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Discount Plan Application
MEDIPASS BY MEDPLUS PLAN
PRODUCTS INCLUDED: DENTAL, VISION, LASIK VISION CORRECTION, TELEMEDICINE
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Step 1: Billing Options

Select a billing option:
 
Member Only
/Quarterly
Member Plus One
/Quarterly
Member Plus Family
/Quarterly


 
$21.00 billed quarterly


Total = $21.00 will be charged for you first quarter, $21.00 will be charged quarterly thereafter



When would you like your membership plan to start?

--- OR ---

MEDPLUS-ONLINE-APP


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