{"id":900,"date":"2016-05-20T14:51:09","date_gmt":"2016-05-20T14:51:09","guid":{"rendered":"https:\/\/www.amidacareny.org\/es\/?page_id=900"},"modified":"2025-11-06T09:58:40","modified_gmt":"2025-11-06T14:58:40","slug":"inscribete-a-nuestro-plan","status":"publish","type":"page","link":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/","title":{"rendered":"Inscr\u00edbete a Nuestro Plan"},"content":{"rendered":"<p>Para saber si calificas para inscribirte en el plan <strong><em>Medicaid Live Life Plus<\/em><\/strong> de Amida Care, por favor llena el siguiente formulario y uno de nuestros representantes se comunicar\u00e1 contigo. Como siempre, respetamos tu privacidad y no compartiremos tu informaci\u00f3n.<\/p>\n<h3>Nota: Los blancos con asterisco ( * ) son informaci\u00f3n requerida.<\/h3>\n<div class=\"contact-form\">\n<div class=\"contact-form-wrapper salesforce style-1\">\n<form action=\"https:\/\/webto.salesforce.com\/servlet\/servlet.WebToLead?encoding=UTF-8&#038;orgId=00D41000001OofP\" method=\"POST\">\n<input type=hidden name=\"oid\" value=\"00D41000001OofP\"><br \/>\n<input type=hidden name=\"retURL\" value=\"https:\/\/www.amidacareny.org\/get-started\/thank-you\/\"><\/p>\n<div class=\"flex\">\n<div class=\"half item\">\n<label for=\"first_name\">Nombre<\/label><br \/>\n<input id=\"first_name\" maxlength=\"40\" name=\"first_name\" size=\"20\" type=\"text\" \/>\n<\/div>\n<div class=\"half item\">\n<label for=\"last_name\">Apellidos<\/label><br \/>\n<input  id=\"last_name\" maxlength=\"80\" name=\"last_name\" size=\"20\" type=\"text\" \/>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label for=\"last_name\">CIN #<\/label><br \/>\n<input id=\"00N4100000VYCIZ\" maxlength=\"10\" name=\"00N4100000VYCIZ\" size=\"20\" type=\"text\" \/>\n<\/div>\n<div class=\"half item\">\n<label for=\"last_name\">Fecha de Nacimiento<\/label><br \/>\n<span class=\"dateInput dateOnlyInput\"><br \/>\n<input id=\"00N4100000VYCIb\" name=\"00N4100000VYCIb\" size=\"12\" type=\"text\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label for=\"street\">Direcci\u00f3n (Nueva York solamente)<\/label><br \/>\n<textarea name=\"street\"><\/textarea>\n<\/div>\n<div class=\"half item\">\n<label for=\"city\">Ciudad (solo NY)<\/label><br \/>\n<input id=\"city\" maxlength=\"40\" name=\"city\" size=\"20\" type=\"text\" \/>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label for=\"state\">Estado (solo NY)<\/label><br \/>\n<input  id=\"state\" maxlength=\"20\" name=\"state\" size=\"20\" type=\"text\" \/>\n<\/div>\n<div class=\"half item\">\n<label for=\"zip\">C\u00f3digo Postal<\/label><br \/>\n<input id=\"zip\" maxlength=\"20\" name=\"zip\" size=\"20\" type=\"text\" \/>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label for=\"phone\">Tel\u00e9fono Residencial<\/label><br \/>\n<input id=\"phone\" maxlength=\"40\" name=\"phone\" size=\"20\" type=\"text\" \/>\n<\/div>\n<div class=\"half item\">\n<label for=\"mobile\">Tel\u00e9fono Alterno<\/label><br \/>\n<input id=\"mobile\" maxlength=\"40\" name=\"mobile\" size=\"20\" type=\"text\" \/>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label for=\"email\">Correo Electr\u00f3nico<\/label><br \/>\n<input id=\"email\" maxlength=\"80\" name=\"email\" size=\"20\" type=\"text\" \/>\n<\/div>\n<div class=\"half item\">\n<label>La mejor hora para contactarme es:<\/label><br \/>\n<textarea id=\"00N4100000VYCIU\" name=\"00N4100000VYCIU\" type=\"text\" wrap=\"soft\"><\/textarea>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label>Por tel\u00e9fono a trav\u00e9s de los n\u00fameros enumerados arriba<\/label><br \/>\n<select id=\"00N4100000VYCIX\" name=\"00N4100000VYCIX\" title=\"By phone at numbers listed\"><option value=\"\">&#8211;Ninguno&#8211;<\/option><option value=\"Yes\">S\u00ed<\/option><option value=\"No\">No<\/option><\/select>\n<\/div>\n<div class=\"half item\">\n<label>Por texto a trav\u00e9s de los n\u00fameros enumerados arriba<\/label><br \/>\n<select id=\"00N4100000VYCIY\" name=\"00N4100000VYCIY\" title=\"By text at numbers listed\"><option value=\"\">&#8211;Ninguno&#8211;<\/option><option value=\"Yes\">S\u00ed<\/option><option value=\"No\">No<\/option><\/select>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label>Pueden dejar mensaje con otra persona que responda el tel\u00e9fono<\/label><br \/>\n<select id=\"00N4100000VYCIg\" name=\"00N4100000VYCIg\" title=\"Message may be left for who answers\"><option value=\"\">&#8211;Ninguno&#8211;<\/option><option value=\"Yes\">S\u00ed<\/option><option value=\"No\">No<\/option><\/select>\n<\/div>\n<div class=\"half item\">\n<label>Pueden dejar mensaje en el correo de voz<\/label><br \/>\n<select id=\"00N4100000VYCIk\" name=\"00N4100000VYCIk\" title=\"Voicemail Message OK\"><option value=\"\">&#8211;Ninguno&#8211;<\/option><option value=\"Yes\">S\u00ed<\/option><option value=\"No\">No<\/option><\/select>\n<\/div>\n<\/div>\n<div class=\"flex\">\n<div class=\"half item\">\n<label>Por Correo Postal<\/label><br \/>\n<select id=\"00N4100000VYCIW\" name=\"00N4100000VYCIW\" title=\"By mail\"><option value=\"\">&#8211;Ninguno&#8211;<\/option><option value=\"Yes\">S\u00ed<\/option><option value=\"No\">No<\/option><\/select>\n<\/div>\n<div class=\"half item\"><\/div>\n<\/div>\n<div class=\"full item\">\n<input type=\"submit\" name=\"submit\">\n<\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Para saber si calificas para inscribirte en el plan Medicaid Live Life Plus de Amida Care, por favor llena el siguiente formulario y uno de&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":554,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-900","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Inscr\u00edbete a Nuestro Plan - Amida Care: Espanol<\/title>\n<meta name=\"description\" content=\"Para saber si calificas para inscribirte en el plan Medicaid Live Life Plus de Amida Care, por favor llena el siguiente formulario\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"Inscr\u00edbete a Nuestro Plan - Amida Care: Espanol\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"Para saber si calificas para inscribirte en el plan Medicaid Live Life Plus de Amida Care, por favor llena el siguiente formulario\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:site_name\" content=\"Amida Care: Espanol\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-06T14:58:40+00:00\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" class=\"yoast-seo-meta-tag\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/nuestro-plan-medicaid-live-life-plus\\\/inscribete-a-nuestro-plan\\\/\",\"url\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/nuestro-plan-medicaid-live-life-plus\\\/inscribete-a-nuestro-plan\\\/\",\"name\":\"Inscr\u00edbete a Nuestro Plan - Amida Care: Espanol\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/#website\"},\"datePublished\":\"2016-05-20T14:51:09+00:00\",\"dateModified\":\"2025-11-06T14:58:40+00:00\",\"description\":\"Para saber si calificas para inscribirte en el plan Medicaid Live Life Plus de Amida Care, por favor llena el siguiente formulario\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/nuestro-plan-medicaid-live-life-plus\\\/inscribete-a-nuestro-plan\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/nuestro-plan-medicaid-live-life-plus\\\/inscribete-a-nuestro-plan\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/nuestro-plan-medicaid-live-life-plus\\\/inscribete-a-nuestro-plan\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nuestro Plan Medicaid \u00abLive Life Plus\u00bb\",\"item\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/nuestro-plan-medicaid-live-life-plus\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Inscr\u00edbete a Nuestro Plan\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/#website\",\"url\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/\",\"name\":\"Amida Care: Espanol\",\"description\":\"Proveedor de planes de salud sin fines de lucro en NYC.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.amidacareny.org\\\/es\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Inscr\u00edbete a Nuestro Plan - Amida Care: Espanol","description":"Para saber si calificas para inscribirte en el plan Medicaid Live Life Plus de Amida Care, por favor llena el siguiente formulario","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/","og_locale":"es_ES","og_type":"article","og_title":"Inscr\u00edbete a Nuestro Plan - Amida Care: Espanol","og_description":"Para saber si calificas para inscribirte en el plan Medicaid Live Life Plus de Amida Care, por favor llena el siguiente formulario","og_url":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/","og_site_name":"Amida Care: Espanol","article_modified_time":"2025-11-06T14:58:40+00:00","twitter_card":"summary_large_image","twitter_misc":{"Tiempo de lectura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/","url":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/","name":"Inscr\u00edbete a Nuestro Plan - Amida Care: Espanol","isPartOf":{"@id":"https:\/\/www.amidacareny.org\/es\/#website"},"datePublished":"2016-05-20T14:51:09+00:00","dateModified":"2025-11-06T14:58:40+00:00","description":"Para saber si calificas para inscribirte en el plan Medicaid Live Life Plus de Amida Care, por favor llena el siguiente formulario","breadcrumb":{"@id":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/inscribete-a-nuestro-plan\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/www.amidacareny.org\/es\/"},{"@type":"ListItem","position":2,"name":"Nuestro Plan Medicaid \u00abLive Life Plus\u00bb","item":"https:\/\/www.amidacareny.org\/es\/nuestro-plan-medicaid-live-life-plus\/"},{"@type":"ListItem","position":3,"name":"Inscr\u00edbete a Nuestro Plan"}]},{"@type":"WebSite","@id":"https:\/\/www.amidacareny.org\/es\/#website","url":"https:\/\/www.amidacareny.org\/es\/","name":"Amida Care: Espanol","description":"Proveedor de planes de salud sin fines de lucro en NYC.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.amidacareny.org\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"}]}},"_links":{"self":[{"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/pages\/900","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/comments?post=900"}],"version-history":[{"count":0,"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/pages\/900\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/pages\/554"}],"wp:attachment":[{"href":"https:\/\/www.amidacareny.org\/es\/wp-json\/wp\/v2\/media?parent=900"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}