Discount Plan Application
PRODUCTS INCLUDED: HEARING, DIABETIC CARE AND SUPPLIES, VISION, LASIK VISION CORRECTION, TELEMEDICINE, IMAGING, DENTAL, PRESCRIPTION
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Step 1: Billing Options
Consumer Health Alliance Entrust Security Chase Banking
Select a billing option:
 
Member Only
/Month
/Year
(A 17% SAVINGS)
Member Plus Spouse
/Month
/Year
(A 17% SAVINGS)
Member Plus Family
/Month
/Year
(A 17% SAVINGS)

*Plus a one-time non-refundable processing fee of $14.00

Coupon/Promo Code:
 (optional)



 
$9.95 billed monthly + $14.00 one time non-refundable processing fee


Total = $23.95 will be charged for your first month, $9.95 will be charged monthly thereafter


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