File: /home/nationalmedicaregrp/public_html/backup/index.php
<?php include 'header.php';?>
<style>
.modal {
visibility: hidden;
opacity: 0;
position: absolute;
top: 0;
right: 0;
bottom: 0;
left: 0;
display: flex;
align-items: center;
justify-content: center;
background: rgba(77, 77, 77, .7);
transition: all .4s;
}
.modal:target {
visibility: visible;
opacity: 1;
}
.modal__content {
border-radius: 4px;
position: relative;
width: 800px;
max-width: 90%;
background: #fff;
padding: 1em 2em;
}
.modal__footer {
text-align: right;
a {
color: #585858;
}
i {
color: #d02d2c;
}
}
.modal__close {
position: absolute;
top: 10px;
right: 10px;
padding: 10px;
color: #ffffff;
background: #12b0fb;
text-decoration: none;
}
</style>
<!--====== Start Hero Section ======-->
<section class="hero-area">
<div class="hero-wrapper-one">
<div class="container">
<div class="row">
<div class="col-lg-8">
<div class="hero-content">
<h1 style="color: #ffffff">Compare Plans!</h1>
<h3 style="color: #ffffff">Find Your Perfect Health Coverage Today!</h3>
<div class="hero-nav-btn"><a href="#c-tact" class="main-btn icon-btn" style="margin-bottom: 40px; font-size: 24px;">Get Started</a></div>
<p class="tags"><span></span>Compare your healthcare options. Quotes are fast, easy & free.</p>
</div>
</div>
</div>
</div>
</div>
</section>
<!--====== End Hero Section ======-->
<!--====== Start Features Section ======-->
<section class="features-area">
<div class="features-wrapper-one py-140">
<div class="container">
<div class="row">
<div class="col-lg-6">
<div class="features-img">
<img src="assets/images/features/features-1.jpg" alt="Features Image">
</div>
</div>
<div class="col-lg-6">
<div class="features-content-box features-content-box-one">
<div class="section-title section-title-left mb-25">
<span class="sub-title">HEALTH INSURANCE</span>
<h2>Affordable health insurance options for any budget.</h2>
</div>
<p>Finding the right health insurance plan doesn’t need to be difficult or frustrating. In fact,
it should be as quick and painless as buying anything else online. At Healthcare Quotes, we aim to
streamline the healthcare shopping process by connecting you to health insurance agents for affordable
coverage options that fit your needs and budget.
</p>
<ul class="features-list-one pt-30">
<li class="list-item">
<div class="icon">
<i class="flaticon-laptop"></i>
</div>
<div class="content">
<h5>Fill Out A Quick Form</h5>
<p>To get started, we ask a few easy-to-answer questions to help find
your most affordable healthcare options.
</p>
</div>
</li>
<li class="list-item">
<div class="icon">
<i class="flaticon-star"></i>
</div>
<div class="content">
<h5>Review Your Options</h5>
<p>Sit back and enjoy as a licensed agent evaluates your
affordable health plan options.</p>
</div>
</li>
<li class="list-item">
<div class="icon">
<i class="flaticon-right-arrow"></i>
</div>
<div class="content">
<h5>Select Your Plan</h5>
<p>Have a health insurance agent help you instantly review plans
and understand your coverage options.</p>
</div>
</li>
</ul>
</div>
</div>
</div>
</div>
</div>
</section>
<!--====== End Features Section ======-->
<!--====== Start offer Section ======-->
<section class="cta-area">
<div class="cta-wrapper-one bg_cover" style="background-image: url(assets/images/bg/cta-bg-1.jpg);">
<div class="container">
<div class="row justify-content-center">
<div class="col-lg-12">
<div class="cta-content-box text-center">
<img src="assets/images/logo/logo-white.svg" alt="offer icon" style="width:40%">
<h4 class="pb-30" style="color: #ffffff;">Nartional Medical Group is a Nationwide Broker we are able to <br>find you the best plan at the best price!
</h4>
<a href="#contact" class="main-btn icon-btn">Get Started</a>
</div>
</div>
</div>
</div>
</div>
</section>
<!--====== End offer Section ======-->
<!--====== Start Features Section ======-->
<section class="features-area">
<div class="features-wrapper-three pt-110">
<div class="container">
<div class="row justify-content-center">
<div class="col-lg-10">
<div class="section-title text-center mb-60">
<span class="sub-title">What We Do</span>
<h2>The service we offer is specifically <br>designed to meet your needs.</h2>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-12">
<div class="features-item features-item-two text-center mb-40">
<div class="icon">
<i class="flaticon-add-user"></i>
</div>
<div class="content">
<h3 class="title">Health</h3>
<p>Health insurance is a type of insurance coverage that pays for medical and surgical
expenses incurred by the insured. Health insurance can reimburse the insured for
expenses incurred from illness or injury, or pay the care provider directly.</p>
<a href="#c-tact" class="btn-link icon-btn">More Details</a>
</div>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-12">
<div class="features-item features-item-two text-center mb-40">
<div class="icon">
<i class="flaticon-add-user"></i>
</div>
<div class="content">
<h3 class="title">Prescription</h3>
<p>To get maximum benefit from your medications, it is important to take them exactly
as prescribed by your doctor. In fact, your chance of a better health outcome improves
when you take your medications as directed.
</p>
<a href="#c-tact" class="btn-link icon-btn">More Details</a>
</div>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-12">
<div class="features-item features-item-two text-center mb-40">
<div class="icon">
<i class="flaticon-add-user"></i>
</div>
<div class="content">
<h3 class="title">Life</h3>
<p>Life insurance is a protection against financial loss that would result from the premature
death of an insured. The named beneficiary receives the proceeds and is thereby safeguarded
from the financial impact of the death of the insured.
</p>
<a href="#c-tact" class="btn-link icon-btn">More Details</a>
</div>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-12">
<div class="features-item features-item-two text-center mb-40">
<div class="icon">
<i class="flaticon-add-user"></i>
</div>
<div class="content">
<h3 class="title">Dental</h3>
<p>Insurance coverage helps individuals protect themselves against dental costs. It insures
against the expense of treatment and care of dental disease as well as accidental damage.
This is designed to pay a portion of the costs associated with dental care.
</p>
<a href="#c-tact" class="btn-link icon-btn">More Details</a>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<!--====== End Features Section ======-->
<!--====== Start Features Section ======-->
<section class="listing-grid-area light-bg pt-115 pb-90">
<div class="container">
<div class="row justify-content-center">
<div class="col-lg-6">
<div class="section-title text-center mb-60">
<span class="sub-title">Featured List</span>
<h2>Explore Destination</h2>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-4 col-md-6 col-sm-12">
<div class="listing-item listing-grid-item-three mb-30">
<div class="listing-thumbnail">
<img src="assets/images/listing/enroll-1.jpg" alt="listing image">
</div>
<div class="listing-content">
<h3 class="title"><a href="#c-tact">Open Enrollment Period</a></h3>
<p>
Open Enrollment is an annual period when individuals can enroll in a health insurance
plan, make changes to their coverage, or cancel their current plan. General Open Enrollment
in the Health Insurance Marketplace takes place from November 1st – December 15th, with all
plans effective January 1st of the following year.
</p>
</div>
</div>
</div>
<div class="col-lg-4 col-md-6 col-sm-12">
<div class="listing-item listing-grid-item-three mb-30">
<div class="listing-thumbnail">
<img src="assets/images/listing/enroll-2.jpg" alt="listing image">
</div>
<div class="listing-content">
<h3 class="title"><a href="#c-tact">The Affordable Care Act</a></h3>
<p>
Also known as Obamacare, The ACA is a healthcare reform intended on making healthcare more accessible and affordable to millions across the Nation. Obamacare plans are offered on healthcare.gov and have specific coverages that are priced based on age, household size, income, and smoking status.
</p>
</div>
</div>
</div>
<div class="col-lg-4 col-md-6 col-sm-12">
<div class="listing-item listing-grid-item-three mb-30">
<div class="listing-thumbnail">
<img src="assets/images/listing/enroll-3.jpg" alt="listing image">
</div>
<div class="listing-content">
<h3 class="title"><a href="#c-tact">Special Enrollment Period
</a></h3>
<p>
To enroll in an Obamacare plan outside of open enrollment you will need to qualify for a special enrollment period based on a life-changing event (i.e. loss of job, new child, recently moved, and various other qualifying events). A Special Enrollment Period may let you enroll in coverage outside the annual Open Enrollment Period.
</p>
</div>
</div>
</div>
</div>
</div>
</section>
<!--====== End Features Section ======-->
<section class="download-app">
<div class="download-wrapper-one pt-115">
<div class="container">
<div class="row">
<div class="col-lg-4">
<div class="app-img">
<img src="assets/images/app-1.jpg" alt="App Image">
</div>
</div>
<div class="col-lg-8">
<div id="c-tact"></div>
<div class="contact-section pt-115">
<div class="container">
<div class="row">
<div class="col-lg-10">
<div class="section-title section-title-left mb-50">
<span class="sub-title">Contact With Us</span>
<h2>How Can We Help You</h2>
</div>
</div>
</div>
<div class="row">
<span id="contact"></span>
<div class="col-lg-12">
<div class="contact-wrapper-one mb-30">
<div class="contact-form">
<form id="valForm" name="valForm" class="valForm" method="get" class="p-4">
<input type="hidden" name="xxTrustedFormCertUrl" id="xxTrustedFormCertUrl_0" value="https://cert.trustedform.com/454a35b802f3e7b63ffabb4efedb7c6ebe67886c">
<input type="hidden" name="DateOfBirth" id="dob">
<input type="hidden" name="CompanyId" id="CompanyId" value="16">
<div class="row">
<h3 class="display-6 mb-3 text-center"> Who are we speaking to?</h3>
<div class="col-md-6">
<div class="form-floating mb-4">
<input id="firstname" type="text" name="firstname" class="firstname form-control alpha required" placeholder="First Name" required>
<label for="firstname d-flex justify-content-center">First Name *</label>
<div class="valid-feedback"> Looks good! </div>
<div class="invalid-feedback"> Please enter your First Name. </div>
</div>
</div>
<!-- /column -->
<div class="col-md-6">
<div class="form-floating mb-4">
<input id="lastname" type="text" name="lastname" class="lastname form-control alpha" placeholder="Last Name" required>
<label for="lastname d-flex justify-content-center">Last Name *</label>
<div class="valid-feedback"> Looks good! </div>
<div class="invalid-feedback"> Please enter your Last Name. </div>
</div>
</div>
<div class="col-md-6">
<div class="form-floating mb-4">
<input type="text" class="form-control phone numer" name="phone" id="phone" placeholder="Phone Number" minlength="10" maxlength="10" maxlength="30" required>
<label for="phone">Phone Number *</label>
<div class="valid-feedback"> Looks good! </div>
<div class="invalid-feedback"> Please enter your Phone Number. </div>
</div>
</div>
<!-- /column -->
<div class="col-md-6">
<div class="form-floating mb-4">
<input id="email" type="text" name="email" class="email form-control" placeholder="Email Address" required>
<label for="email">Email *</label>
<div class="valid-feedback"> Looks good! </div>
<div class="invalid-feedback"> Please enter your Email Address. </div>
</div>
</div>
<section>
<div class="row">
<h3 class="display-6 mb-3 text-center"> What is your Date of Birth?</h3>
<div class="col-md-4 col-sm-12">
<label>Month</label>
<select id="dobmonth" class="dobmonth form-select" name="month" required></select>
</div>
<div class="col-md-4 col-sm-12">
<label>Day</label>
<select id="dobday" class="dobday form-select" name="day" required></select>
</div>
<div class="col-md-4 col-sm-12">
<label>Year</label>
<select id="dobyear" class="dobyear form-select" name="year" required></select>
</div>
</div>
</section>
<!--Step 5 -->
<section class="wrapper bg-gradient-primary mb-1">
<h2 class="display-6 mb-3 text-center"> What is your current address?</h2>
<div class="row formStepper-p-0">
<div class="col-md-12">
<div class="form-floating mb-4">
<input id="address" type="text" name="address" class="address form-control" placeholder="Street Address" required>
<label for="address" class="he-form-field">Street Address *</label>
</div>
</div>
<div class="col-md-4">
<div class="form-floating mb-4">
<input type="text" class="form-control numer zipCode" minlength="5" maxlength="5" name="zip" id="zipCode" placeholder="Zip Code" onkeyup="zipCodeLookup(1);" value="<?php echo $_POST["zipCode"]; ?>">
<label for="zipcode">Zip Code *</label>
</div>
</div>
<!-- /column -->
<div class="col-md-4">
<div class="form-floating mb-4">
<input type="text" class="form-control numer city" name="city" id="city" placeholder="City" value="<?php echo $_POST["city"]; ?>" required>
<label for="city">City *</label>
</div>
</div>
<div class="col-md-4">
<div class="form-floating mb-4">
<input type="text" class="form-control numer state" name="state" id="state" placeholder="State" value="<?php echo $_POST["state"]; ?>" required>
<label for="state">State *</label>
</div>
</div>
<div class="col-md-12">
<p>By Clicking “Connect Now!” above you agree to receive SMS notification regarding
your enrollment application and account registered with, by and from Nartional Medical Group.
You will receive “one” text message when you opt in and “one”
text message when you complete an application and sign up with Nartional Medical Group
as your agency on record of your application and enrollment process. Future
communications for plan information, billing and updates will be sent “one” time if
there is anything urgent pertaining to your application that requires your immediate
attention. Message and data rates may apply. At any time, you can reply “HELP” for
support or “STOP” to unsubscribe. Before clicking “Connect Now!” above please select
(at least one) forms of communication</p><br>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="phonecheckbox" value="option1">
<label class="form-check-label" for="phonecheckbox">Phone</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="smscheckbox" value="option2">
<label class="form-check-label" for="smscheckbox">SMS</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="emailcheckbox" value="option3">
<label class="form-check-label" for="emailcheckbox">Email</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="mailcheckbox" value="option4">
<label class="form-check-label" for="mailcheckbox">Mail</label>
</div>
</div>
<br>
<div class="col-md-12">
<p>
By entering a phone number and email address and submitting this form, you represent that you are at least 18 years old and agree to our <a href="privacy.php" style="color:#0031e3">Privacy Policy</a> and <a href="terms.php" style="color:#0031e3">Terms of Use</a>. You also authorize nationalmedicaregrp.com and/or its
<a href="/partners.php" style="color: #0031e3; font-style=">marketing partners
</a> to contact you for marketing/telemarketing purposes at the number and address provided above, including your wireless number if provided, using live operators, automated telephone
dialing systems, pre-recorded messages, text messages and/or emails, even if the number you provide is on a state or Federal Do Not Call registry. You are not required to consent as a condition of purchasing goods or services
and may revoke consent at anytime. Nartional Medical Group has the option to send communication such as texting via a short code and will not allow third parties to send messages or communications on their behalf.
</p>
<br>
<p>
Nartional Medical Group is an independent website and is not a federal or state Marketplace website. Nartional Medical Group does not provide quotes or sell insurance directly to consumers, is not affiliated with any exchange, and is not a
licensed insurance agent or broker. Accordingly, you should not send us (via mail or email) any sensitive information, including personal health information or applications. Any such communications will not be treated as
confidential and will be discarded, as, in offering this website, we are required to comply with the standards established under 45 CFR 155.260 to protect the privacy and security of personally identifiable information.
</p>
</div>
<input value="Submit" id="submitButton" sid="datepicker" class="main-btn" type="submit" style="margin-top: 10px;">
</form>
<style>
.modal-backdrop {
z-index: -8 !important;
}
.modal-dialog {
width: 600px;
margin: 100px auto;
color: #000;
font-size: 17px;
}
.modal-title {
margin: 0;
line-height: 1.42857143;
font-size: 24px;
font-weight: 900;
}
</style>
<div class="modal" id="partnerModal" role="dialog" tabindex="-1">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title text-black col-md-6 text-left">
Select Partners
</h5><button aria-label="Close" class="close col-6" data-dismiss="modal" type="button"><span aria-hidden="true">×</span></button>
</div>
<div class="modal-body text-black">
<ul style="list-style-type: none; margin: 0; padding: 0;">
<li>Affordable Health Group</li>
<li>Alliance National Health</li>
<li>Alternative Alpha Health, LLC.</li>
<li>America's Health Center, Inc.</li>
<li>America's Health Providers</li>
<li>Cypress Bend Marketing </li>
<li>Fuego Leads, LLC.</li>
<li>Genesis Marketing Group</li>
<li>Get Me Healthcare</li>
<li>Get Me Medicare</li>
<li>H&M Advisors</li>
<li>HIC Marketing Group, LLC.</li>
<li>Health and Medicare Advisors</li>
<li>Medicare Benefits Direct</li>
<li>National Health Agents</li>
<li>National Health Plans, LLC.</li>
<li>SolidQuote, LLC.</li>
<li>New Age Health</li>
<li>Precision Healthcare Providers</li>
<li>Precision Insurance Providers, LLC.</li>
<li>Premier Health Associates</li>
<li>Quotehound, Inc.</li>
<li>Reasonable Health Coverage</li>
<li>Reasonable Insurance Group </li>
<li>Reasonable Insurance Group</li>
<li>Seniors Get Benefits</li>
<li>Tobias and Associates</li>
<li>Trusted Health Associates</li>
<li>Trusted Healthcare Providers, LLC.</li>
<li> Affordable Healthcare Assoicates, LLC. </li>
<li> Allied Health Insurance Agency, LLC. </li>
<li> Direct Insurance Providers, LLC.</li>
<li> New Age Health Solutions</li>
<li>QuoteManage, LLC.</li>
</ul>
</div>
<div class="modal-footer">
<button class="btn btn-secondary" data-dismiss="modal" type="button">Close</button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<section>
</div>
</div>
</section>
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/*--------------------------- Date of Birth ----------------------------*/
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$(document).ready(function() {
$.getJSON('https://api.ipify.org?format=jsonp&callback=?', function(data) {
$('#IpAddress').val(data.ip);
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<?php include 'footer.php';?>