Health Coverage

1
Claim your $3000 of Accidental Death Coverage

Unlock $3,000 in Accidental Death Coverage - Absolutely Free for Your First Year! To activate your complimentary protection, simply provide the applicant's name, beneficiary details, and a contact address for your policy delivery.
2
Will you cover your spouse?You'll be able to change this until you make your final decision when you enroll.
Yes, I will
No, I won't
We both have plans available to us
Not sure
3
Will you cover your children?Generally, children are eligible up to age 26.
Yes, I will
Some of them
None of them
We both have plans that cpould cover them
4
Not counting your preventive checkup, how many times do you think you'll see your primary care doctor?Use this year's estimates so far, and it should be for your family together
5
How many times do you think you'll see a specialist?Not including mental health specialists. For your family all together
6
Do any of you see a therapist, psychiatrist, or psychologist regularly?
Yes, one or more of us does
No, none of us do
7
Do you want to include any unscheduled care in your estimates?Emergency rooms have the skills and resources to handle life-threatening situations.If you have an issue that you would normally see your primary care doctor about, but you can't: Urgent care is a great option that costs a fraction of what going to the ER does. Telemedicine basically allows you to have a doctor visit without leaving home.
Yes 2 or more of such visits
No, None of these
8
Do any of you have any ongoing prescriptions?
Yes
No
9
Would you happen to know if any of your prescriptions are brand-name or generic?Select all that apply
Brand name
Genric
Specialty drug
I don't know
10
How many ongoing brand name prescriptions do you have?For your family all together
11
Any occasional prescriptions?Example Antibiotics, For your family all together:
12
Do you anticipate any Big-ticket items:Select all that may apply
Maternity care
Surgeries
Hospital stays (non-surgical)
None
13
How would you pay for a $500 medical bill?Say you went to the doctor, got some tests and a prescription, and the whole thing wound up costing you $500.
Emergency fund
HSA
Take a loan
Use credit card
I' m not sure
14
DENTAL

Because your medical plan doesn't cover dental and vision care, let's look into that for you.
15
Do you want to cover your whole family?
Yes
No
16
Do you think any of you will need any of these insurance services?Select all that apply
Life Insurance
Health Insurance
Dental insurance
Vision insurance
Cancer Insurance
Heart Attack or Stroke Insurance
Hospital Indemnity Insurance
Long Term Care Insurance
Disability Insurance
Other
17
Do you want to cover your whole family?
Type option 3
Type option 4
18
Will you cover your spouse on your accident insurance plan?
Yes
No
19
Will you cover your children on your accident insurance plan?Kids may be covered until they reach the age of 26.
Yes
No
20
NameWho do you want us to contact it can be an authorized representative as well
First Name
Last Name
21
Phone NumberBest contact number we like to text
Please enter a valid phone number.
22
EmailBest email to send your quote
example@example.com
Should be Empty: