5efa\u8a71\">\u798f\u5efa\u8a71<\/option><option value=\"\u798f\u5dde\u8a71\">\u798f\u5dde\u8a71<\/option><option value=\"\u55ac\u6cbb\u4e9e\u8a9e\">\u55ac\u6cbb\u4e9e\u8a9e<\/option><option value=\"\u5fb7\u8a9e\">\u5fb7\u8a9e<\/option><option value=\"\u5e0c\u81d8\u8a9e\">\u5e0c\u81d8\u8a9e<\/option><option value=\"\u53e4\u52a0\u7b2c\u8a9e\">\u53e4\u52a0\u7b2c\u8a9e<\/option><option value=\"\u54c8\u9054\u5fb7\u8a9e\">\u54c8\u9054\u5fb7\u8a9e<\/option><option value=\"\u6d77\u5730\u8a9e\">\u6d77\u5730\u8a9e<\/option><option value=\"\u8c6a\u6c99\u8a9e\">\u8c6a\u6c99\u8a9e<\/option><option value=\"\u5e0c\u4f2f\u4f86\u8a9e\">\u5e0c\u4f2f\u4f86\u8a9e<\/option><option value=\"\u5370\u5ea6\u6587\">\u5370\u5ea6\u6587<\/option><option value=\"\u5308\u7259\u5229\u8a9e\">\u5308\u7259\u5229\u8a9e<\/option><option value=\"\u4f0a\u5e03\u6587\">\u4f0a\u5e03\u6587<\/option><option value=\"\u5370\u7b2c\u5b89\u8a9e\">\u5370\u7b2c\u5b89\u8a9e<\/option><option value=\"\u7fa9\u5927\u5229\u8a9e\">\u7fa9\u5927\u5229\u8a9e<\/option><option value=\"\u65e5\u8a9e\">\u65e5\u8a9e<\/option><option value=\"\u5361\u5947\u8a9e\">\u5361\u5947\u8a9e<\/option><option value=\"\u574e\u90a3\u9054\u8a9e\">\u574e\u90a3\u9054\u8a9e<\/option><option value=\"\u97d3\u8a9e\">\u97d3\u8a9e<\/option><option value=\"\u62c9\u812b\u7dad\u4e9e\u8a9e\">\u62c9\u812b\u7dad\u4e9e\u8a9e<\/option><option value=\"Macedonian\">Macedonian<\/option><option value=\"\u99ac\u4f86\u8a9e\">\u99ac\u4f86\u8a9e<\/option><option value=\"\u99ac\u62c9\u7b2c\u8a9e\">\u99ac\u62c9\u7b2c\u8a9e<\/option><option value=\"\u7d0d\u5e15\u5229\u8a9e\">\u7d0d\u5e15\u5229\u8a9e<\/option><option value=\"\u632a\u5a01\u6587\">\u632a\u5a01\u6587<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"\u6ce2\u862d\u8a9e\">\u6ce2\u862d\u8a9e<\/option><option value=\"\u8461\u8404\u7259\u8a9e\">\u8461\u8404\u7259\u8a9e<\/option><option value=\"\u73ed\u52a0\u8a9e\">\u73ed\u52a0\u8a9e<\/option><option value=\"\u96f7\u5fb7\u8a9e\">\u96f7\u5fb7\u8a9e<\/option><option value=\"\u7f85\u99ac\u5c3c\u4e9e\u8a9e\">\u7f85\u99ac\u5c3c\u4e9e\u8a9e<\/option><option value=\"\u4fc4\u8a9e\">\u4fc4\u8a9e<\/option><option value=\"\u585e\u5167\u52a0\u723e\u8a9e\">\u585e\u5167\u52a0\u723e\u8a9e<\/option><option value=\"Shanghai\">Shanghai<\/option><option value=\"Sichuanese\">Sichuanese<\/option><option value=\"\u624b\u8a9e\">\u624b\u8a9e<\/option><option value=\"\u932b\u862d\u6587\">\u932b\u862d\u6587<\/option><option value=\"\u65af\u6d1b\u7dad\u5c3c\u4e9e\u8a9e\">\u65af\u6d1b\u7dad\u5c3c\u4e9e\u8a9e<\/option><option value=\"Somali\">Somali<\/option><option value=\"\u65af\u83ef\u5e0c\u91cc\u8a9e\">\u65af\u83ef\u5e0c\u91cc\u8a9e<\/option><option value=\"\u745e\u5178\u6587\">\u745e\u5178\u6587<\/option><option value=\"\u6558\u5229\u4e9e\u8a9e\">\u6558\u5229\u4e9e\u8a9e<\/option><option value=\"\u4ed6\u52a0\u797f\u8a9e\">\u4ed6\u52a0\u797f\u8a9e<\/option><option value=\"Taishanese\">Taishanese<\/option><option value=\"\u53f0\u7063\u570b\u8a9e\">\u53f0\u7063\u570b\u8a9e<\/option><option value=\"\u53f0\u7063\u570b\u8a9e\">\u53f0\u7063\u570b\u8a9e<\/option><option value=\"\u9435\u9b6f\u53e4\u8a9e\">\u9435\u9b6f\u53e4\u8a9e<\/option><option value=\"\u6cf0\u8a9e\">\u6cf0\u8a9e<\/option><option value=\"\u63d0\u683c\u91cc\u5c3c\u4e9e\u8a9e\uff08\u5317\u57c3\u585e\u4fc4\u6bd4\u4e9e\uff09\">\u63d0\u683c\u91cc\u5c3c\u4e9e\u8a9e\uff08\u5317\u57c3\u585e\u4fc4\u6bd4\u4e9e\uff09<\/option><option value=\"\u571f\u8033\u5176\u8a9e\">\u571f\u8033\u5176\u8a9e<\/option><option value=\"\u70cf\u514b\u862d\u8a9e\">\u70cf\u514b\u862d\u8a9e<\/option><option value=\"\u543e\u9b6f\u90fd\u8a9e\">\u543e\u9b6f\u90fd\u8a9e<\/option><option value=\"\u70cf\u7386\u5225\u514b\u8a9e\">\u70cf\u7386\u5225\u514b\u8a9e<\/option><option value=\"\u8d8a\u5357\u8a9e\">\u8d8a\u5357\u8a9e<\/option><option value=\"\u610f\u7b2c\u7dd2\u6587\">\u610f\u7b2c\u7dd2\u6587<\/option><option value=\"\u512a\u9b6f\u5df4\u6587\">\u512a\u9b6f\u5df4\u6587<\/option><\/select><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<p><label>\u60a8\u5e0c\u671b\u4ee5\u6613\u65bc\u5b58\u53d6\u7684\u683c\u5f0f\u63d0\u4f9b\u8a08\u5283\u8cc7\u8a0a\u55ce\uff1f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"accessible-format\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"accessible-format\" value=\"\u76f2\u6587\"><span class=\"wpcf7-list-item-label\">\u76f2\u6587<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"accessible-format\" value=\"\u5927\u5b57\u9ad4\"><span class=\"wpcf7-list-item-label\">\u5927\u5b57\u9ad4<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"accessible-format\" value=\"\u97f3\u8a0a CD\"><span class=\"wpcf7-list-item-label\">\u97f3\u8a0a CD<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"accessible-format\" value=\"\u5426 \u8b1d\u8b1d\" checked><span class=\"wpcf7-list-item-label\">\u5426 \u8b1d\u8b1d<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<h3 class=\"font-22\">\u7a2e\u65cf\u548c\u65cf\u88d4\n\t\t\t<\/h3>\n\t\t\t<p class=\"small-cf7 mb-12\">\u5171\u7528\u6b64\u8cc7\u8a0a\u6709\u52a9\u65bc\u7f8e\u570b \u885b\u751f\u8207\u5927\u773e\u670d\u52d9\u90e8\u4e0d\u65b7 \u8861\u91cf\u4e26\u78ba\u4fdd\u6bcf\u500b\u4eab\u6709 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u7684\u4eba\u90fd\u80fd\u516c\u5e73\u5730\u7372\u5f97\u627f\u4fdd\u3002 \u5982\u679c\u60a8 \u9078\u64c7\u4e0d\u56de\u7b54\uff0c\u5247\u4e0d\u6703\u62d2\u7d55\u60a8\u7372\u5f97\u627f\u4fdd\u3002\u200b\u200b\n\t\t\t<\/p>\n\t\t\t<p><label>\u60a8\u662f\u5426\u70ba\u897f\u73ed\u7259\u88d4\u3001\u62c9\u7f8e\u88d4\u6216\u64c1\u6709\u897f\u73ed\u7259\u8840\u7d71\uff1f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"hispanic-origin\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"hispanic-origin[]\" value=\"\u662f\uff0c\u6211\u662f\u53e4\u5df4\u4eba\"><span class=\"wpcf7-list-item-label\">\u662f\uff0c\u6211\u662f\u53e4\u5df4\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"hispanic-origin[]\" value=\"\u662f\uff0c\u6211\u662f\u58a8\u897f\u54e5\u4eba\u3001\u58a8\u897f\u54e5\u88d4\u7f8e\u570b\u4eba\u3001\u5947\u5361\u8afe\u4eba\"><span class=\"wpcf7-list-item-label\">\u662f\uff0c\u6211\u662f\u58a8\u897f\u54e5\u4eba\u3001\u58a8\u897f\u54e5\u88d4\u7f8e\u570b\u4eba\u3001\u5947\u5361\u8afe\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"hispanic-origin[]\" value=\"\u662f\uff0c\u6211\u662f\u6ce2\u591a\u9ece\u5404\u4eba\"><span class=\"wpcf7-list-item-label\">\u662f\uff0c\u6211\u662f\u6ce2\u591a\u9ece\u5404\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"hispanic-origin[]\" value=\"\u6211\u662f\u53e6\u4e00\u7a2e\u897f\u73ed\u7259\u8a9e\u88d4\u3001\u62c9\u7f8e\u88d4\uff0c\u6216\u64c1\u6709\u897f\u73ed\u7259\u8a9e\u88d4\u8840\u7d71\"><span class=\"wpcf7-list-item-label\">\u6211\u662f\u53e6\u4e00\u7a2e\u897f\u73ed\u7259\u8a9e\u88d4\u3001\u62c9\u7f8e\u88d4\uff0c\u6216\u64c1\u6709\u897f\u73ed\u7259\u8a9e\u88d4\u8840\u7d71<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"hispanic-origin[]\" value=\"\u5426\"><span class=\"wpcf7-list-item-label\">\u5426<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"hispanic-origin[]\" value=\"\u6211\u9078\u64c7\u4e0d\u56de\u7b54\u3002\"><span class=\"wpcf7-list-item-label\">\u6211\u9078\u64c7\u4e0d\u56de\u7b54\u3002<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label>\u60a8\u662f\u4ec0\u4e48\u79cd\u65cf\uff1f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"race\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"race[]\" value=\"\u7f8e\u6d32\u5370\u7b2c\u5b89\u4eba\u6216\u963f\u62c9\u65af\u52a0\u539f\u4f4f\u6c11\"><span class=\"wpcf7-list-item-label\">\u7f8e\u6d32\u5370\u7b2c\u5b89\u4eba\u6216\u963f\u62c9\u65af\u52a0\u539f\u4f4f\u6c11<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u5370\u5ea6\u88d4\"><span class=\"wpcf7-list-item-label\">\u5370\u5ea6\u88d4<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u9ed1\u4eba\u6216\u975e\u88d4\u7f8e\u570b\u4eba\"><span class=\"wpcf7-list-item-label\">\u9ed1\u4eba\u6216\u975e\u88d4\u7f8e\u570b\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u4e2d\u570b\u4eba\"><span class=\"wpcf7-list-item-label\">\u4e2d\u570b\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u83f2\u5f8b\u8cd3\u4eba\"><span class=\"wpcf7-list-item-label\">\u83f2\u5f8b\u8cd3\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u95dc\u5cf6\u4eba\u6216\u67e5\u83ab\u7f85\u4eba\"><span class=\"wpcf7-list-item-label\">\u95dc\u5cf6\u4eba\u6216\u67e5\u83ab\u7f85\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u65e5\u672c\u4eba\"><span class=\"wpcf7-list-item-label\">\u65e5\u672c\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u97d3\u570b\u4eba\"><span class=\"wpcf7-list-item-label\">\u97d3\u570b\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u590f\u5a01\u5937\u539f\u4f4f\u6c11\"><span class=\"wpcf7-list-item-label\">\u590f\u5a01\u5937\u539f\u4f4f\u6c11<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u5176\u4ed6\u4e9e\u6d32\u4eba\"><span class=\"wpcf7-list-item-label\">\u5176\u4ed6\u4e9e\u6d32\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u5176\u4ed6\u592a\u5e73\u6d0b\u5cf6\u6c11\"><span class=\"wpcf7-list-item-label\">\u5176\u4ed6\u592a\u5e73\u6d0b\u5cf6\u6c11<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u85a9\u6469\u4e9e\u4eba\"><span class=\"wpcf7-list-item-label\">\u85a9\u6469\u4e9e\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u8d8a\u5357\u4eba\"><span class=\"wpcf7-list-item-label\">\u8d8a\u5357\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"race[]\" value=\"\u767d\u4eba\"><span class=\"wpcf7-list-item-label\">\u767d\u4eba<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"race[]\" value=\"\u6211\u9078\u64c7\u4e0d\u56de\u7b54\"><span class=\"wpcf7-list-item-label\">\u6211\u9078\u64c7\u4e0d\u56de\u7b54<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-9\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-9\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>65%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u60a8\u76ee\u524d\u5728\u54ea\u88e1\u63a5\u53d7\u8b77\u7406\uff1f\n\t\t<\/h2>\n\t\t<p class=\"small-cf7 mb-12 text-centered\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t<\/p>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<h3 class=\"font-24 mb-24\">\u544a\u8a34\u6211\u5011\u60a8\u76ee\u524d\u7684\u91ab\u751f\u548c\u8a3a\u6240\u3002\n\t\t\t<\/h3>\n\t\t\t<p><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-primary-care\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-primary-care\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-12\">\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-primary-care-additional-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-primary-care-additional-1\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-12\">\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-primary-care-additional-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-primary-care-additional-2\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><br>\n<label>\u8a3a\u6240\u540d\u7a31<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-clinic\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-clinic\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-12\">\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-clinic-additional-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-clinic-additional-1\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-12\">\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-clinic-additional-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-clinic-additional-2\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><br>\n<label>\u5065\u5eb7\u4e2d\u5fc3<\/label><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-health-center\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-health-center\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-12\">\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-health-center-additional-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-health-center-additional-1\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-12\">\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-health-center-additional-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-health-center-additional-2\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-10\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-10\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>80%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7 font-24 mb-24 text-centered\">\u60a8\u6b63\u5728\u53c3\u4fdd Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283\n\t\t\t<\/h3>\n\t\t\t<h2 class=\"font-32 text-left-align mb-8\">\u984d\u5916\u798f\u5229\n\t\t\t<\/h2>\n\t\t\t<h3 class=\"font-24 mb-8\">\u60a8\u7684\u8a08\u5283\u5177\u6709\u984d\u5916\u798f\u5229\u3002\n\t\t\t<\/h3>\n\t\t\t<div class=\"box\">\n\t\t\t\t<p><label>\u9078\u64c7\u984d\u5916\u798f\u5229<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p>\u9078\u64c7\u4e00\u500b\u9078\u9805*\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-extra-benefits\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-extra-benefits\" value=\"\u975e\u8655\u65b9 (OTC)\"><span class=\"wpcf7-list-item-label\">\u975e\u8655\u65b9 (OTC)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-extra-benefits\" value=\"\u4ea4\u901a\"><span class=\"wpcf7-list-item-label\">\u4ea4\u901a<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"flex-payment-message\">\n\t\t\t\t<p>\u60a8\u53ef\u80fd\u9808\u8981\u652f\u4ed8\u8207\u60a8\u7684\u8a08\u5283\u76f8\u95dc\u7684\u984d\u5916\u8cbb\u7528\uff0c\u4f8b\u5982 D \u90e8\u5206\u903e\u671f\u53c3\u4fdd\u7f70\u91d1\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p>\u5982\u679c\u60a8\u5fc5\u9808\u652f\u4ed8 D \u90e8\u5206\u7684\u6309\u6536\u5165\u6bcf\u6708\u8abf\u6574\u4fdd\u8cbb (Part D-IRMAA)\uff0c\u5247\u9808\u5728\u8a08\u5283\u4fdd\u8cbb\u4e4b\u5916\u652f\u4ed8\u9019\u7b46\u984d\u5916\u7684\u8cbb\u7528\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p>\u8acb\u52ff\u5411 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u652f\u4ed8 Part D-IRMAA\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h2 class=\"font-50 text-left-align mb-24\">\u652f\u4ed8\u60a8\u7684\u8a08\u5283\n\t\t\t<\/h2>\n\t\t\t<div class=\"premium-wrap\">\n\t\t\t\t<div class=\"premium-col\">\n\t\t\t\t\t<h3>\u6708\u7e73\u4fdd\u8cbb\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<p>$41.00\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"premium-message\">\n\t\t\t\t<p>\u6700\u7d42\u4fdd\u8cbb\u91d1\u984d\u5c07\u5728\u6709\u6548\u53c3\u4fdd\u6642\u78ba\u8a8d\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p>\u9664\u4e86\u4efb\u4f55\u4fdd\u8cbb\u5916\uff0c\u60a8\u9084\u53ef\u80fd\u7522\u751f\u984d\u5916\u8cbb\u7528\uff0c\u4f8b\u5982\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p>\u6708\u7e73\u4fdd\u8cbb\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p>D \u90e8\u5206\u903e\u671f\u53c3\u4fdd\u7f70\u91d1 (LEP)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t<p>\u5982\u679c\u60a8\u5fc5\u9808\u652f\u4ed8 D \u90e8\u5206\u7684\u6309\u6536\u5165\u6bcf\u6708\u8abf\u6574\u4fdd\u8cbb (Part D-IRMAA)\uff0c\u5247\u9808\u5728\u8a08\u5283\u4fdd\u8cbb\u4e4b\u5916\u652f\u4ed8\u9019\u7b46\u984d\u5916\u7684\u8cbb\u7528\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p>\u8acb\u52ff\u5411 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u652f\u4ed8 Part D-IRMAA\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h2 class=\"font-50 text-left-align mb-24\">\u60a8\u7684\u8a08\u5283\u6709\u4fdd\u8cbb\u3002\n\t\t\t<\/h2>\n\t\t\t<div class=\"premium-wrap\">\n\t\t\t\t<div class=\"premium-col\">\n\t\t\t\t\t<h3>\u6708\u7e73\u4fdd\u8cbb\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<p>$31.30\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"premium-message\">\n\t\t\t\t<p>\u6700\u7d42\u4fdd\u8cbb\u91d1\u984d\u5c07\u5728\u6709\u6548\u53c3\u4fdd\u6642\u78ba\u8a8d.\n\t\t\t\t<\/p>\n\t\t\t\t<p>\u9664\u4e86\u4efb\u4f55\u4fdd\u8cbb\u5916\uff0c\u60a8\u9084\u53ef\u80fd\u7522\u751f\u984d\u5916\u8cbb\u7528\uff0c\u4f8b\u5982\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<ul>\n\t\t\t\t\t<li>\n\t\t\t\t\t\t<p>D \u90e8\u5206\u903e\u671f\u53c3\u4fdd\u7f70\u91d1 (LEP)\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t<p>\u5982\u679c\u60a8\u5fc5\u9808\u652f\u4ed8 D \u90e8\u5206\u7684\u6309\u6536\u5165\u6bcf\u6708\u8abf\u6574\u4fdd\u8cbb (Part D-IRMAA)\uff0c\u5247\u9808\u5728\u8a08\u5283\u4fdd\u8cbb\u4e4b\u5916\u652f\u4ed8\u9019\u7b46\u984d\u5916\u7684\u8cbb\u7528\u3002\n\t\t\t\t<\/p>\n\t\t\t\t<p>\u8acb\u52ff\u5411 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u652f\u4ed8 Part D-IRMAA.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div data-id=\"group-not-flex\" data-orig_data_id=\"group-not-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h2 class=\"font-32 text-left-align mb-8\"><br>\n<strong>\u8acb\u78ba\u8a8d\u4ed8\u6b3e\u8cc7\u8a0a<\/strong>\n\t\t\t<\/h2>\n\t\t\t<p class=\"font-24 mb-8\">\u5982\u4e0a\u6240\u8ff0\uff0c\u8acb\u5728\u4e0b\u65b9\u544a\u77e5\u6211\u5011\u60a8\u5e0c\u671b\u5982\u4f55\u652f\u4ed8\u4fdd\u8cbb\u6216\u8207\u53c3\u4fdd\u76f8\u95dc\u7684\u4efb\u4f55\u984d\u5916\u8cbb\u7528\uff1a\n\t\t\t<\/p>\n\t\t\t<p class=\"small-cf7 mb-24\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t\t<\/p>\n\t\t\t<div class=\"box\">\n\t\t\t\t<p><label>\u4ed8\u6b3e\u9078\u9805<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"mb-16\">\u9078\u64c7\u4e00\u500b\u4ed8\u6b3e\u9078\u9805*\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"stacked-radios mb-12\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"payment-options\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"payment-options\" value=\"\u7372\u5f97\u5e33\u55ae\"><span class=\"wpcf7-list-item-label\">\u7372\u5f97\u5e33\u55ae<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"payment-options\" value=\"\u6bcf\u6708\u5f9e\u60a8\u7684\u9280\u884c\u5e33\u6236\u9032\u884c\u96fb\u5b50\u8cc7\u91d1\u8f49\u5e33 (EFT)\"><span class=\"wpcf7-list-item-label\">\u6bcf\u6708\u5f9e\u60a8\u7684\u9280\u884c\u5e33\u6236\u9032\u884c\u96fb\u5b50\u8cc7\u91d1\u8f49\u5e33 (EFT)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"payment-options\" value=\"\u4fe1\u7528\u5361\"><span class=\"wpcf7-list-item-label\">\u4fe1\u7528\u5361<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"payment-options\" value=\"\u5f9e\u60a8\u6bcf\u6708\u7684\u793e\u6703\u5b89\u5168\u5c40\u6216\u9435\u8def\u8077\u5de5\u9000\u4f11\u59d4\u54e1\u6703 (RRB) \u798f\u5229\u652f\u7968\u81ea\u52d5\u6263\u9664\"><span class=\"wpcf7-list-item-label\">\u5f9e\u60a8\u6bcf\u6708\u7684\u793e\u6703\u5b89\u5168\u5c40\u6216\u9435\u8def\u8077\u5de5\u9000\u4f11\u59d4\u54e1\u6703 (RRB) \u798f\u5229\u652f\u7968\u81ea\u52d5\u6263\u9664<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-id=\"group-eft\" data-orig_data_id=\"group-eft\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<div class=\"group-green-box-lt\">\n\t\t\t\t\t\t<p><label for=\"eft-account-holder\">\u4fe1\u7528\u5361\u4e0a\u7684\u5e33\u6236\u6301\u6709\u4eba\u59d3\u540d*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"eft-account-holder\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"eft-account-holder\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"eft-account-holder\"><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><label for=\"eft-routing-number\">\u9280\u884c\u8def\u7531\u865f\u78bc*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"eft-routing-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"eft-routing-number\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"eft-routing-number\"><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><label for=\"eft-account-number\">\u5e33\u865f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"eft-account-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"eft-account-number\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"eft-account-number\"><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><label>&gt;\u5e33\u6236\u985e\u578b*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"eft-account-type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"eft-account-type\" value=\"\u6aa2\u8996\" checked><span class=\"wpcf7-list-item-label\">\u6aa2\u8996<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"eft-account-type\" value=\"\u7bc0\u7701\u91d1\u984d\"><span class=\"wpcf7-list-item-label\">\u7bc0\u7701\u91d1\u984d<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-id=\"group-credit-card\" data-orig_data_id=\"group-credit-card\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<div class=\"group-green-box-lt\">\n\t\t\t\t\t\t<p><label>\u5361\u985e\u578b*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"credit-card-type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"credit-card-type\" value=\"\u7dad\u85a9\u5361\" checked><span class=\"wpcf7-list-item-label\">\u7dad\u85a9\u5361<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"credit-card-type\" value=\"\u842c\u4e8b\u9054\u5361\"><span class=\"wpcf7-list-item-label\">\u842c\u4e8b\u9054\u5361<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"credit-card-type\" value=\"\u5176\u4ed6\"><span class=\"wpcf7-list-item-label\">\u5176\u4ed6<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><label for=\"credit-card-account-holder\">\u4fe1\u7528\u5361\u4e0a\u7684\u5e33\u6236\u6301\u6709\u4eba\u59d3\u540d*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"credit-card-account-holder\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"credit-card-account-holder\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"credit-card-account-holder\"><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><label for=\"credit-card-account-number\">\u5e33\u865f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"credit-card-account-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"credit-card-account-number\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"credit-card-account-number\"><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div class=\"mb-24\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><label for=\"credit-card-expiration-date\">\u5230\u671f\u65e5\u671f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"credit-card-expiration-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"credit-card-expiration-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"credit-card-expiration-date\"><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<p class=\"small-cf7 input-help mb-24\">\u8acb\u4f7f\u7528\u6708\u6708\/\u5e74\u5e74\u683c\u5f0f\u3002\u4f8b\u5982 09\/24.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-id=\"group-automatic-deduction\" data-orig_data_id=\"group-automatic-deduction\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<div class=\"group-green-box-lt\">\n\t\t\t\t\t\t<div class=\"stacked-radios\">\n\t\t\t\t\t\t\t<p><label>\u6211\u900f\u904e\u4ee5\u4e0b\u4f86\u6e90\u7372\u5f97\u6bcf\u6708\u798f\u5229*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"monthly-benefits-from\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"monthly-benefits-from\" value=\"\u793e\u6703\u5b89\u5168\u5c40\" checked><span class=\"wpcf7-list-item-label\">\u793e\u6703\u5b89\u5168\u5c40<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"monthly-benefits-from\" value=\"\u9435\u8def\u8077\u5de5\u9000\u4f11\u59d4\u54e1\u6703 (RRB)\"><span class=\"wpcf7-list-item-label\">\u9435\u8def\u8077\u5de5\u9000\u4f11\u59d4\u54e1\u6703 (RRB)<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-11\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-11\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><br>\n<span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>90%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-32\">\u5354\u8b70\u53ca\u7c3d\u540d\n\t\t<\/h2>\n\t\t<p class=\"small-cf7 text-centered mb-32\">\u6240\u6709\u6a19\u6709 * \u7684\u6b04\u4f4d\u5747\u70ba\u5fc5\u586b\u6b04\u4f4d\uff0c\u5fc5\u9808\u586b\u5beb\u3002\n\t\t<\/p>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<p class=\"font-22 mb-16\">\u6309\u4e00\u4e0b\u4e0b\u9762\u7684\u300c\u540c\u610f\u300d\u6309\u9215\uff0c\u5373\u8868\u793a\u6211\u540c\u610f\u4e26\u7406\u89e3\uff1a\n\t\t\t<\/p>\n\t\t\t<ul class=\"mb-24\">\n\t\t\t\t<li class=\"flexed-li\">\n\t\t\t\t\t<p>\u6211\u6b63\u5728\u53c3\u4fdd\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t<p><strong>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/strong>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t<p><strong>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283<\/strong>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t\t<p><strong>Medicaid \u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4eba (HMO-POS D-SNP) \u8a08\u5283<\/strong>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u6211\u5fc5\u9808\u540c\u6642\u4fdd\u7559\u4f4f\u9662\u4fdd\u96aa\uff08A \u90e8\u5206\uff09\u548c\u91ab\u7642\u4fdd\u96aa\uff08B \u90e8\u5206\uff09\u624d\u80fd\u7e7c\u7e8c\u4eab\u6709 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u900f\u904e\u52a0\u5165\u6b64 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u512a\u52e2 (MA) \u8a08\u5283\uff0c\u6211\u78ba\u8a8d Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u5c07\u8207 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u5171\u7528\u6211\u7684\u8cc7\u8a0a\uff0cMedicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u53ef\u80fd\u6703\u4f7f\u7528\u9019\u4e9b\u8cc7\u8a0a\u4f86\u8ffd\u8e64\u6211\u7684\u53c3\u4fdd\u60c5\u6cc1\u3001\u9032\u884c\u4ed8\u6b3e\uff0c\u4ee5\u53ca\u5c07\u5176\u7528\u65bc\u6388\u6b0a\u6536\u96c6\u6b64\u8cc7\u8a0a\u7684\u806f\u90a6\u6cd5\u5f8b\u5141\u8a31\u7684\u5176\u4ed6\u76ee\u7684\uff08\u8acb\u53c3\u95b1\u4ee5\u4e0b\u300c\u96b1\u79c1\u6cd5\u8072\u660e\u300d\uff09\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u6211\u77ad\u89e3\uff0c\u6211\u4e00\u6b21\u50c5\u80fd\u8a3b\u518a\u4e00\u500b MA \u8a08\u5283 - \u4e26\u4e14\u8a3b\u518a\u8a72\u8a08\u5283\u5c07\u81ea\u52d5\u7d50\u675f\u6211\u8a3b\u518a\u53e6\u4e00\u500b MA \u8a08\u5283\uff08MA PFFS \u548c MA MSA \u8a08\u5283\u9664\u5916\uff09\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u6211\u7406\u89e3\uff0c\u7576\u6211\u7684 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u4fdd\u96aa\u751f\u6548\u5f8c\uff0c\u6211\u6240\u6709\u7684\u91ab\u7642\u548c\u8655\u65b9\u85e5\u798f\u5229\u7686\u5fc5\u9808\u5f9e Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u7372\u53d6\u3002 \u7531 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u63d0\u4f9b\u4e26\u5305\u542b\u5728\u6211\u7684 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u627f\u4fdd\u7bc4\u570d\u8aaa\u660e\u66f8\u300d\u6587\u4ef6\uff08\u4ea6\u7a31\u70ba\u300c\u6703\u54e1\u5408\u7d04\u300d\u6216\u300c\u4fdd\u6236\u5354\u8b70\u300d\uff09\u4e2d\u7684\u798f\u5229\u548c\u670d\u52d9\u5c07\u7372\u5f97\u627f\u4fdd\u3002 \u7121\u8ad6\u662f Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u9084\u662f Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u90fd\u4e0d\u6703\u652f\u4ed8\u4e0d\u5728\u627f\u4fdd\u7bc4\u570d\u5167\u7684\u798f\u5229\u6216\u670d\u52d9\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u64da\u6211\u6240\u77e5\uff0c\u672c\u53c3\u4fdd\u8868\u4e2d\u7684\u8cc7\u8a0a\u6e96\u78ba\u7121\u8aa4\u3002 \u6211\u77ad\u89e3\uff0c\u82e5\u6211\u6545\u610f\u5728\u6b64\u8868\u4e0a\u63d0\u4f9b\u865b\u5047\u8cc7\u8a0a\uff0c\u6211\u5c07\u88ab\u8a08\u5283\u9000\u4fdd\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u6211\u77ad\u89e3\uff0c\u6211\uff08\u6216\u53d6\u5f97\u5408\u6cd5\u6388\u6b0a\u7684\u4ee3\u8868\u4eba\uff09\u5728\u6b64\u7533\u8acb\u8868\u4e0a\u7c3d\u540d\u5373\u8868\u793a\u6211\u5df2\u95b1\u8b80\u4e26\u77ad\u89e3\u6b64\u7533\u8acb\u8868\u7684\u5167\u5bb9\u3002 \u5982\u7531\u6388\u6b0a\u4ee3\u8868\u7c3d\u7f72\uff08\u5982\u4e0a\u6240\u8ff0\uff09\uff0c\u6b64\u7c3d\u540d\u78ba\u8a8d\uff1a\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<ol>\n\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<p>\u6b64\u4eba\u7d93\u904e\u5dde\u6cd5\u5f8b\u6388\u6b0a\uff0c\u53ef\u4ee3\u70ba\u586b\u5beb\u672c\u8a3b\u518a\uff0c\u4e14\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<p>\u5728 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8981\u6c42\u6642\u53ef\u63d0\u4f9b\u76f8\u95dc\u8b49\u660e\u6587\u4ef6\u3002\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<\/ol>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u60a8\u672c\u8868\u683c\u7684\u56de\u7b54\u5c6c\u81ea\u9858\u6027\u8cea\u3002 \u4f46\u662f\uff0c\u5982\u679c\u6c92\u6709\u56de\u7b54\uff0c\u5247\u53ef\u80fd\u6703\u5f71\u97ff\u8a3b\u518a\u8a72\u8a08\u5283\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t<p><label>\u60a8\u5df2\u95b1\u8b80\u4e26\u540c\u610f\u6b64\u53c3\u4fdd\u5354\u8b70\u55ce\uff1f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-941\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-941\" value=\"1\" aria-invalid=\"false\"><span class=\"wpcf7-list-item-label\">\u540c\u610f<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-8\">\n\t\t\t<\/div>\n\t\t\t<p>\u5982\u679c\u6211\u4f5c\u70ba\u6388\u6b0a\u4ee3\u8868\u7c3d\u5b57\uff0c\u5247\u610f\u5473\u8457\u6211\u64c1\u6709\u5dde\u6cd5\u5f8b\u898f\u5b9a\u7684\u5408\u6cd5\u6b0a\u5229\u9032\u884c\u7c3d\u5b57\u3002\n\t\t\t<\/p>\n\t\t\t<p class=\"font-24\">\u96fb\u5b50\u7c3d\u540d\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-12\">\n\t\t\t<\/div>\n\t\t\t<p class=\"font-22\">\u8acb\u9375\u5165\u60a8\u7684\u59d3\u540d\u4f5c\u70ba\u60a8\u7684\u96fb\u5b50\u7c3d\u540d\u3002\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-8\">\n\t\t\t<\/div>\n\t\t\t<p><label>\u5168\u540d*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-esignature\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"text-esignature\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-esignature\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p><label for=\"date-esignature\">\u4eca\u5929\u7684\u65e5\u671f*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-esignature\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-esignature\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-esignature\"><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-12\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-12\" style=\" \">\u7e7c\u7e8c<img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\n<div class=\"form-layout\">\n\t<div class=\"screen-reader-response\">\n\t\t<p role=\"status\" aria-live=\"polite\">\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-sidebar\">\n\t\t<div data-id=\"group-extra-help\" data-orig_data_id=\"group-extra-help\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span> <span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u300c\u984d\u5916\u8f14\u52a9\u300d(HMO-POS)<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-flex\" data-orig_data_id=\"group-plan-flex\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09Flex (HMO-POS) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div data-id=\"group-plan-medicaid\" data-orig_data_id=\"group-plan-medicaid\" class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<h3 class=\"selected-plan-cf7\"><span>\u60a8\u6b63\u5728\u53c3\u4fdd<\/span><span>\u9577\u8001\u8a08\u5283\u806f\u90a6\u91ab\u7642\u8f14\u52a9\u7d05\u85cd\u767d\u5361\u53d7\u76ca\u4eba\u8a08\u5283 (HMO-POS D-SNP) \u8a08\u5283 Plan<\/span>\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"form-tracker\">\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-check\"><\/i> \u8cc7\u683c\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-user\"><\/i> \u95dc\u65bc\u60a8\u7684\u60c5\u6cc1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step completed\">\n\t\t\t\t<p><i class=\"fa-solid fa-file-lines\"><\/i> \u53c3\u4fdd\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"step in-progress\">\n\t\t\t\t<p><i class=\"fa-solid fa-magnifying-glass\"><\/i> \u78ba\u8a8d\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"percentage\">\n\t\t\t<p>\u5b8c\u6210 <strong>95%<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-content\">\n\t\t<h2 class=\"font-50 mb-32 text-left-align\">\u6458\u8981\n\t\t<\/h2>\n\t\t<div class=\"mb-24\">\n\t\t<\/div>\n\t\t<div class=\"box\">\n\t\t\t<p class=\"font-18 mb-12\">\u8acb\u5728\u63d0\u4ea4\u524d\u5be9\u6838\u60a8\u7684\u7533\u8acb\u3002\n\t\t\t<\/p>\n\t\t\t<p class=\"content-width mb-12\">\u60a8\u6309\u4e00\u4e0b\u4ee5\u4e0b\u300c\u63d0\u4ea4\u7533\u8acb\u300d\u6642\uff0c\u60a8\u5c07\u63d0\u4f9b\u60a8\u7684\u96fb\u5b50\u7c3d\u540d\uff08\u6216\u60a8\u6388\u6b0a\u4ee3\u8868\u7684\u96fb\u5b50\u7c3d\u540d\uff09\u3002 \u5982\u7531\u6388\u6b0a\u4ee3\u8868\u7c3d\u7f72\uff08\u5982\u4e0a\u6240\u8ff0\uff09\uff0c\u6b64\u7c3d\u540d\u78ba\u8a8d\uff1a\n\t\t\t<\/p>\n\t\t\t<ol class=\"content-width\">\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u6839\u64da\u60a8\u6240\u5c45\u4f4f\u7684\u5dde\u7684\u6cd5\u5f8b\uff0c\u6b64\u4eba\u6709\u6b0a\u5b8c\u6210\u6b64\u53c3\u4fdd\uff0c\u4e26\u4e14\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u5728 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8981\u6c42\u6642\u53ef\u63d0\u4f9b\u76f8\u95dc\u8b49\u660e\u6587\u4ef6\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ol>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p class=\"mb-12\">\u9019\u610f\u5473\u8457\u60a8\u5df2\u95b1\u8b80\u4e26\u7406\u89e3\u6b64\u8868\u683c\u4e0a\u7684\u8cc7\u8a0a\u3002\n\t\t\t<\/p>\n\t\t\t<p class=\"mb-12\">\u8acb\u6ce8\u610f\uff0c\u63d0\u4ea4\u7533\u8acb\u5f8c\uff0c\u60a8\u5c07\u7121\u6cd5\u518d\u7dda\u4e0a\u9032\u884c\u7de8\u8f2f\u3002\n\t\t\t<\/p>\n\t\t\t<p class=\"mb-12\">\u900f\u904e\u63d0\u4ea4\u60a8\u7684\u53c3\u4fdd\u7533\u8acb\uff0c\u60a8\uff1a\n\t\t\t<\/p>\n\t\t\t<ul>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u63d0\u4f9b\u60a8\u7684\u96fb\u5b50\u7c3d\u540d\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u4ee5\u96fb\u5b50\u65b9\u5f0f\u63d0\u4ea4\u60a8\u7684\u53c3\u4fdd\u7533\u8acb\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u540c\u610f\u900f\u904e\u7db2\u969b\u7db2\u8def\u7dda\u4e0a\u7c3d\u7d04\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u540c\u610f\u900f\u904e\u7db2\u969b\u7db2\u8def\u63a5\u6536\u6211\u5011\u672a\u4f86\u7684\u7dda\u4e0a\u901a\u8a0a\uff0c\u5305\u62ec\u90f5\u4ef6\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u63d0\u51fa\u5f9e Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u8cfc\u8cb7\u7522\u54c1\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>\u78ba\u8a8d\u4e26\u540c\u610f\u4e0a\u8ff0\u8072\u660e\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t<div class=\"mb-24\">\n\t\t\t<\/div>\n\t\t\t<p class=\"font-bold content-width\">\u5728\u60a8\u7684\u7533\u8acb\u88ab\u5be9\u6838\u548c\u63a5\u53d7\u4e4b\u524d\uff0c\u60a8\u4e0d\u6703\u5b8c\u6210\u53c3\u4fdd.\n\t\t\t<\/p>\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u63d0\u4ea4\u7533\u8acb\">\n\t\t\t<\/p>\n\t\t\t<p><a class=\"print-button-cf7\" id=\"print-enrollment-form-chinese\" href=\"#\">\u5217\u5370\u6211\u7684\u7533\u8acb\u526f\u672c<\/a>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns cf7mls-btns-last-step\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-13\" style=\" \">\u8fd4\u56de<\/button><button type=\"button\" style=\"display: none;\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-13\"><img decoding=\"async\" src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/www.elderplan.org\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\"><\/button>\n<\/div><input type=\"hidden\" class=\"wpcf7-pum\" value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}'><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n\n<\/fieldset><\/div>\n\n<\/form><\/div>","protected":false},"excerpt":{"rendered":"{:en} Welcome to Online Enrollment! Let\u2019s get you to the right spot Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)$31.30 per monthSELECT THIS PLAN View Plan Materials Summary of Benefits \u2013 Elderplan [...]","protected":false},"author":21,"featured_media":0,"parent":0,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-26302","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"zh","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":"2026-04-11 18:28:13","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.elderplan.org\/zh\/wp-json\/wp\/v2\/pages\/26302","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.elderplan.org\/zh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.elderplan.org\/zh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.elderplan.org\/zh\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/www.elderplan.org\/zh\/wp-json\/wp\/v2\/comments?post=26302"}],"version-history":[{"count":0,"href":"https:\/\/www.elderplan.org\/zh\/wp-json\/wp\/v2\/pages\/26302\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.elderplan.org\/zh\/wp-json\/wp\/v2\/media?parent=26302"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}