Online Registration Form
Discount Medical Plan Application

Welcome to our online registration page.

Plans Details:

 
Rx

Dental

AllCare
Prescription Plan  
Physician/Hospital Plan    
Aetna Dental Access ®  
Vision Plan    
Mail Order Pharmacy
Hearing Aids
Diabetic Supplies
Vitamins  

Please select services:

SPECIAL OFFER Get $5.00 OFF your first month now*

If you're not completely satisfied with your savings within
the first 30 days, we'll refund 100% of your membership fee.

  • RX Plan Individual

    (Not available to WA, KS & UT
    residents)

    $9.99 first month and $14.99/month thereafter

  • RX Plan Family

    (Not available to WA, KS & UT
    residents)

    $14.99 first month and $19.99/month thereafter

  • Dental Plan Individual

    (Not available to WA, KS, UT, MD
    & VT residents)

    $2.99 first month and $7.99/month thereafter

  • Dental Plan Family

    (Not available to WA, KS, UT, MD
    & VT residents)

    $5.99 first month and $10.99/month thereafter

  • AllCare Plan Individual

    (Not available to WA, KS, UT, MD
    & VT residents)

    $19.99 first month and $24.99/month thereafter

  • AllCare Plan Family

    (Not available to WA, KS, UT, MD
    & VT residents)

    $24.99 first month and $29.99/month thereafter

  • - See table above for details

    * - does not apply to Identity Theft Protection Plans