# Accessibility bug reports — www.medicare.gov, week 2026-W27

19 issue type(s) from 1175 pages scanned. Generated 2026-07-18 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-0f4c6e89`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.medicare.gov/prescription-payment-plan  
**XPath / selector:** `<button class="video-embed-field-lazy-play" aria-label="Play video">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 9 instances; 9 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 9 of 1175 scanned pages (9 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/prescription-payment-plan.
2. Locate the element: <button class="video-embed-field-lazy-play" aria-label="Play video">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://www.medicare.gov/prescription-payment-plan
- https://www.medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options
- https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/parts-of-medicare
- https://medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start
- https://www.medicare.gov/basics/reporting-medicare-fraud-and-abuse
- https://medicare.gov/prescription-payment-plan
- https://medicare.gov/basics/get-started-with-medicare/using-medicare/how-to-get-medicare-services
- https://www.medicare.gov/index

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14

### Example pages
- https://www.medicare.gov/prescription-payment-plan
- https://www.medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options

---

## Frames must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-d1a715d9`  
**Pattern ID:** `VS-3f76c7ea`  
**URL:** https://medicare.gov/health-apps/flexpa  
**XPath / selector:** `iframe[height="100%"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `frame-title` ([reference](https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 9 instances; 9 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<iframe data-src="https://surveys.cms.gov/jfe/form/SV_9LbdFueyKSYZ2nk?Q_CHL=si&amp;Q_CanScreenCapture=1" width="100%" height="100%" frameborder="0" name="survey-iframe-SI_6tbIx8xW9ShoDfU" data-name="e
```

### Description
Frames must have an accessible name. Detected by axe-core rule frame-title on 9 of 1175 scanned pages (9 instances).

### Steps to reproduce
1. Open https://medicare.gov/health-apps/flexpa.
2. Locate the element: iframe[height="100%"]
3. Confirm the axe-core finding for rule frame-title against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://medicare.gov/health-apps/flexpa
- https://medicare.gov/basics/forms-publications-mailings/mailings/help
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- https://www.medicare.gov/coverage/wheelchairs-scooters/power-wheelchairs-prior-authorization
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs/ESRD-coverage-ending-letter
- https://medicare.gov/coverage/fecal-occult-blood-tests
- https://www.medicare.gov/coverage/blood-services
- https://www.medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/massachusetts
- https://www.medicare.gov/coverage/orthopedic-shoes

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give every <iframe> a descriptive title attribute.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI

### Example pages
- https://medicare.gov/health-apps/flexpa
- https://medicare.gov/basics/forms-publications-mailings/mailings/help
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples

---

## aria-hidden element does not contain focusable elements (WCAG 4.1.2)

**Bug ID:** `VS-cfd31738`  
**Pattern ID:** `VS-f6cf30ff`  
**URL:** https://www.medicare.gov/publication-ordering/02179  
**XPath / selector:** `<div class="search-block__content" aria-hidden="true" id="search_form_block-content">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r17` ([reference](https://alfa.siteimprove.com/rules/sia-r17))  
**Severity:** Moderate  
**Frequency:** 485 instances; 471 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 471 of 1175 scanned pages (485 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/publication-ordering/02179.
2. Locate the element: <div class="search-block__content" aria-hidden="true" id="search_form_block-content">
3. Confirm the Siteimprove Alfa finding for rule sia-r17 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin
- https://www.medicare.gov/coverage/hospital-beds
- https://www.medicare.gov/prescription-payment-plan
- https://www.medicare.gov/health-drug-plans/part-d/basics/costs
- https://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/publication-ordering/12207
- https://medicare.gov/publication-ordering/10988-S
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision
- https://www.medicare.gov/basics/report-a-death
- https://medicare.gov/publications/search/all-non-english-pubs
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://www.medicare.gov/basics/costs
- https://www.medicare.gov/publication-ordering/11931
- https://www.medicare.gov/publication-ordering/10050-B
- https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/PFFS
- https://www.medicare.gov/publication-ordering/11173-S
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/other-medicare-health-plans/PACE
- https://www.medicare.gov/coverage/blood-sugar-control-solutions
- https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/how-drug-plans-work
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/plan-premium-changing

…and more — 471 pages total ([download CSV](csv/alfa__sia-r17.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17

### Example pages
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin

---

## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)

**Bug ID:** `VS-355dd250`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans  
**XPath / selector:** `text: "Level 1 appeals: Reconsideration from your plan"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 107 instances; 9 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 9 of 1175 scanned pages (107 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans.
2. Locate the element: text: "Level 1 appeals: Reconsideration from your plan"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans
- https://medicare.gov/providers-services/original-medicare/nursing-homes/choosing
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
- https://www.medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- https://www.medicare.gov/providers-services/disaster-emergency
- https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
- https://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69

### Example pages
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-63553db7`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.medicare.gov/care-compare?providerType=Hospice  
**XPath / selector:** `text: "Basics"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 325 instances; 32 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 32 of 1175 scanned pages (325 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare?providerType=Hospice.
2. Locate the element: text: "Basics"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/care-compare?providerType=Hospice
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- https://www.medicare.gov/account/create-account?lang=en-us
- https://medicare.gov/coverage/popular-topics
- https://www.medicare.gov/account/create-account?Lang=en-us
- https://www.medicare.gov/care-compare?providerType=Physician
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans
- https://medicare.gov/providers-services/original-medicare/nursing-homes/choosing
- https://medicare.gov/coverage/find-alphabetically
- https://www.medicare.gov/care-compare/resources/about-this-tool
- https://www.medicare.gov/care-compare/resources/information-about-provider-types
- https://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
- https://medicare.gov/care-compare?guidedSearch=DialysisFacility
- https://www.medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- https://medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation
- https://www.medicare.gov/providers-services/disaster-emergency
- https://www.medicare.gov/care-compare?guidedSearch=LongTermCare
- https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
- https://medicare.gov/care-compare?guidedSearch=Hospital
- https://www.medicare.gov/care-compare?guidedSearch=Physician
- https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care

…and more — 32 pages total ([download CSV](csv/alfa__sia-r66.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

### Example pages
- https://www.medicare.gov/care-compare?providerType=Hospice
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-4282b20e`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.medicare.gov/publication-ordering/02179  
**XPath / selector:** `<p>`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 5425 instances; 558 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 558 of 1175 scanned pages (5425 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/publication-ordering/02179.
2. Locate the element: <p>
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin
- https://www.medicare.gov/coverage/hospital-beds
- https://www.medicare.gov/my/premiums/dashboard?client_id=max&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2Fpremiums%2Fdashboard%3Fclient_id%3Dmax%26Lang%3Des-mx%26redirect_uri%3Dhttps%253A%252F%252Fwww.medicare.gov%252Fmy
- https://www.medicare.gov/prescription-payment-plan
- https://www.medicare.gov/health-drug-plans/part-d/basics/costs
- https://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers
- https://www.medicare.gov/publication-ordering/12207
- https://medicare.gov/publication-ordering/10988-S
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/care-compare?providerType=Hospice
- https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9UGh5c2ljaWFuIn19
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision
- https://www.medicare.gov/basics/report-a-death
- https://medicare.gov/publications/search/all-non-english-pubs
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ii9yZXNvdXJjZXMvYWJvdXQtdGhpcy10b29sIn19
- https://www.medicare.gov/basics/costs
- https://www.medicare.gov/publication-ordering/11931
- https://www.medicare.gov/publication-ordering/10050-B
- https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/PFFS
- https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9wcm92aWRlclR5cGU9SG9zcGljZSJ9fQ%3D%3D
- https://www.medicare.gov/publication-ordering/11173-S

…and more — 558 pages total ([download CSV](csv/alfa__sia-r73.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

### Example pages
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-c6201986`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.medicare.gov/account/create-account?lang=en-us  
**XPath / selector:** `<p class="ds-text-heading--sm">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 4 instances; 2 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 2 of 1175 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/account/create-account?lang=en-us.
2. Locate the element: <p class="ds-text-heading--sm">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/account/create-account?lang=en-us
- https://www.medicare.gov/account/create-account?Lang=en-us

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80

### Example pages
- https://www.medicare.gov/account/create-account?lang=en-us
- https://www.medicare.gov/account/create-account?Lang=en-us

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-1370cf5d`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.medicare.gov/publication-ordering/02179  
**XPath / selector:** `<a href="/" data-listener-attached="true">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 20315 instances; 565 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 565 of 1175 scanned pages (20315 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/publication-ordering/02179.
2. Locate the element: <a href="/" data-listener-attached="true">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin
- https://www.medicare.gov/coverage/hospital-beds
- https://www.medicare.gov/my/premiums/dashboard?client_id=max&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2Fpremiums%2Fdashboard%3Fclient_id%3Dmax%26Lang%3Des-mx%26redirect_uri%3Dhttps%253A%252F%252Fwww.medicare.gov%252Fmy
- https://www.medicare.gov/prescription-payment-plan
- https://www.medicare.gov/health-drug-plans/part-d/basics/costs
- https://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers
- https://www.medicare.gov/publication-ordering/12207
- https://medicare.gov/publication-ordering/10988-S
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/care-compare?providerType=Hospice
- https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9UGh5c2ljaWFuIn19
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision
- https://www.medicare.gov/basics/report-a-death
- https://medicare.gov/publications/search/all-non-english-pubs
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ii9yZXNvdXJjZXMvYWJvdXQtdGhpcy10b29sIn19
- https://www.medicare.gov/basics/costs
- https://www.medicare.gov/publication-ordering/11931
- https://www.medicare.gov/publication-ordering/10050-B
- https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/PFFS
- https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9wcm92aWRlclR5cGU9SG9zcGljZSJ9fQ%3D%3D
- https://www.medicare.gov/publication-ordering/11173-S

…and more — 565 pages total ([download CSV](csv/alfa__sia-r111.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

### Example pages
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-99e6ff9b`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://medicare.gov/publications/search/all-non-english-pubs?page=4  
**XPath / selector:** `.layout__column.ds-l-col--12 > h3:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 27 instances; 27 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<h3>Polish</h3>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 27 of 1175 scanned pages (27 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/all-non-english-pubs?page=4.
2. Locate the element: .layout__column.ds-l-col--12 > h3:nth-child(1)
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://medicare.gov/publications/search/all-non-english-pubs
- https://medicare.gov/publications/search/all-non-english-pubs?page=5
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1
- https://medicare.gov/publications/search/all-non-english-pubs?page=1
- https://medicare.gov/publications/search/all-non-english-pubs?page=10
- https://medicare.gov/publications/search/all-non-english-pubs?page=3
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=8
- https://medicare.gov/publications/search/all-non-english-pubs?page=6
- https://medicare.gov/publications/search/all-non-english-pubs?page=7
- https://medicare.gov/publications/search/all-non-english-pubs?page=0
- https://www.medicare.gov/care-compare/resources/about-this-tool
- https://medicare.gov/publications/search/all-non-english-pubs?page=2
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=0
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=2
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=10
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=9
- https://medicare.gov/basics/end-stage-renal-disease
- https://medicare.gov/publications/search/all-non-english-pubs?page=8
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=6
- https://www.medicare.gov/basics/end-stage-renal-disease
- https://medicare.gov/publications/search/all-non-english-pubs?page=9
- https://www.medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=7

…and more — 27 pages total ([download CSV](csv/axe-core__heading-order.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI

### Example pages
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://medicare.gov/publications/search/all-non-english-pubs
- https://medicare.gov/publications/search/all-non-english-pubs?page=5

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-3d69c650`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://medicare.gov/publications/search/item/112376  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 6 instances; 6 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<html lang="en" dir="ltr" prefix="og: https://ogp.me/ns#" class=" js">
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 6 of 1175 scanned pages (6 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/item/112376.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/publications/search/item/112376
- https://medicare.gov/publications/search/item/112371
- https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment
- https://www.medicare.gov/publications/search/item/112376
- https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment
- https://www.medicare.gov/publications/search/item/112371

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI

### Example pages
- https://medicare.gov/publications/search/item/112376
- https://medicare.gov/publications/search/item/112371
- https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-926f7c8f`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://medicare.gov/my/medicare-complaint  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<html lang="en" data-react-helmet="lang">
```

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 2 of 1175 scanned pages (2 instances).

### Steps to reproduce
1. Open https://medicare.gov/my/medicare-complaint.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/my/medicare-complaint
- https://www.medicare.gov/my/medicare-complaint

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Each page should have exactly one <main> landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI

### Example pages
- https://medicare.gov/my/medicare-complaint
- https://www.medicare.gov/my/medicare-complaint

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-5e90e434`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://medicare.gov/my/medicare-complaint  
**XPath / selector:** `#maincontent`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 6 instances; 2 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<h1 class="ds-text-heading--3xl my-u-mb--20" id="maincontent" tabindex="-1">Medicare Complaint Form</h1>
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 2 of 1175 scanned pages (6 instances).

### Steps to reproduce
1. Open https://medicare.gov/my/medicare-complaint.
2. Locate the element: #maincontent
3. Confirm the axe-core finding for rule region.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/my/medicare-complaint
- https://www.medicare.gov/my/medicare-complaint

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI

### Example pages
- https://medicare.gov/my/medicare-complaint
- https://www.medicare.gov/my/medicare-complaint

---

## Table header text should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-3a2f2791`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://medicare.gov/account/login/help  
**XPath / selector:** `thead > tr > th:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 2 instances; 2 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<th class="">&nbsp;</th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 2 of 1175 scanned pages (2 instances).

### Steps to reproduce
1. Open https://medicare.gov/account/login/help.
2. Locate the element: thead > tr > th:nth-child(1)
3. Confirm the axe-core finding for rule empty-table-header.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/account/login/help
- https://www.medicare.gov/account/login/help

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI

### Example pages
- https://medicare.gov/account/login/help
- https://www.medicare.gov/account/login/help

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-d4e2d5d6`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://medicare.gov/coverage/blood-sugar-control-solutions  
**XPath / selector:** `<h2 class="text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 240 instances; 175 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 175 of 1175 scanned pages (240 instances).

### Steps to reproduce
1. Open https://medicare.gov/coverage/blood-sugar-control-solutions.
2. Locate the element: <h2 class="text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0">
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://www.medicare.gov/coverage/hospital-beds
- https://www.medicare.gov/prescription-payment-plan
- https://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://medicare.gov/publications/search/all-non-english-pubs
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://www.medicare.gov/coverage/blood-sugar-control-solutions
- https://www.medicare.gov/coverage/cataract-surgery
- https://www.medicare.gov/talk-to-someone
- https://medicare.gov/coverage/breast-prostheses
- https://medicare.gov/coverage/advance-care-planning
- https://www.medicare.gov/coverage/flu-shots
- https://www.medicare.gov/coverage/flexible-sigmoidoscopies
- https://medicare.gov/coverage/physical-activity-nutrition-risk-assessment
- https://www.medicare.gov/coverage/preventive-screening-services
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1
- https://www.medicare.gov/coverage/diagnostic-laboratory-tests
- https://www.medicare.gov/coverage/suction-pumps
- https://medicare.gov/coverage/covid-19-vaccine
- https://medicare.gov/coverage/long-term-care-hospital-services
- https://medicare.gov/coverage/surgery
- https://medicare.gov/coverage/depression-screening

…and more — 175 pages total ([download CSV](csv/alfa__sia-r78.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78

### Example pages
- https://medicare.gov/coverage/blood-sugar-control-solutions
- https://www.medicare.gov/coverage/hospital-beds
- https://www.medicare.gov/prescription-payment-plan

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-c091ca6a`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.medicare.gov/care-compare?providerType=Hospice  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 19 instances; 19 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 19 of 1175 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare?providerType=Hospice.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/care-compare?providerType=Hospice
- https://www.medicare.gov/care-compare?providerType=Physician
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://www.medicare.gov/care-compare/resources/about-this-tool
- https://www.medicare.gov/care-compare/resources/information-about-provider-types
- https://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter
- https://medicare.gov/care-compare?guidedSearch=DialysisFacility
- https://medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation
- https://www.medicare.gov/care-compare?guidedSearch=LongTermCare
- https://medicare.gov/care-compare?guidedSearch=Hospital
- https://www.medicare.gov/care-compare?guidedSearch=Physician
- https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care
- https://www.medicare.gov/care-compare?providertype=nursinghome
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility&providerType=DialysisFacility
- https://www.medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare?guidedSearch=LongTermCare
- https://www.medicare.gov/care-compare?guidedSearch=Hospice
- https://medicare.gov/care-compare?guidedSearch=NursingHome

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87

### Example pages
- https://www.medicare.gov/care-compare?providerType=Hospice
- https://www.medicare.gov/care-compare?providerType=Physician
- https://www.medicare.gov/care-compare?providerType=NursingHome

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-89ff333e`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://medicare.gov/publications/search/all-non-english-pubs?page=4  
**XPath / selector:** `<h3>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 14 instances; 14 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 14 of 1175 scanned pages (14 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/all-non-english-pubs?page=4.
2. Locate the element: <h3>
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=8
- https://medicare.gov/publications/search/all-non-english-pubs?page=7
- https://www.medicare.gov/care-compare/resources/about-this-tool
- https://medicare.gov/publications/search/all-non-english-pubs?page=2
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=2
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=10
- https://medicare.gov/publications/search/all-non-english-pubs?page=8
- https://medicare.gov/publications/search/all-non-english-pubs?page=9
- https://www.medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=7
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=3

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

### Example pages
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-8b2cdefd`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.medicare.gov/my/eMSN?client_id=max&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2FeMSN  
**XPath / selector:** `text: "Version"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 10 instances; 3 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3 of 1175 scanned pages (10 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/my/eMSN?client_id=max&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2FeMSN.
2. Locate the element: text: "Version"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/my/eMSN?client_id=max&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2FeMSN
- https://www.medicare.gov/plan-compare
- https://medicare.gov/medigap-supplemental-insurance-plans

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57

### Example pages
- https://www.medicare.gov/my/eMSN?client_id=max&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2FeMSN
- https://www.medicare.gov/plan-compare
- https://medicare.gov/medigap-supplemental-insurance-plans

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-41e38f2b`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicare.gov/account/create-account?lang=en-us  
**XPath / selector:** `@aria-invalid="false"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 3 of 1175 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/account/create-account?lang=en-us.
2. Locate the element: @aria-invalid="false"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/account/create-account?lang=en-us
- https://www.medicare.gov/account/create-account?Lang=en-us
- https://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

### Example pages
- https://www.medicare.gov/account/create-account?lang=en-us
- https://www.medicare.gov/account/create-account?Lang=en-us
- https://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-acf9e357`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://medicare.gov/publications/search/item/112371  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 1175 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2 of 1175 scanned pages (2 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/item/112371.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/publications/search/item/112371
- https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

### Example pages
- https://medicare.gov/publications/search/item/112371
- https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment