Qualify Short - Landing Page Form - Spanish ¡Hola amigo! Veamos si calificas para uno de nuestros planos. ¿Está inscrito en Medicare o Medicaid? Yes No Thank you for your interest! Unfortunately, we regret to inform you that you did not meet the eligibility criteria required at this time. ¿Tiene seguro médico de su empleador? * Yes No Thank you for your interest! Unfortunately, we regret to inform you that you did not meet the eligibility criteria required at this time. Submit If you are human, leave this field blank. NextSubmit Use Shift+Tab to go back
