Preview Plans

Preview Plans

Tell us a little bit about yourself.

Your information will help us find out if you qualify for help paying for health coverage.




Questions

Enter the age of each person in your household, and tell us if they need coverage.

What is this page for?

A:This page allows you to view the household data you entered along with your potential coverage options based upon the data you entered.

Questions and Answers

Q: What does the Back button do?

A: Clicking the button takes you to the previous page.

Q: What does the See My Results button do?

A: Clicking the button will take you to the My Options page.

Elements of Preview Plans Questions Section

Label Element Type Description Validation
Preview Plans for Dropdown box Displays a drop-down box to select the latest enrollment year or prior enrollment year. N/A
What is your Zip Code? Textbox Displays a textbox to enter the zip code 5 digit numeric entry
What is your total income per year? Textbox Displays a textbox for entering the income Numeric characters
How many people are in your household? Dropdown box Displays a dropdown box with values from 1 till 25 N/A
Age of Head of Household Textbox Displays a textbox to enter the age of Head of the Household Numeric characters
Needs Coverage? Checkbox Indicates if the person needs coverage At least one person must need coverage
Is anyone in your household pregnant? Radio buttons Displays Yes and No radio buttons to answer the question. N/A
Is anyone in your household blind or disabled? Radio buttons Displays Yes and No radio buttons to answer the question. N/A
Zip Code is not in Service Area
Ok
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