Discount Medical Plan Application
Select the plan that best fits your needs.
If you wish to pay by check or money order or would rather submit an offline form, please use our
printable pdf form then mail or fax it to us as directed on the form. If you purchase a Package Plan any A La Carte items you'd like to add must be on a separate application.
First Step: Choose a plan
Co-Health Plus
includes hospital visits, physicians, dental, vision, pharmacy visits, diabetic supplies, 24 hour nurse hotline, hearing, and chiropractic.
Buy Now:
$245 Yearly
$22 Monthly
Co-Health Basic Plus
includes dental, vision, pharmacy visits, diabetic supplies, 24 hour nurse hotline, hearing, and chiropractic.
Buy Now:
$180 Yearly
$15 Monthly
A La Carte
Build your own plan choosing your own combination of benefits.
Buy Now:
Begin Creating
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