800-373-0881   customerservice@cohealthusa.com
 
 

 


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.

Disclosures

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




CH26435A
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