Discount Plan Application
DENTAL VISION PLUS DISCOUNT PLAN
PRODUCTS INCLUDED: DENTAL, DIABETES SUPPLIES, HEARING, LABS, LASIK, PODIATRY, ONLINE WELLNESS PROGRAMS & SERVICES, WEIGHT MANAGEMENT, PRESCRIPTION, VITAMIN AND NUTRITIONAL SUPPLEMENTS
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Step 1: Billing Options

Select a billing option:
 
Member Only
/Month
/Year
(A 17% SAVINGS)
Member Plus One
/Month
/Year
(A 17% SAVINGS)
Member Plus Family
/Month
/Year
(A 17% SAVINGS)

Coupon/Promo Code:
 (optional)



 
$8.95 billed monthly


Total = $8.95 will be charged for your first month, $8.95 will be charged monthly thereafter



When would you like your membership plan to start?

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NYSVARA ONLINE APP


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