Discounts By Design. Non-Insurance benefits that work for you.

Health Assure Plus Plan

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Discount Plan Application

Add Additional Card

Membership includes you and your immediate family. Primary member card and second card included in base price. All members have access to benefits using these two cards.

Additional dependent cards with printed names incur a one-time charge of $1 per card. Please input dependent's names in this area. First dependent name included in base price. If no dependent is indicated member receives two cards in primary members name.

Primary Member Included in Base Price

First Dependent Included in Base Price

Additional Dependant $1

Additional Dependant $1

Thank you for signing up for the Health Assure Plus Plan. By signing up you agree to pay a one-time set-up fee of $5.00 and a monthly fee of $19.95.

By submitting this form, I acknowledge receipt and acceptance of the disclosures listed below.

Total billed today: $24.95

Disclosures

Your membership is effective upon receipt of membership materials.

This program is NOT insurance coverage, not intended to replace insurance and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00. This program contains a 30 day cancellation period. This program provides discounts at certain healthcare providers for medical services. This program does not make payments directly to the providers of medical services. The program member is obligated to pay for all healthcare services but will receive a discount from those healthcare providers who have contracted with the discount plan organization. For a full list of disclosures, click here. Discount Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 803475, Dallas, TX 75380-3475.

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Not available to UT, VT or WA residents.