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terence
2023-03-28T13:12:35-05:00
Ok, tell us about yourself and your household so we can find the right plans for you.
Ok, tell us about yourself so we can find the right plans for you.
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How many people in your Household?
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1
2
3
4
5
6+
What is your annual household income?
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Less than $20,120
$20,121 - $36,499
$36,450 - $58,320
More than $58,320
DOB
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Month
Day
Year
Pre-existing Conditions?
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No
Yes
Pre-existing Conditions include: AIDS/HIV, Asthma, Diabetes, Alzheimer’s Disease, Cancer, Drug Abuse, Heart Disease, High cholesterol, High blood pressure, Kidney Disease, Liver Disease, Lung Disease, Mental Illness, Stroke, Ulcers, Vascular Disease
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