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A La Carte

Discount Medical Plan Application

A La Carte

Creating Your Plan

If you do not wish to purchase an entire package you may select any single option on the right by clicking its check box. If you wish to purchase more than one A La Carte item you will need to fill out a separate application for each.

To learn more about any of our products, simply click the link below. Doing so will not interfere with your application.


Hospital Discounts NOT available in MD and VT. Dental, Chiropractic, Vision, and Physician Benefits are not available to VT residents.
  Dental + Vision

Dental + Pharmacy

Hospital + Physician

Vision + Pharmacy

Dental Only

Chiropractic Only

Vision Only

Pharmacy Only

Disclosure: This plan is NOT insurance nor is it intended to replace insurance.
This discount card program contains a 30 day cancellation period.
Read a full list of disclosures