Discount Plans
Choose the plan. Then click
either monthly or annual
payment amount.
$7.95 Monthly Dental, Vision, Chiropractic and Vitamins
$79.95 Annually

$9.95 Monthly Prescription, Vision, Hearing and Vitamins
$99.50 Annually

$14.95 Monthly Physician, Hospital & Medical Facilities (Labs), Dental, Vision, Hearing, Chiropractic and Prescriptions
$164.45 Annually

$19.95 Monthly Physician, Hospital & Medical Facilities (Labs), Dental, Vision, Hearing, Chiropractic, Prescriptions, Podiatry, 24hr. Nurse Helpline, Alternative Medicine, Vitamins & Nutrition, Home Medical Equipment and *Emergency Travel.
$219.45 Annually

Preferred Health Benefits
Discount Medical Plan Membership Application

Please complete this application to sign up for the Healthcare Discount Medical Plan

*Requred Fields

*First Name

*Last Name

*Address 1
Address 2

*City

*State

*ZIP Code

*Name on Card

*Credit Card Number

*Expiration Date (MMYY)

Email

Re-Enter Email

Total Amount:




This plan is not Insurance. 
 This plan is administered by Coverdell &
Company, Inc. a discount medical plan organization
at 8420 W. Bryn Mawr, Suite 700, Chicago, IL. 60631
1-800-308-0374
This is not a Medicare prescription drug plan.
*Emergency Travel NOT available in Florida, Connecticut or New York.

                                                                                                                                                                                        Preferred Health Benefits
                                                                                                                                                                                            All Rights Reserved
                                                                                                                                                                                            (C)   Copyright 2010                                                   
PHBAPP 007