# Accessibility bug reports — www.medicare.gov, week 2026-W39

21 issue type(s) from 2061 pages scanned. Generated 2026-09-30 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-e227ab60`  
**Pattern ID:** `VS-f7dba940`  
**URL:** http://medicare.gov/basics/forms-publications-mailings/forms  
**XPath / selector:** `<a href="/basics/forms-publications-mailings/forms/enrollment" class="card__cta ds-c-button ds-c-button--solid" aria-labelledby="card-title-block-1076" aria-describedby="card-summary-block-1076">`  
**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:** 114 instances; 41 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 41 of 2061 scanned pages (114 instances).

### Steps to reproduce
1. Open http://medicare.gov/basics/forms-publications-mailings/forms.
2. Locate the element: <a href="/basics/forms-publications-mailings/forms/enrollment" class="card__cta ds-c-button ds-c-button--solid" aria-labelledby="card-title-block-1076" aria-describedby="card-summary-block-1076">
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
- http://medicare.gov/basics/forms-publications-mailings/forms
- https://medicare.gov/basics/get-started-with-medicare
- http://medicare.gov/basics/forms-publications-mailings
- https://www.medicare.gov/?reset=true
- https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/how-does-medicare-work
- https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan
- https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options
- https://medicare.gov/index.php/basics
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
- http://medicare.gov/basics/get-started-with-medicare/get-more-coverage
- http://medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start
- https://medicare.gov/health-drug-plans/part-d/basics
- https://www.medicare.gov/basics/get-started-with-medicare/sign-up/ready-to-sign-up-for-part-a-part-b
- https://medicare.gov/prescription-payment-plan/before-payment-option
- https://medicare.gov/basics/your-medicare-rights
- https://medicare.gov/health-drug-plans/medigap/ready-to-buy/change-policies
- https://medicare.gov/
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics
- http://medicare.gov/?reset=true
- https://www.medicare.gov/basics/get-started-with-medicare/using-medicare/your-medicare-card
- http://medicare.gov/index.php/basics
- https://www.medicare.gov/index.php/talk-to-someone
- https://medicare.gov/?reset=true
- https://www.medicare.gov/basics/get-started-with-medicare/using-medicare/how-to-get-medicare-services
- https://medicare.gov/basics/get-started-with-medicare/medicare-basics/how-does-medicare-work

…and more — 41 pages total ([download CSV](csv/alfa__sia-r14.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-r14

### Example pages
- http://medicare.gov/basics/forms-publications-mailings/forms
- https://medicare.gov/basics/get-started-with-medicare
- http://medicare.gov/basics/forms-publications-mailings

---

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

**Bug ID:** `VS-63027f0f`  
**Pattern ID:** `VS-3f76c7ea`  
**URL:** https://medicare.gov/publication-ordering/12181-S  
**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:** 15 instances; 15 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<iframe data-src="https://surveys.cms...." width="100%" height="100%" frameborder="0" name="survey-iframe-SI_6tb..." data-name="embedded-iframe-SI_6..." allow="local-network-access" style="border-radi
```

### Description
Frames must have an accessible name. Detected by axe-core rule frame-title on 15 of 2061 scanned pages (15 instances).

### Steps to reproduce
1. Open https://medicare.gov/publication-ordering/12181-S.
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/publication-ordering/12181-S
- http://medicare.gov/publication-ordering/11525
- https://medicare.gov/publication-ordering/12217-S
- https://medicare.gov/publication-ordering/12203-S
- http://medicare.gov/coverage/obesity-behavioral-therapy
- http://medicare.gov/health-drug-plans/medigap/basics/costs
- https://medicare.gov/publication-ordering/11420-S
- https://www.medicare.gov/basics/get-started-with-medicare
- https://www.medicare.gov/coverage/principal-care-management-services
- https://medicare.gov/health-drug-plans/health-plans/your-health-plan-options/other-medicare-health-plans
- http://medicare.gov/medical-equipment-suppliers
- https://medicare.gov/coverage/pre-exposure-prophylaxis-prep-for-hiv-prevention
- https://medicare.gov/coverage/hyperbaric-oxygen-therapy
- http://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/immunosuppressive-drug-benefit-welcome-package

### 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/publication-ordering/12181-S
- http://medicare.gov/publication-ordering/11525
- https://medicare.gov/publication-ordering/12217-S

---

## 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:** 459 instances; 446 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 446 of 2061 scanned pages (459 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
- http://medicare.gov/basics/forms-publications-mailings/forms
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/publication-ordering/12207
- https://www.medicare.gov/coverage/radiation-therapy
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision
- http://medicare.gov/health-apps/noom
- https://www.medicare.gov/coverage/nursing-home-care
- https://medicare.gov/basics/forms-publications-mailings/forms/other
- http://medicare.gov/publication-ordering/12219-S
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://medicare.gov/basics/get-started-with-medicare
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- https://medicare.gov/coverage/osteoporosis-drugs
- https://www.medicare.gov/publication-ordering/10050-B
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/appeal-part-a-hospital-status-change
- http://medicare.gov/basics/forms-publications-mailings
- http://medicare.gov/publication-ordering/11361-S
- https://medicare.gov/index.php/publications
- https://medicare.gov/coverage/mental-health-care-inpatient
- http://medicare.gov/publication-ordering/10969-S
- https://www.medicare.gov/coverage/blood

…and more — 446 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
- http://medicare.gov/basics/forms-publications-mailings/forms

---

## Button has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-e6df4b9b`  
**Pattern ID:** `VS-29f9f921`  
**URL:** https://www.medicare.gov/care-compare?guidedSearch=HomeHealth  
**XPath / selector:** `<button id="_r_8_" data-testid="location-field-mobile-trigger" type="button" class="location-field__mobile-trigger">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r12` ([reference](https://alfa.siteimprove.com/rules/sia-r12))  
**Severity:** Moderate  
**Frequency:** 24 instances; 12 of 2061 pages affected
  
**History:** first seen 2026-W38, last seen 2026-W39 (2 weeks)

### Description
Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 12 of 2061 scanned pages (24 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare?guidedSearch=HomeHealth.
2. Locate the element: <button id="_r_8_" data-testid="location-field-mobile-trigger" type="button" class="location-field__mobile-trigger">
3. Confirm the Siteimprove Alfa finding for rule sia-r12 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/care-compare?guidedSearch=HomeHealth
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility
- https://www.medicare.gov/care-compare?providerType=Physician
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter
- https://www.medicare.gov/care-compare?guidedSearch=LongTermCare
- http://medicare.gov/care-compare?guidedSearch=NursingHome
- https://www.medicare.gov/care-compare?guidedSearch=Physician
- https://www.medicare.gov/care-compare?guidedSearch=CommunityHealthCenter
- https://medicare.gov/care-compare?guidedSearch=LongTermCare
- https://www.medicare.gov/care-compare?providerType=Hospital
- https://www.medicare.gov/care-compare?providerType=InpatientRehabilitation

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

### Suggested fix
**How to fix:** Give the button an accessible name via text, aria-label, or aria-labelledby.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r12

### Example pages
- https://www.medicare.gov/care-compare?guidedSearch=HomeHealth
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility
- https://www.medicare.gov/care-compare?providerType=Physician

---

## Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)

**Bug ID:** `VS-6e1eb3e9`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.medicare.gov/basics/costs/help/medicare-savings-programs  
**XPath / selector:** `.table-wrapper:nth-child(4) > table > thead > tr > th:nth-child(3) > .help-drawer[data-drawer-id="109301"][data-size="std"] > .ds-c-drawer__toggle.ds-c-drawer__toggle--inline.ds-c-help-drawer__toggle`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 4 instances; 1 of 2061 pages affected
  
**History:** first seen 2026-W39, last seen 2026-W39 (1 week)

### HTML snippet
```html
<button class="ds-c-button ds-c-button--ghost ds-c-drawer__toggle ds-c-drawer__toggle--inline ds-c-help-drawer__toggle" type="button">
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 1 of 2061 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/basics/costs/help/medicare-savings-programs.
2. Locate the element: .table-wrapper:nth-child(4) > table > thead > tr > th:nth-child(3) > .help-drawer[data-drawer-id="109301"][data-size="std"] > .ds-c-drawer__toggle.ds-c-drawer__toggle--inline.ds-c-help-drawer__toggle
3. Confirm the axe-core finding for rule color-contrast 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/basics/costs/help/medicare-savings-programs

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

### Suggested fix
**How to fix:** Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.

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

---

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

**Bug ID:** `VS-8024475d`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** http://medicare.gov/coverage/mental-health-substance-use-disorder  
**XPath / selector:** `text: "For finding the care you need"`  
**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:** 86 instances; 12 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 12 of 2061 scanned pages (86 instances).

### Steps to reproduce
1. Open http://medicare.gov/coverage/mental-health-substance-use-disorder.
2. Locate the element: text: "For finding the care you need"
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
- http://medicare.gov/coverage/mental-health-substance-use-disorder
- https://www.medicare.gov/coverage/mental-health-substance-use-disorder
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare
- https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
- https://www.medicare.gov/what-medicare-covers/what-part-a-covers/health-care-prescriptions-in-a-nursing-home
- https://www.medicare.gov/prescription-payment-plan/examples
- 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/claims-appeals-complaints/appeals/original-medicare/denial-part-a-hospital-status
- https://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
- http://medicare.gov/providers-services/original-medicare/nursing-homes/choosing

### 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
- http://medicare.gov/coverage/mental-health-substance-use-disorder
- https://www.medicare.gov/coverage/mental-health-substance-use-disorder
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-8e296f64`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://medicare.gov/coverage/blood-sugar-control-solutions  
**XPath / selector:** `text: "Feedback"`  
**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:** 621 instances; 258 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 258 of 2061 scanned pages (621 instances).

### Steps to reproduce
1. Open https://medicare.gov/coverage/blood-sugar-control-solutions.
2. Locate the element: text: "Feedback"
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://medicare.gov/coverage/blood-sugar-control-solutions
- http://medicare.gov/basics/forms-publications-mailings/forms
- https://www.medicare.gov/account/create-account?Lang=es-mx
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/coverage/radiation-therapy
- 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/coverage/nursing-home-care
- https://medicare.gov/basics/forms-publications-mailings/forms/other
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://medicare.gov/basics/get-started-with-medicare
- https://medicare.gov/coverage/osteoporosis-drugs
- http://medicare.gov/basics/forms-publications-mailings
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/plan-premium-changing
- https://medicare.gov/coverage/telehealth
- http://medicare.gov/coverage/mental-health-substance-use-disorder
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-plan-termination
- https://www.medicare.gov/coverage/popular-topics
- https://www.medicare.gov/index.php/about-us/using-this-site
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/eligibility-help-with-costs-May
- https://medicare.gov/coverage/advance-care-planning
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/other
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/extra-help-auto-enrollment-retroactive
- https://www.medicare.gov/coverage/mental-health-substance-use-disorder

…and more — 258 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://medicare.gov/coverage/blood-sugar-control-solutions
- http://medicare.gov/basics/forms-publications-mailings/forms
- https://www.medicare.gov/account/create-account?Lang=es-mx

---

## 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:** 5490 instances; 517 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 517 of 2061 scanned pages (5490 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
- http://medicare.gov/basics/forms-publications-mailings/forms
- https://www.medicare.gov/account/create-account?Lang=es-mx
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/publication-ordering/12207
- https://www.medicare.gov/coverage/radiation-therapy
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision
- http://medicare.gov/health-apps/noom
- https://www.medicare.gov/coverage/nursing-home-care
- https://medicare.gov/basics/forms-publications-mailings/forms/other
- https://www.medicare.gov/care-compare?guidedSearch=HomeHealth
- http://medicare.gov/publication-ordering/12219-S
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://medicare.gov/basics/get-started-with-medicare
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- https://medicare.gov/coverage/osteoporosis-drugs
- https://www.medicare.gov/publication-ordering/10050-B
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/appeal-part-a-hospital-status-change
- http://medicare.gov/basics/forms-publications-mailings
- http://medicare.gov/publication-ordering/11361-S
- https://medicare.gov/index.php/publications
- https://medicare.gov/coverage/mental-health-care-inpatient

…and more — 517 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
- http://medicare.gov/basics/forms-publications-mailings/forms

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-5523cc85`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.medicare.gov/account/create-account?Lang=es-mx  
**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:** 2 instances; 1 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (9 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 1 of 2061 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/account/create-account?Lang=es-mx.
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=es-mx

### 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

---

## 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:** 17349 instances; 517 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 517 of 2061 scanned pages (17349 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
- http://medicare.gov/basics/forms-publications-mailings/forms
- https://www.medicare.gov/account/create-account?Lang=es-mx
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/publication-ordering/12207
- https://www.medicare.gov/coverage/radiation-therapy
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision
- http://medicare.gov/health-apps/noom
- https://www.medicare.gov/coverage/nursing-home-care
- https://medicare.gov/basics/forms-publications-mailings/forms/other
- https://www.medicare.gov/care-compare?guidedSearch=HomeHealth
- http://medicare.gov/publication-ordering/12219-S
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://medicare.gov/basics/get-started-with-medicare
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- https://medicare.gov/coverage/osteoporosis-drugs
- https://www.medicare.gov/publication-ordering/10050-B
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/appeal-part-a-hospital-status-change
- http://medicare.gov/basics/forms-publications-mailings
- http://medicare.gov/publication-ordering/11361-S
- https://medicare.gov/index.php/publications
- https://medicare.gov/coverage/mental-health-care-inpatient

…and more — 517 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
- http://medicare.gov/basics/forms-publications-mailings/forms

---

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

**Bug ID:** `VS-e5af4051`  
**Pattern ID:** `VS-f18df681`  
**URL:** http://medicare.gov/publication-ordering/11377  
**XPath / selector:** `.ds-u-clearfix`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3447 instances; 1722 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<div class="ds-u-clearfix form-block__intro">
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 1722 of 2061 scanned pages (3447 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/11377.
2. Locate the element: .ds-u-clearfix
3. Confirm the axe-core finding for rule region.

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

### Affected pages
- http://medicare.gov/publication-ordering/11377
- https://www.medicare.gov/coverage/emergency-department-services
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- http://medicare.gov/publication-ordering/11376-S
- http://medicare.gov/basics/forms-publications-mailings/forms
- https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin
- http://medicare.gov/publication-ordering/12177-S
- https://www.medicare.gov/coverage/hospital-beds
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- https://www.medicare.gov/prescription-payment-plan
- https://www.medicare.gov/health-drug-plans/part-d/basics/costs
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- https://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- http://medicare.gov/publication-ordering/11417
- http://medicare.gov/glp1bridge
- http://medicare.gov/publication-ordering/12200-S
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/publication-ordering/12207
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage
- http://medicare.gov/coverage/covid-19-vaccine
- https://www.medicare.gov/coverage/radiation-therapy
- https://medicare.gov/publication-ordering/12033-S
- https://medicare.gov/publication-ordering/10988-S
- https://medicare.gov/publications/search/all-non-english-pubs?page=4

…and more — 1722 pages total ([download CSV](csv/axe-core__region.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:** 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
- http://medicare.gov/publication-ordering/11377
- https://www.medicare.gov/coverage/emergency-department-services
- https://www.medicare.gov/publication-ordering/02179

---

## 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:** 43 instances; 43 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

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

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 43 of 2061 scanned pages (43 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
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/end-stage-renal-disease
- https://medicare.gov/publications/search/all-non-english-pubs?page=5
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1
- http://medicare.gov/care-compare/resources/about-this-tool
- 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
- http://medicare.gov/publications/search/all-non-english-pubs?page=6
- http://medicare.gov/publications/search/all-non-english-pubs?page=10
- http://medicare.gov/publications/search/all-non-english-pubs?page=5
- http://medicare.gov/publications/search/all-non-english-pubs?page=1
- https://www.medicare.gov/providers-services/coordinating-care/support-chronic-health-conditions-access/find-ACCESS-orgs/ACCESS-search-results
- https://medicare.gov/publications/search/all-non-english-pubs?page=6
- https://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/publications/search/all-non-english-pubs?page=3
- https://medicare.gov/publications/search/all-non-english-pubs?page=0
- http://medicare.gov/publications/search/all-non-english-pubs
- 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

…and more — 43 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
- http://medicare.gov/publications/search/all-non-english-pubs?page=7

---

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

**Bug ID:** `VS-76f781fc`  
**Pattern ID:** `VS-fa44f293`  
**URL:** http://medicare.gov/publications/search/item/112371  
**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:** 9 instances; 9 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 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 9 of 2061 scanned pages (9 instances).

### Steps to reproduce
1. Open http://medicare.gov/publications/search/item/112371.
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
- http://medicare.gov/publications/search/item/112371
- https://medicare.gov/publications/search/item/112376
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment
- http://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
- http://medicare.gov/publications/search/item/112371
- https://medicare.gov/publications/search/item/112376
- http://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:** 3 instances; 3 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 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 3 of 2061 scanned pages (3 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
- http://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
- http://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:** 3 instances; 3 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 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 3 of 2061 scanned pages (3 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
- http://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
- http://medicare.gov/account/login/help

---

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

**Bug ID:** `VS-e787ae06`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.medicare.gov/publication-ordering/02179  
**XPath / selector:** `text: "
            Important updates, straight to your inbox
          "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 2971 instances; 475 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 475 of 2061 scanned pages (2971 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/publication-ordering/02179.
2. Locate the element: text: "
            Important updates, straight to your inbox
          "
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/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- http://medicare.gov/basics/forms-publications-mailings/forms
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/publication-ordering/12207
- https://www.medicare.gov/coverage/radiation-therapy
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision
- http://medicare.gov/health-apps/noom
- https://www.medicare.gov/coverage/nursing-home-care
- https://medicare.gov/basics/forms-publications-mailings/forms/other
- http://medicare.gov/publication-ordering/12219-S
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://medicare.gov/basics/get-started-with-medicare
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- https://medicare.gov/coverage/osteoporosis-drugs
- https://www.medicare.gov/publication-ordering/10050-B
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/appeal-part-a-hospital-status-change
- http://medicare.gov/basics/forms-publications-mailings
- http://medicare.gov/publication-ordering/11361-S
- https://medicare.gov/index.php/publications
- https://medicare.gov/coverage/mental-health-care-inpatient
- http://medicare.gov/publication-ordering/10969-S
- https://www.medicare.gov/coverage/blood

…and more — 475 pages total ([download CSV](csv/alfa__sia-r57.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-r57

### Example pages
- https://www.medicare.gov/publication-ordering/02179
- https://medicare.gov/coverage/blood-sugar-control-solutions
- http://medicare.gov/basics/forms-publications-mailings/forms

---

## 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:** 222 instances; 145 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 145 of 2061 scanned pages (222 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
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/coverage/radiation-therapy
- http://medicare.gov/health-apps/noom
- https://www.medicare.gov/coverage/nursing-home-care
- https://medicare.gov/coverage/opioid-use-disorder-treatment-services
- https://medicare.gov/coverage/osteoporosis-drugs
- https://medicare.gov/index.php/publications
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- http://medicare.gov/coverage/mental-health-substance-use-disorder
- https://medicare.gov/coverage/advance-care-planning
- https://www.medicare.gov/coverage/mental-health-substance-use-disorder
- https://www.medicare.gov/coverage/preventive-screening-services
- http://medicare.gov/coverage/blood-sugar-monitors
- https://medicare.gov/coverage/long-term-care-hospital-services
- https://medicare.gov/publications/search/all-non-english-pubs?page=1
- https://medicare.gov/coverage/prosthetic-devices
- https://medicare.gov/coverage/surgery
- https://medicare.gov/coverage/depression-screening
- https://medicare.gov/coverage/yearly-wellness-visits
- https://medicare.gov/coverage/welcome-to-medicare-preventive-visit
- http://medicare.gov/coverage/suction-pumps
- https://medicare.gov/publications/search/all-non-english-pubs?page=3
- https://www.medicare.gov/coverage/behavioral-health-integration-services

…and more — 145 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
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://www.medicare.gov/coverage/radiation-therapy

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-6705cece`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://medicare.gov/publications/search/all-non-english-pubs?page=1  
**XPath / selector:** `<h3>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 13 instances; 13 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 13 of 2061 scanned pages (13 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/all-non-english-pubs?page=1.
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=1
- https://medicare.gov/publications/search/all-non-english-pubs?page=3
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=8
- http://medicare.gov/publications/search/all-non-english-pubs?page=10
- https://medicare.gov/publications/search/all-non-english-pubs?page=0
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=2
- https://medicare.gov/publications/search/all-non-english-pubs?page=8
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=6
- http://medicare.gov/publications/search/all-non-english-pubs?page=8
- https://medicare.gov/publications/search/all-non-english-pubs?page=9
- https://medicare.gov/care-compare/resources/about-this-tool
- 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=1
- https://medicare.gov/publications/search/all-non-english-pubs?page=3
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=8

---

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

**Bug ID:** `VS-b217d5d3`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.medicare.gov/care-compare?guidedSearch=HomeHealth  
**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:** 12 instances; 12 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 12 of 2061 scanned pages (12 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare?guidedSearch=HomeHealth.
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?guidedSearch=HomeHealth
- https://www.medicare.gov/care-compare?providerType=MedicalEquipmentSuppliers
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility
- https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care
- https://www.medicare.gov/care-compare?providerType=Physician
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter
- http://medicare.gov/care-compare?guidedSearch=NursingHome
- https://medicare.gov/care-compare/resources/about-this-tool
- https://medicare.gov/care-compare?guidedSearch=LongTermCare
- https://www.medicare.gov/care-compare?providerType=Hospital
- https://www.medicare.gov/care-compare?providerType=InpatientRehabilitation

### 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?guidedSearch=HomeHealth
- https://www.medicare.gov/care-compare?providerType=MedicalEquipmentSuppliers
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility

---

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

**Bug ID:** `VS-b9cde055`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicare.gov/account/create-account?Lang=es-mx  
**XPath / selector:** `@aria-invalid="false"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (12 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 2 of 2061 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/account/create-account?Lang=es-mx.
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=es-mx
- http://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=es-mx
- http://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-77f1edf6`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment  
**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:** 1 instances; 1 of 2061 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (15 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1 of 2061 scanned pages (1 instances).

### Steps to reproduce
1. Open https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment.
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/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
