Or contact sales at 888-721-2583, Monday – Friday 8:30 a.m. – 5:00 p.m. EST for more information.
A completed application received by the 15th of the month will be effective the first day of the following month. Applications received after the 15th of the month will be effective the first day of the month after that.
Please be sure to indicate your coverage choice for the Direct Payment HMO contract in question # 11.
No payment is required with your application; a bill for the cost of your monthly premium rate will be mailed to you once you are enrolled.