Your plan contains the items listed below. You can click on any of the services to learn more about their specific features:
Hearing Aids
Chiropractic
Dental
TelaDoc™ with No Consultation Fee
Vision
Dining Savings
Legal Care Direct
Pharmacy Card 1
Roadside Assist
Your credit card will be charged the following:
monthly fee of $29.95 one-time registration fee of $25.00
Your first and last name:
Your email address (for your order confirmation):
Your phone number:
Please provide us with your billing address. Please make sure to provide accurate information in order to avoid processing delays.
Your street address:
Your city, state and Zip code:
Please provide us with the shipping address for this order. If your billing and shipping addresses are the same, please check the box below.
Same as Billing Information
First and last name:
Shipping street address:
Shipping city, state and Zip code:
Dependent information is not required for the purchase of discount benefit plans. All family members can receive discounts using the card issued in the main member’s name. If you would like to receive additional cards reflecting the name of your dependents, please add them to the list below. Each dependent card requested will result in a one-time printing charge of $2.50 in addition to the price of your benefit purchase today. All recurring payments will be processed for the price of benefits only (when applicable).
Your Credit Card Number:
We accept all major credit cards
Your Credit Card Expiration Date:
Your credit card CV Number (what is this?):
BQARC
If you don’t save AT LEAST $300 in just the first month, simply return the card, no questions asked. You’ll have no further obligation! Continental U.S. orders only - Allow 10-14 business days for delivery.