Discount Plan Application
LEGACY SELECT PLAN
Products Included: ER & URGENT CARE, DENTAL, PRESCRIPTIONS, LABS, IMAGING, VISION
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Step 1: Billing Options

Select a billing option:
 
Member Plus Family


FREE Physician Evaluation *

*The Physician Evaluation portion of your first visit will be free with purchase of annual plan.
*You will still be responsible for any testing, diagnostic treatment, or surgical treatments at the plan’s 20% discounted rates
*If your first visit is as an emergency room patient, you will receive a $150 credit with your purchase of the annual plan in addition to the 20% discounted rates off of all emergency room treatments


*Plus a one-time non-refundable processing fee of $10.00


$149.99 billed annually 

Total = $159.99 will be charged for your first year; $149.99 will be charged annually thereafter


 

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