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Discount Plan Application

Customer Information

Form: #39457

 

*By pressing continue you affirmatively acknowledge, consent, and agree to the Terms of Use and Privacy Policy.

Disclosures:

Your membership is effective upon receipt of membership materials.
This plan is NOT insurance. The plan is not insurance coverage 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 discount card program contains a cancellation policy. This plan provides discounts at certain healthcare providers for medical services. This plan does not make payments directly to the providers of medical services. The plan 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. Upon Cancellation your service will continue until the end of that month's billing period, and you will be charged an early termination fee of 50% of your reminaing contract obligation.
Discount Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 803475, Dallas, TX 75380-3475.

$14.99 / month +
$3.95 application fee (one-time)

*Based on an annual subscription


All Benefits & Features

Teladoc

On-demand healthcare - wherever, whenever

Vision

20% to 60% off prescription eyewear including most frames, lenses and specialty items.

Dental

Save 15% to 50% on cleanings, X-rays, crowns, root canals and filings*.

* per visit, in most instances

Pharmacy

Save 10% to 85% on most prescriptions at over 60,000 pharmacies.

*Actual costs and savings vary by provider, service and geographical area. The discount program provides access to the Aetna Dental Access® network. This network is administered by Aetna Life Insurance Company (ALIC). Neither ALIC nor any of its affiliates offers or administers the discount program. Neither ALIC nor any of its affiliates is an affiliate, agent, representative or employee of the discount program. Dental providers are independent contractors and not employees or agents of ALIC or its affiliates. ALIC does not provide dental care or treatment and is not responsible for outcomes.

Payment Info

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Form: #39457

$14.99 / month +
$3.95 application fee (one-time)

*Based on an annual subscription


All Benefits & Features

Teladoc

On-demand healthcare - wherever, whenever

Vision

20% to 60% off prescription eyewear including most frames, lenses and specialty items.

Dental

Save 15% to 50% on cleanings, X-rays, crowns, root canals and filings*.

* per visit, in most instances

Pharmacy

Save 10% to 85% on most prescriptions at over 60,000 pharmacies.

*Actual costs and savings vary by provider, service and geographical area. The discount program provides access to the Aetna Dental Access®® network. This network is administered by Aetna Life Insurance Company (ALIC). Neither ALIC nor any of its affiliates offers or administers the discount program. Neither ALIC nor any of its affiliates is an affiliate, agent, representative or employee of the discount program. Dental providers are independent contractors and not employees or agents of ALIC or its affiliates. ALIC does not provide dental care or treatment and is not responsible for outcomes.

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